Joint stiffness and limitation of motion may also be troublesome.
Symptoms are often minor, but they can be severely disabling.
One to several joints are usually affected. The metacarpophalangeal joints, wrists, elbows, and shoulders are rarely affected without previous trauma. Pain is typically insidious in onset and gradually progresses, usually for many years. Flare-ups may be followed by partial or complete remission. Pain is commonly present when the joint is in motion and is relieved by rest, at least until the advanced stages of disease are reached.