Symptoms
Symptoms

• Shoulder, neck, foot, ankle and/or knee pain, often bilateral (similar pain in joints on both sides of body)
  
• Pain in fingers, toes, hip, ankle, wrist, shoulder, even when resting
  
• Pain increases with activity
  
• Pain increases with changes in weather (especially cold)
  
• Morning stiffness lasting an hour or more
  
• Joints red, warm, swollen, or tender when touched
  
• Thickening around joints
  
• No fever/low-grade fever
  
• Nodules under the skin, especially around elbow, on fingers (20 to 40 percent of patients)— firm, but not painful
  
• General fatigue