Small joint pain and swelling
Knuckles, finger joints, wrists and feet are commonly involved. Persistent swelling is especially important.
Morning stiffness
Stiffness on waking may last more than 30–60 minutes. It is suggestive, though not specific.
Useful tests
Rheumatoid factor, anti-CCP antibodies, inflammatory markers and imaging. A negative rheumatoid factor does not exclude the disease.
Why early diagnosis matters
Early treatment can control inflammation and reduce the risk of joint damage.
Related content
A hot, very painful and swollen joint, especially with fever, requires urgent medical attention.