Launching September 2027

Joint Pain (Arthralgia)

Joint Pain At A Glance

  • Joint pain, or arthralgia, is discomfort, soreness, aching, or pain in one or more joints such as the knees, hips, shoulders, elbows, wrists, fingers, or ankles.
  • It is a symptom rather than a single disease and may develop from injury, overuse, inflammation, arthritis, infection, or another medical condition.
  • Symptoms can include pain, stiffness, swelling, warmth, redness, reduced motion, weakness, instability, or difficulty walking and completing daily activities.
  • Common causes include osteoarthritis, rheumatoid arthritis, gout, bursitis, tendinitis, sprains, fractures, infections, and previous joint injuries.
  • Evaluation may involve a physical examination, blood tests, imaging, or joint-fluid testing depending on the symptoms and suspected cause.
  • Treatment may include temporary activity changes, heat or ice, physical therapy, medications, injections, or surgery when severe damage or injury is present.

Table of Contents

Table of Contents

What Is Joint Pain?

Joint pain, also called arthralgia, is discomfort, aching, soreness, or pain in one or more joints. Joints are areas where two or more bones meet, such as the knees, hips, shoulders, elbows, wrists, fingers, and ankles. Joint pain may begin suddenly after an injury or develop gradually because of inflammation, overuse, arthritis, infection, or another medical condition.

Joint pain is a symptom rather than a single disease. It may be mild and temporary or severe enough to affect walking, sleep, work, and everyday activities. Treatment depends on what is causing the pain.

Learn More

Joint Disorders – NIH MedlinePlus
https://medlineplus.gov/jointdisorders.html

Provides patient-friendly information about joint injuries, arthritis, diagnosis, treatment, and when to seek medical care.

Joint Pain – NIH MedlinePlus
https://medlineplus.gov/ency/article/003261.htm

Explains common causes of joint pain and what to expect during a medical evaluation.

How Common Is Joint Pain?

Joint pain is common and can affect adults of any age. The likelihood of developing persistent pain increases with age, previous injuries, repetitive joint use, excess body weight, and certain medical conditions.

Temporary joint pain may occur after exercise, overuse, illness, or a minor injury. Long-lasting pain is commonly related to osteoarthritis, inflammatory arthritis, previous joint damage, or conditions affecting the tissues surrounding a joint.

Learn More

Arthritis – NIH MedlinePlus
https://medlineplus.gov/arthritis.html

Provides information about common forms of arthritis that can cause pain, stiffness, swelling, and reduced movement.

What Symptoms Might You Notice?

Joint pain may affect one joint or several joints. Symptoms may remain constant or come and go.

Common symptoms may include:

  • Aching, soreness, or tenderness
  • Sharp pain with movement
  • Pain when placing weight on the joint
  • Joint stiffness
  • Reduced range of motion
  • Swelling around the joint
  • Warmth
  • Redness or skin discoloration
  • Clicking, grinding, or popping
  • Weakness or instability
  • A feeling that the joint may give out
  • Difficulty walking or completing daily activities
  • Pain that becomes worse after activity
  • Pain or stiffness after resting
  • Morning stiffness
  • Fatigue or fever when an inflammatory or infectious condition is present

Joint pain accompanied by redness, warmth, significant swelling, or prolonged morning stiffness may suggest inflammation or infection and should be medically evaluated.

How Is Joint Pain Diagnosed?

A healthcare provider will ask about the location, timing, severity, and pattern of the pain.

They may ask:

  • When the pain began
  • Whether an injury occurred
  • Whether one or several joints are affected
  • Whether the pain is constant or comes and goes
  • What movements make it worse
  • How long morning stiffness lasts
  • Whether the joint is swollen, red, or warm
  • Whether fever, rash, fatigue, or weight loss is present
  • Whether symptoms affect both sides of the body
  • Whether you have had previous injuries or arthritis
  • Which medications and supplements you take
  • Whether joint problems run in your family

The provider may examine joint movement, swelling, warmth, tenderness, stability, strength, and the surrounding muscles and tendons. Diagnosis often requires combining the history, examination, laboratory testing, and imaging results.

Learn More

Joint Disorders – NIH MedlinePlus
https://medlineplus.gov/jointdisorders.html

Provides information about the evaluation and diagnosis of injuries and diseases affecting the joints.

Joint Pain (Arthralgia) infographic – click to enlarge

What Causes Joint Pain?

Joint pain may be caused by an injury, inflammation, infection, overuse, or an underlying medical condition.

Common causes include:

  • Osteoarthritis
  • Rheumatoid arthritis
  • Gout
  • Psoriatic arthritis
  • Lupus
  • Reactive arthritis
  • Bursitis
  • Tendinitis
  • Sprains or strains
  • Repetitive-use injuries
  • Joint dislocation
  • Broken bones
  • Cartilage or ligament injuries
  • Viral illnesses
  • Bacterial joint infection
  • Lyme disease
  • Fibromyalgia
  • Joint hypermobility
  • Previous surgery or injury
  • Medication side effects
  • Less commonly, bone or joint tumors

Pain that feels like it is coming from a joint may sometimes arise from nearby muscles, tendons, ligaments, nerves, or bursae.

Learn More

Arthritis and Rheumatic Diseases – National Institute of Arthritis and Musculoskeletal and Skin Diseases
https://www.niams.nih.gov/health-topics/arthritis-and-rheumatic-diseases

Explains common inflammatory and degenerative conditions that affect the joints and surrounding tissues.

What Can Make Joint Pain Worse?

Factors that may worsen joint pain include:

  • Repetitive activity
  • Heavy lifting
  • High-impact exercise
  • Continuing activity after an injury
  • Weak muscles around the joint
  • Poor posture or body mechanics
  • Prolonged sitting or inactivity
  • Excess body weight
  • Poorly fitting shoes
  • Cold weather for some people
  • Poor sleep
  • Emotional stress
  • Smoking
  • Delaying treatment
  • Not following physical therapy recommendations
  • Stopping prescribed arthritis medication
  • Using too much over-the-counter pain medication

Complete inactivity may increase stiffness and muscle weakness. However, exercising through severe pain or a new injury may cause additional damage. Activity should be adjusted to the cause and severity of symptoms.

Prevention

Not all joint pain can be prevented, but healthy habits may reduce the risk of injuries and protect joint function.

Helpful prevention measures include:

  • Maintain regular physical activity.
  • Strengthen muscles that support the joints.
  • Warm up before exercise.
  • Increase exercise intensity gradually.
  • Use proper technique during sports and lifting.
  • Wear protective equipment.
  • Wear supportive, properly fitting shoes.
  • Take breaks during repetitive tasks.
  • Maintain a weight recommended by your provider.
  • Treat injuries promptly.
  • Manage diabetes, gout, and autoimmune conditions.
  • Avoid smoking.
  • Follow workplace safety practices.
  • Use handrails and reduce fall hazards.
  • Complete physical therapy after an injury.
  • Take prescribed arthritis medication consistently.

Learn More About Joint Pain

The following video content is provided to help you better understand this condition. These resources are intended for educational purposes and should not replace personalized medical advice from your healthcare provider.

Labs

Laboratory testing depends on the symptoms and suspected cause. Many people with mild joint pain do not require blood tests.

Possible tests include:

  • Complete Blood Count: May identify infection, anemia, or signs of inflammation.
  • C-Reactive Protein: Measures inflammation in the body.
  • Erythrocyte Sedimentation Rate: Helps evaluate inflammatory or autoimmune conditions.
  • Rheumatoid Factor: May support a diagnosis of rheumatoid arthritis but cannot confirm it alone.
  • Anti-CCP Antibody: May help identify rheumatoid arthritis.
  • Antinuclear Antibody: May be ordered when lupus or another autoimmune condition is suspected.
  • Uric Acid: May support an evaluation for gout.
  • Kidney and Liver Function Tests: May guide medication selection and identify other causes.
  • Thyroid Testing: May be considered when joint and muscle symptoms occur with thyroid problems.
  • Lyme Disease Testing: May be ordered when symptoms and exposure history suggest Lyme disease.
  • Blood Cultures: May be needed when a joint infection is suspected.
  • Joint-Fluid Analysis: Can identify infection, gout crystals, bleeding, or inflammation.

A normal blood test does not always rule out arthritis or another joint condition.

Learn More

Medical Tests – NIH MedlinePlus
https://medlineplus.gov/lab-tests/

Provides patient information about common blood, urine, and body-fluid tests.

Diagnostics

Imaging and other diagnostic tests may be used when symptoms are severe, persistent, or associated with an injury.

Possible tests include:

  • X-Ray: Evaluates fractures, joint alignment, bone changes, and advanced arthritis.
  • Ultrasound: Detects fluid, inflammation, tendon problems, and some soft-tissue injuries.
  • Magnetic Resonance Imaging: Provides detailed images of cartilage, ligaments, tendons, bone, and surrounding tissues.
  • Computed Tomography Scan: Provides detailed bone images and may identify complex fractures.
  • Joint Aspiration: Uses a needle to remove joint fluid for testing or pressure relief.
  • Arthroscopy: Uses a small camera to look inside a joint and may allow treatment during the same procedure.
  • Bone Scan: May identify certain fractures, infections, or areas of abnormal bone activity.
  • Nerve Testing: May be ordered when numbness, tingling, or weakness suggests nerve involvement.

Not every person with joint pain needs imaging. The type of test depends on the joint, symptoms, examination findings, and suspected diagnosis.

Treatment & Management

Treatment Options

Treatment is based on the underlying cause, the affected joint, and how much the pain limits daily activities.

Options may include:

  • Temporary activity modification
  • Ice or heat
  • Physical therapy
  • Occupational therapy
  • Weight management
  • Supportive braces or splints
  • Walking aids
  • Topical pain-relief medication
  • Oral pain medication
  • Anti-inflammatory medication
  • Antibiotics for bacterial infection
  • Gout treatment
  • Disease-modifying medication for inflammatory arthritis
  • Corticosteroid injections
  • Joint aspiration
  • Surgery for severe damage or injury

Exercise and physical therapy can improve strength, mobility, flexibility, and function for many joint conditions. Severe or persistent pain may require imaging or specialist evaluation.

Learn More

Living With Arthritis – National Institute of Arthritis and Musculoskeletal and Skin Diseases
https://www.niams.nih.gov/community-outreach-initiative/understanding-joint-health/living-with-arthritis

Provides information about physical activity, weight management, medications, and protecting joint function.

Lifestyle Changes

Lifestyle changes may reduce pain and protect joint function.

Helpful changes include:

  • Participate in regular low-impact activity.
  • Begin exercise slowly.
  • Strengthen muscles around painful joints.
  • Include flexibility and balance exercises.
  • Take breaks from repetitive activities.
  • Use proper lifting and movement techniques.
  • Maintain a weight recommended by your healthcare provider.
  • Wear supportive shoes.
  • Use assistive devices when recommended.
  • Stop smoking.
  • Get adequate sleep.
  • Manage stress.
  • Eat a balanced diet.
  • Avoid activities that repeatedly cause sharp pain.
  • Follow physical therapy instructions.

Low-impact activities may include walking, swimming, water exercise, stationary cycling, and gentle strength training. Weight reduction may decrease pressure on weight-bearing joints such as the knees and hips.

Medications

Medication choice depends on the cause of joint pain, medical history, and other medications being taken.

Possible medications include:

  • Acetaminophen: May relieve mild to moderate pain but does not reduce inflammation.
  • Nonsteroidal Anti-Inflammatory Drugs: Medications such as ibuprofen or naproxen may reduce pain and inflammation.
  • Topical NSAIDs: Applied directly over selected painful joints.
  • Topical Counterirritants: Products containing menthol, camphor, or capsaicin may provide temporary relief.
  • Prescription Anti-Inflammatory Medication: May be used when over-the-counter treatment is not appropriate or effective.
  • Corticosteroids: May be taken orally or injected for selected inflammatory conditions.
  • Disease-Modifying Antirheumatic Drugs: Slow or control inflammatory autoimmune arthritis.
  • Biologic Medications: Target specific parts of the immune system in selected inflammatory diseases.
  • Colchicine: May be prescribed for gout.
  • Antibiotics: Treat bacterial joint infections.
  • Duloxetine: May be prescribed for selected chronic pain conditions.
  • Short-Term Opioid Medication: Rarely used when safer treatments are not effective or appropriate.

NSAIDs may increase the risk of stomach bleeding, kidney problems, elevated blood pressure, heart problems, and medication interactions. Acetaminophen can cause serious liver injury if too much is taken or if it is combined with other products containing acetaminophen.

Do not begin, combine, or increase pain medications without reviewing the labels and discussing safety with a healthcare professional.

Learn More

Pain Relievers – NIH MedlinePlus
https://medlineplus.gov/painrelievers.html

Provides information about common prescription and over-the-counter pain medicines and their risks.

Procedures

Procedures may be recommended when medication, therapy, and lifestyle changes do not provide enough relief or when a specific condition requires treatment.

Possible procedures include:

  • Joint Aspiration: Removes fluid for testing or to reduce pressure.
  • Corticosteroid Injection: Temporarily reduces inflammation and pain in selected joints.
  • Hyaluronic Acid Injection: May be considered for certain cases of knee osteoarthritis.
  • Nerve Block or Ablation: May reduce pain signals in selected chronic pain conditions.
  • Arthroscopic Surgery: Repairs or removes damaged tissue through small incisions.
  • Ligament or Tendon Repair: Treats selected injuries.
  • Joint Realignment Surgery: Changes how weight passes through a damaged joint.
  • Joint Replacement: Replaces a severely damaged hip, knee, shoulder, or other joint.
  • Joint Fusion: Permanently joins bones to reduce severe pain and instability.

Benefits and risks depend on the diagnosis, joint involved, age, health conditions, and expected level of function.

What Should You Expect Long-Term?

The long-term outlook depends on the cause.

Joint pain from overuse or a mild injury may improve with rest, activity adjustment, and rehabilitation. Osteoarthritis and autoimmune arthritis are usually long-term conditions, but treatment can reduce symptoms and improve function.

Untreated inflammatory arthritis may gradually damage the joints and surrounding tissues. Early diagnosis and treatment can reduce inflammation and help prevent or slow permanent damage.

Long-term management may include:

  • Regular physical activity
  • Physical or occupational therapy
  • Weight management
  • Medication monitoring
  • Periodic laboratory testing
  • Joint protection
  • Treatment of symptom flare-ups
  • Specialist follow-up

Surgery when severe damage limits daily function

What Can You Do At Home?

Helpful home-care measures may include:

  • Rest a newly injured or painful joint briefly.
  • Avoid activities that cause sharp or severe pain.
  • Apply a cold pack for swelling or a recent injury.
  • Apply gentle heat for stiffness when appropriate.
  • Place a cloth between the skin and the cold or heat source.
  • Limit applications to about 15–20 minutes at a time.
  • Elevate a swollen limb.
  • Use a compression wrap only when appropriate.
  • Continue gentle movement to prevent stiffness.
  • Use supportive footwear.
  • Track symptoms, swelling, and triggers.
  • Take medication only as directed.
  • Schedule an evaluation if pain persists or repeatedly returns.

Heat and cold may reduce joint pain and stiffness for some conditions. Cold can help numb pain and reduce swelling, while heat may improve comfort and flexibility.

Do not attempt to force a joint back into place after a suspected dislocation.

Frequently Asked Questions

Does joint pain always mean arthritis?

No. Joint pain may result from injuries, overuse, bursitis, tendinitis, infection, muscle problems, or other conditions.

What is the difference between joint pain and arthritis?

Joint pain is a symptom. Arthritis refers to inflammation or disease affecting a joint. Arthritis often causes pain along with stiffness, swelling, warmth, or reduced movement.

Should I rest or exercise a painful joint?

Brief rest may be helpful after a new injury or during a severe flare. Too much inactivity may increase stiffness and weakness. A healthcare provider or physical therapist can recommend safe activity.

Should I use heat or ice?

Ice is commonly used for swelling or a recent injury. Heat may help stiffness and muscle tightness. Avoid either treatment when it worsens symptoms or when reduced sensation increases the risk of a skin injury.

Can weather affect joint pain?

Some people report more pain or stiffness during changes in temperature or air pressure. Weather does not usually explain severe new pain, swelling, or redness.

Can excess weight contribute to joint pain?

Yes. Additional body weight can place more stress on weight-bearing joints such as the hips, knees, ankles, and feet. Weight management may improve pain and movement.

Why are my joints stiff in the morning?

Brief stiffness may occur with osteoarthritis or inactivity. Stiffness that lasts a long time, especially with swelling, may suggest an inflammatory arthritis and should be evaluated.

Can joint pain be caused by an infection?

Yes. Viruses may cause temporary pain in several joints. Bacteria can infect a joint and cause severe pain, swelling, warmth, and fever. A bacterial joint infection requires urgent treatment.

Can stress make joint pain worse?

Stress can increase muscle tension, affect sleep, and make pain feel more intense. Stress management may support other treatments.

When should I see a healthcare provider?

Seek evaluation when pain is severe, lasts more than several days, repeatedly returns, causes swelling or redness, limits movement, or interferes with daily activities.

Questions To Ask Your Provider

Consider asking:

  • What is most likely causing my joint pain?
  • Could this be arthritis or an injury?
  • Do I need blood tests?
  • Do I need an X-ray, ultrasound, or MRI?
  • Is the joint inflamed?
  • Which activities should I avoid?
  • Should I use heat or ice?
  • Which pain medication is safest for me?
  • Would physical therapy help?
  • Do I need a brace, cane, or other support?
  • Could my medications be contributing?
  • Should I see a rheumatologist or orthopedic specialist?
  • What symptoms require urgent medical attention?
  • How can I protect the joint from additional damage?
  • When should I return if the pain does not improve?

Specialist Referrals

The type of specialist depends on the suspected cause.

You may be referred to:

  • Primary Care Provider: Evaluates common joint pain and coordinates treatment.
  • Rheumatologist: Diagnoses autoimmune, inflammatory, and complex arthritis conditions.
  • Orthopedic Specialist: Treats joint injuries, severe arthritis, deformity, and conditions that may require surgery.
  • Sports Medicine Specialist: Evaluates overuse and activity-related injuries.
  • Physical Therapist: Improves movement, flexibility, strength, and balance.
  • Occupational Therapist: Helps protect joints and adapt daily activities.
  • Pain Management Specialist: Treats persistent pain that has not improved with routine care.
  • Podiatrist: Evaluates foot and ankle joint pain.
  • Infectious Disease Specialist: Assists with unusual or complicated joint infections.

Learn More

Find a Rheumatologist – American College of Rheumatology
https://rheumatology.org/patient-blog/find-a-rheumatologist

Provides information about rheumatology care and locating a specialist.

Is Joint Pain Curable?

Whether joint pain is curable depends on the cause.

Pain from a mild injury, temporary inflammation, or treatable infection may resolve completely. Chronic conditions such as osteoarthritis or rheumatoid arthritis generally do not have a permanent cure, but treatment can reduce pain, control inflammation, protect the joints, and improve quality of life.

Early treatment is especially important for infections, gout, inflammatory arthritis, fractures, and ligament injuries.

Emergency Symptoms / When To Seek Immediate Help

Call 911 or seek emergency medical care immediately if joint pain occurs with:

  • A visibly deformed joint after an injury
  • Bone protruding through the skin
  • Uncontrolled bleeding
  • Loss of feeling or movement below an injury
  • A cold, pale, or blue hand or foot
  • Severe trauma
  • Chest pain, breathing difficulty, or sudden weakness
  • A severe allergic reaction after medication

Seek urgent same-day medical evaluation if you have:

  • A hot, red, swollen, and very painful joint
  • Fever or chills with joint pain
  • Sudden severe pain without a clear cause
  • Inability to move the joint
  • Inability to walk or place weight on the joint
  • Significant swelling after an injury
  • A joint that appears out of place
  • Rapidly worsening redness
  • Severe pain in a replaced joint
  • New joint pain while taking immune-suppressing medication
  • Joint pain with a widespread rash or serious illness

A hot, swollen joint with fever may indicate a bacterial joint infection. A dislocated joint is also a medical emergency and requires professional treatment.

CALL 911

APNS does not provide emergency medical services. If you believe you are experiencing a medical emergency, including (but not limited to) chest pain, difficulty breathing, stroke symptoms, severe allergic reactions, anaphylaxis, uncontrolled bleeding, seizures, loss of consciousness, or any other potentially life-threatening condition, you are instructed to call 911 immediately or go immediately to the nearest emergency department.

Official Resources / External Links

Joint Disorders – NIH MedlinePlus
https://medlineplus.gov/jointdisorders.html

Provides information about joint injuries, arthritis, symptoms, testing, treatment, and prevention.

Joint Pain – NIH MedlinePlus
https://medlineplus.gov/ency/article/003261.htm

Explains common causes of joint pain and when to contact a healthcare provider.

Arthritis – NIH MedlinePlus
https://medlineplus.gov/arthritis.html

Provides patient education about arthritis symptoms, diagnosis, treatment, and related conditions.

Arthritis – National Institute of Arthritis and Musculoskeletal and Skin Diseases
https://www.niams.nih.gov/health-topics/arthritis

Explains common forms of arthritis, joint inflammation, symptoms, and treatment.

Osteoarthritis – National Institute of Arthritis and Musculoskeletal and Skin Diseases
https://www.niams.nih.gov/health-topics/osteoarthritis

Provides information about osteoarthritis symptoms, causes, diagnosis, and management.

Joint Pain – NHS
https://www.nhs.uk/symptoms/joint-pain/

Provides guidance about common causes, self-care, medical treatment, and urgent warning signs.

This guide is intended for educational purposes only and should not replace medical advice, diagnosis, testing, or treatment from your healthcare provider. Joint pain may be caused by an injury, arthritis, infection, gout, autoimmune disease, medication side effect, or another condition requiring specific treatment. Do not attempt to force a deformed or dislocated joint back into place. Consult a healthcare professional before beginning a new exercise plan, taking pain medication regularly, or combining over-the-counter products. Seek urgent medical care for a hot, red, swollen joint; fever with joint pain; inability to move or bear weight; severe pain after an injury; loss of sensation; or a joint that appears deformed. Call 911 immediately for severe trauma, uncontrolled bleeding, bone protruding through the skin, breathing difficulty, loss of consciousness, or another medical emergency.

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