Hey everybody - I'm new to the forum. Lot's of great information

Anyhow, I have pain/discomfort on the top of my picking hand, right underneath my ring finger. I pick like Steve Morse, which is to say the pick is angled up instead of down. It feels natural to do this. However, it is becoming tight and a bit painful. I also play a lot of x-box, but stopped recently.

I've been playing off and on for 20 years.

Thanks for your assistance!
Playing advice: shoot a video and post it here, so we can see what you're possibly doing wrong

Medical advice: go see a doctor.