Your Medical History - Diagnosing Arthritis: Arthritis


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Your medical history


Your symptoms — what they are, when they first began, and how they've changed over time — provide potent clues to whether arthritis is inflammatory or noninflammatory. Your doctor will need to know about the following:

  • type of joint symptoms (such as pain or stiffness)

  • effect of activity (such as increased pain or relief of stiffness during or after a particular activity)

  • general pattern of joint symptoms (started gradually or suddenly, worsened over time or stayed about the same, migrated from one joint to another, or fluctuated in intensity)

  • any other symptoms (fever, fatigue, weight loss, skin problems, bowel problems)

  • events that occurred near the time the symptoms first appeared (such as viral illness, bacterial infection, injury, vaccination, new medication, or change in activity)

  • time of day that joint symptoms are worst (prolonged morning stiffness suggests inflammatory arthritis; night pain is more typical of noninflammatory joint disease)

  • presence or absence of joint swelling, redness, or warmth

  • previous episodes of similar symptoms

  • family history of arthritis or rheumatic disease.

When to see a doctor

Because arthritis isn't usually a medical emergency, you can schedule a routine appointment for evaluation. However, certain situations and symptoms demand immediate attention. These include

  • joint trauma or injury, especially if the joint cannot function or there is a feeling of instability (may require orthopedic treatment)

  • joint pain accompanied by fever, rash, or other systemic signs, such as fatigue, headache, or weight loss (can indicate other autoimmune diseases, chronic infection, or cancer)

  • severe pain in one or a few joints (can indicate joint infection or gout)

  • neurologic symptoms, such as numbness or pain in hands or legs or radiating from neck, or in low back (may indicate nerve compression).

   Diagnosing arthritis: 2 of 5   


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Last updated: September 05, 2008

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