There is often associated morning stiffness and joint swelling. Tenderness and painful movement are common. Deformities may result. Most of these problems can be dealt with on an out-patient basis. An early morning shower will frequently shorten the duration of morning stiffness.
Moist heat is quite helpful for most joint problems and is used prior to ROM exercises.
The moist heat helps to prevent or reduce joint pain caused by motion. For acute, severe joint pain, ice is most helpful. Bed rest is occasionally prescribed for widespread severe pain. In such cases, it is especially important to properly position the patient in bed to avoid the development of contractures of the joints. One of the most common mistakes is to put pillows under the knees.