Pain and inflammation often begin in the toes and spread up through the ankles and knees. The joints may make cracking sounds and may be very swollen. Cold applications bring relief to both the pain and swelling. Pain that moves unpredictably from one joint to another suggests a need for this remedy. The hips and knees are often affected, and pain may be felt in the heels.
Symptoms are worse from warmth, and better from cold applications and open air.
A person who needs this remedy often is moody and changeable, and usually wants a lot of attention and comforting. The person may feel extremely restless. Both warmth and motion improve the symptoms in the joints, as well as the person's general state. Arthritis with a feeling of great stiffness and lameness, worse from cold and damp, and worse from exertion often is relieved by this remedy. Tendons and the capsules of the joints may be affected.