Joint pain can affect one or more joints.
Joint pain can be caused by many types of injuries or conditions. It may be linked to arthritis, bursitis, and muscle pain. No matter what causes it, joint pain can be very bothersome. Some things that can cause joint pain are:
Arthritis is inflammation or degeneration of one or more joints. A joint is the area where 2 bones meet. There are more than 100 different types of...Read Article Now Book Mark Article
Bursitis is the swelling and irritation of a bursa. A bursa is a fluid-filled sac that acts as a cushion between muscles, tendons, and bones....Read Article Now Book Mark Article
Muscle aches and pains are common and can involve more than one muscle. Muscle pain also can involve ligaments, tendons, and fascia. Fascias are th...Read Article Now Book Mark Article
- Autoimmune diseases such as rheumatoid arthritis and lupus
Rheumatoid arthritis (RA) is a disease that leads to inflammation of the joints and surrounding tissues. It is a long-term disease. It can also aff...Read Article Now Book Mark Article
- Chondromalacia patellae
- Crystals in the joint -- gout (especially found in the big toe) and CPPD arthritis (pseudogout)
- Infections caused by a virus
- Injury, such as a fracture
- Osteomyelitis (bone infection)
- Septic arthritis (joint infection)
- Unusual exertion or overuse, including strains or sprains
Signs of joint inflammation include:
- Pain with movement
Follow your health care provider's advice for treating the cause of the pain.
For non-arthritic joint pain, both rest and exercise are important. Warm baths, massage, and stretching exercises should be used as often as possible.
Acetaminophen (Tylenol) may help the soreness feel better.
Nonsteroidal anti-inflammatory drugs (NSAIDS) such as ibuprofen or naproxen may help relieve pain and swelling. Talk to your provider before giving aspirin or NSAIDs such as ibuprofen to children.
When to Contact a Medical Professional
Contact your provider if:
- You have fever that is not associated with flu symptoms.
Fever is the temporary increase in the body's temperature in response to a disease or illness. A child has a fever when the temperature is at or abov...Read Article Now Book Mark Article
- You have lost 10 pounds (4.5 kilograms) or more without trying (unintended weight loss).
- Your joint pain lasts for more than several days.
- You have severe, unexplained joint pain and swelling, particularly if you have other unexplained symptoms.
What to Expect at Your Office Visit
Your provider will ask you questions about your medical history and symptoms, including:
- Which joint hurts? Is the pain on one side or both sides?
- What started the pain and how often have you had it? Have you had it before?
- Did this pain begin suddenly and severely, or slowly and mildly?
- Is the pain constant or does it come and go? Has the pain become more severe?
- Have you injured your joint?
- Have you had an illness, rash, or fever?
- Does resting or moving make the pain better or worse? Are certain positions more or less comfortable? Does keeping the joint elevated help?
- Do medicines, massage, or applying heat reduce the pain?
- What other symptoms do you have?
- Is there any numbness?
- Can you bend and straighten the joint? Does the joint feel stiff?
- Are your joints stiff in the morning? If so, for how long does the stiffness last?
- What makes the stiffness better?
A physical exam will be done to look for signs of joint abnormality including:
- Pain with motion
- Abnormal motion such as limitation, loosening of the joint, grating sensation
Tests that may be done include:
- CBC or blood differential
A complete blood count (CBC) test measures the following:The number of red blood cells (RBC count)The number of white blood cells (WBC count)The tota...Read Article Now Book Mark Article
- C-reactive protein
- Joint x-ray
- Sedimentation rate
- Blood tests specific to various autoimmune disorders
- Joint aspiration to obtain joint fluid for culture, white cell count and examination for crystals
Treatments may include:
- Medicines such as non-steroidal anti-inflammatory drugs (NSAIDS) including ibuprofen, naproxen, or indomethacin
- Injection of a corticosteroid medicine into the joint
- Antibiotics and often surgical drainage, in case of infection (usually require hospitalization)
- Physical therapy for muscle and joint rehabilitation
Gordon A. Starkebaum, MD, MACR, ABIM Board Certified in Rheumatology, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
Bykerk VP, Crow MK. Approach to the patient with rheumatic disease. In: Goldman L, Schafer AI, eds. Goldman-Cecil Medicine. 26th ed. Philadelphia, PA: Elsevier; 2020:chap 241.
Davis JM, Moder KG, Hunder GG. History and physical examination of the musculoskeletal system. In: Firestein GS, Budd RC, Gabriel SE, McInnes IB, O'Dell JR, eds. Kelley and Firestein's Textbook of Rheumatology. 10th ed. Philadelphia, PA: Elsevier; 2017:chap 40.