Early signs of arthritis include pain, feel of grinding sensation, crepitus, and stiffness, especially at the extremes of range of motion. Patient may have recurrent episodes of acute pain which may remit to complete normalcy. Overtime these episodes start occurring more frequently and in worsening severity. Use of stairs getting in and out of chair or bed are especially difficult during an acute episode. Pain and swelling are also worsened with prolonged activity like walking or standing.