Arthritis Osteoarthritis Symptoms Warning Signs of Osteoarthritis By Carol Eustice Carol Eustice LinkedIn Twitter Carol Eustice is a writer who covers arthritis and chronic illness. She is the author of "The Everything Health Guide to Arthritis." Learn about our editorial process Updated on August 03, 2022 Medically reviewed by Stuart Hershman, MD Medically reviewed by Stuart Hershman, MD LinkedIn Stuart Hershman, MD, is board-certified in orthopaedic surgery. He is the director of adult spinal deformity & complex spinal reconstruction at Massachusetts General Hospital and is on the faculty at Harvard Medical School. Learn about our Medical Expert Board Print Typically, osteoarthritis develops gradually. The first signs of osteoarthritis may have you wondering what's happening. It's important for you to recognize the four warning signs of osteoarthritis. BSIP/UIG/Getty Images Pain in One or More Joints Only about a third of patients who have X-ray evidence of osteoarthritis experience pain or other osteoarthritis symptoms. In other words, an X-ray can reveal severe osteoarthritis in a joint, but the level of pain you feel, if any, can differ. Pain that is aggravated by activity and relieved by rest is suggestive of osteoarthritis. That kind of pain serves as a warning sign of osteoarthritis. Signs and Symptoms of Osteoarthritis Joint Stiffness Stiffness in a joint, related to osteoarthritis, can occur after getting out of bed in the morning or after sitting for long periods of time. With osteoarthritis, joint stiffness after waking may last up to 30 minutes. With inflammatory types of arthritis, such as rheumatoid arthritis or systemic lupus erythematosus, the stiffness typically lasts more than 45 minutes. Joint Stiffness and Arthritis Swelling in One or More Joints A small amount of fluid exists in normal joints. When a joint is affected by arthritis, increased abnormal amounts of fluid build-up, making the joint swollen. The excess fluid is produced by the soft tissues that surround and line the joints. Crepitus Crepitus in a joint can indicate cartilage wear in the joint space. The term crepitus is taken directly from the Latin crepitus, meaning "a crackling sound or rattle." In terms of osteoarthritis, crepitus is a crunching feeling, like the sound of bone rubbing on bone. What Is Crepitus? A Word From Verywell If you experience any or all of the warning signs, consult with your healthcare provider. Your practitioner can examine you and order tests that serve to confirm or rule out the suspected diagnosis. If the affected joint is warm or red, the indication would be more in line with rheumatoid arthritis or another inflammatory type of arthritis, rather than osteoarthritis. Your healthcare provider will begin early and appropriate treatment after he carries out the diagnostic phase. It's important that you not ignore warning signs. By recognizing them, you can be treated and decrease the risk of disability. 5 Sources Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Lespasio MJ, Piuzzi NS, Husni ME, Muschler GF, Guarino A, Mont MA. Knee osteoarthritis: a primer. Perm J. 2017;21:16-183. doi:10.7812/TPP/16-183 Braun HJ, Gold GE. Diagnosis of osteoarthritis: imaging. Bone. 2012;51(2):278-88. doi:10.1016/j.bone.2011.11.019 Amoako AO, Pujalte GG. Osteoarthritis in young, active, and athletic individuals. Clin Med Insights Arthritis Musculoskelet Disord. 2014;7:27-32. doi:10.4137/CMAMD.S14386 Jung M, Barra L. Pain and swelling in the hands and wrists of a 45-year-old woman. Diagnosis: Rheumatoid arthritis. CMAJ. 2015;187(1):E53-E54. doi:10.1503/cmaj.131017 Song SJ, Park CH, Liang H, Kim SJ. Noise around the knee. Clin Orthop Surg. 2018;10(1):1-8. doi:10.4055/cios.2018.10.1.1 Additional Reading National Institutes of Health: National Institue of Arthritis and Musculoskeletal and Skin Diseases. Osteoarthritis. By Carol Eustice Carol Eustice is a writer who covers arthritis and chronic illness. She is the author of "The Everything Health Guide to Arthritis." See Our Editorial Process Meet Our Medical Expert Board Share Feedback Was this page helpful? Thanks for your feedback! What is your feedback? Other Helpful Report an Error Submit