What is joint pain?
Joint pain is the sensation of discomfort or soreness in a joint or joints of the body. Joints are the spaces or areas where two or more bones meet, such as the hip, knee, shoulder, elbow and ankle. Joint pain can occur with or without movement and can be severe enough to limit movement. People may describe joint pain as discomfort, inflammation, increased warmth or burning, soreness, stiffness, or pain. Joint pain may last briefly or it may be chronic, which is defined as lasting more than three months.
The joints allow our bones to move. They consist of cartilage, ligaments, tendons, bursas (fluid-filled sacs that help cushion the joint), and the synovial membrane (lining of the joint capsule that secretes synovial fluid to lubricate the joint). Any of the structures in a joint can become irritated or inflamed in response to a variety of mild to serious diseases, disorders or conditions. The specific joint pain location can be a clue as to which of these structures may be involved.
Joint pain causes are numerous. Sudden joint pain can be due to a mild muscle or ligament sprain, bursitis, or a dislocation. Chronic joint pain can be a symptom of serious and even life-threatening conditions, such as rheumatoid arthritis, osteoarthritis, leukemia, or bone cancer.
If you experience sudden joint pain with loss of mobility, contact a medical professional as soon as possible or seek emergency medical care. Early diagnosis and treatment can minimize discomfort and reduce your risk of serious complications.
If the pain lasts for more than a few days or is accompanied by a fever, unexplained weight loss, or other unusual symptoms, contact your doctor as soon as possible.
What other symptoms might occur with joint pain?
Joint pain often occurs in conjunction with other signs and symptoms that vary depending on the underlying disease, disorder or condition. Other joint pain symptoms can include joint swelling, redness, and fever.
Tell your healthcare provider about any additional symptoms you are experiencing. This information will help your healthcare provider diagnose the reason for your pain.
Other joint symptoms that may occur with joint pain
Joint pain may occur with other symptoms related to the joint, including:
Joint noise (clicking, popping, crackling)
Reduced mobility (range of motion of the joint)
- Visible deformity of the affected joint
Other symptoms that may occur along with joint pain
Joint pain may accompany symptoms that may seem unrelated to the joint, including:
Butterfly-shaped rash over bridge of nose
Dry mouth and skin
Fever not associated with flu symptoms
Increased urine output
Scaly patches of skin
- Yellow skin and eyes with dark urine output (jaundice)
Serious symptoms that might indicate a life-threatening condition
In some cases, joint pain may occur with other symptoms that might indicate a serious or life-threatening condition, such as rheumatic fever, which should be immediately evaluated in an emergency setting.
Symptoms that may indicate a serious or life-threatening condition include:
What causes joint pain?
Pain is usually the product of inflammation, whether acute or chronic. After any type of tissue injury, the healthy immune response releases chemical substances into the circulation that generate pain signals in the brain. Joint pain can be due to fairly mild conditions, such as an overuse injury or sprain that responds well to rest and self-care measures. Quieting the inflammation will rapidly relieve the pain.
Joint pain can also be due to traumatic injuries (dislocations), infections (septic arthritis or rheumatic fever), autoimmune diseases (Sjogren’s syndrome), chronic degenerative conditions (arthritis), or malignancy (cancer). Some of these diseases, disorders or conditions are serious and potentially life-threatening, especially if they are not treated promptly.
Injury-related causes of joint pain
Joint pain may arise from traumatic injuries including:
Loose fragments of bone or cartilage
Retained foreign body
- Torn ligament or cartilage
Infectious causes of joint pain
Joint pain may arise from infectious diseases including:
Osteomyelitis (bone infection)
Septic, or infectious, arthritis
Degenerative, inflammatory, and autoimmune-related causes of joint pain
Joint pain can also be caused by the deterioration of the joint structure, inflammatory conditions, and autoimmune diseases, such as:
Ankylosing spondylitis (inflammation of joints between the vertebrae of the spine)
Bursitis (inflammation of a bursa sac that cushions a joint)
Fibromyalgia (chronic condition that causes pain, stiffness and tenderness)
Gout (type of arthritis)
Sjogren’s syndrome (an autoimmune disease that affects the mucous membranes and moisture-secreting glands of your eyes and mouth, initially causing dry eyes and mouth)
Systemic lupus erythematosus
- Tendinitis (inflammation of a tendon)
Other causes of joint pain
Other causes of joint pain include:
When should you see a doctor for joint pain?
Minor joint pain often responds to self-care treatments you can do at home. But there are times when seeing a doctor about joint pain is best. For mild joint pain, make an appointment with your doctor if it persists, worsens, or occurs even at rest, despite home treatment.
See a doctor promptly when:
Joint pain is moderate and lasts for more than 2 to 3 days with self-care.
Joint pain occurs with increasing swelling or bruising around the joint.
Joint pain occurs with locking or buckling of the joint.
You have limited joint movement or cannot fully bend or extend the joint due to pain.
- You have lost weight without intending to do so.
Call 911 or go to your nearest emergency room for joint pain when:
Joint pain is severe or intense or you have sudden swelling around the joint.
The joint is deformed or a bone is visible.
The joint is red, swollen and warm or you have a fever with the joint pain.
You cannot bear weight on or use the affected limb.
You have numbness in the area past the joint.
- You have sustained an injury or any kind of trauma to the joint.
How do doctors diagnose the cause of joint pain?
To diagnose the underlying cause of joint pain, your doctor will take a medical history and perform an exam. It may also be necessary to order tests.
Questions your doctor may ask about joint pain
To diagnose the underlying cause of joint pain, your doctor will ask you several questions about your pain including:
In what part of the joint do you feel pain? Does it hurt on both sides of the joint?
On a scale of 1 to 10, with 10 being the worst pain ever, how would you rate your pain?
Describe the pain. Is it sharp or dull, throbbing or aching, constant or occasional?
When did the pain start? How long does it last?
Are there times of day when the pain is worse?
Have you had this joint pain before?
Are there any activities that cause the joint pain?
What, if anything, makes the pain better or worse?
Are you experiencing any other symptoms, such as numbness, tingling, and “pins and needles”?
Are any other joints painful?
Have you had a recent injury, rash or fever?
- What medical conditions do you have?
Physical exam for joint pain
Your doctor will also perform a physical exam, focusing on the joint and limb. The exam will check for signs of injury or abnormality, such as swelling, warmth or tenderness. Your doctor may move the joint or ask you to move it to see if motion is limited or too loose. Your doctor will also look for symptoms with motion, such as pain or grating or grinding sounds.
Tests for diagnosing joint pain
Depending on the results of the exam, your doctor may recommend testing including:
Blood tests to check for signs of inflammation, infection, or an autoimmune disease
Imaging exams, such as X-rays, CT (computerized tomography) scans, or MRIs (magnetic resonance imaging)
- Joint aspiration to take a sample of joint fluid or joint arthroscopy to examine the inside of the joint
It is not always possible to diagnose an underlying cause or condition. If the problem persists and your provider is unable to determine a cause, seeking a second opinion may give you more information and answers.
How do you treat joint pain?
Joint pain is a symptom, so treating it will depend on the underlying cause and severity of the pain. Treatment goals include providing joint pain relief and correcting any physical cause of the pain. Doctors usually start with conservative treatments unless there is a need for immediate surgery. Joint pain treatment options may include:
Antibiotics for bacterial infections
Bracing, casting, splinting, or using a sling to immobilize and support the joint
Crutches for joint pain involving the leg, to keep weight off the affected joint
Medications to relieve pain and swelling, including NSAIDs (nonsteroidal anti-inflammatory drugs), such as ibuprofen (Advil, Motrin) and naproxen (Aleve), and corticosteroid joint injections
- Rest, ice and elevation to relieve pain and reduce swelling due to minor injuries
Physical therapy is often part of the treatment plan for joint pain. It can help ease pain, heal injuries, and restore strength, stability and flexibility to the joint. If all of these conservative treatments fail to improve the pain, doctors may recommend arthroscopy or surgery, such as joint replacement.
Home remedies for joint pain
Home treatments are often all that is necessary to manage minor joint pain. Home remedies for joint pain include:
Rest: Stop activities that worsen joint pain or that caused the injury. Allow enough time for healing before returning to these activities. See your doctor if pain recurs when you resume an activity.
Ice: Apply an ice pack to the joint for 20 minutes at a time. Repeat this several times a day for the first 24 to 48 hours.
Elevation: Prop the affected limb up to help reduce swelling.
Heat: After the first 24 hours, you can apply heat several times a day if it feels better than ice.
Over-the-counter pain relievers: Take NSAIDs to relieve pain and swelling from minor injuries. If you cannot take NSAIDs, acetaminophen (Tylenol) may help with pain. It will not help inflammation.
Protection: Wear pads to protect the joint from bumps and other injuries.
- Stretching: Tight muscles are more vulnerable to injury. Keep supporting muscles strong and flexible so they can support the joint. Stretch the muscles regularly, especially after exercise.
Alternative treatments for joint pain
Alternative treatments are meant to complement traditional treatments. One popular option for joint pain due to osteoarthritis (OA) is a glucosamine/chondroitin supplement. Studies looking at the effectiveness of the supplement have had mixed results. Some have shown a positive effect on joint pain, while others have not. However, it appears to be safe for most people, so it may be a reasonable option for add-on treatment.
Acupuncture is another popular complementary therapy for joint pain. Research suggests it may be effective for some types of joint pain.
Let your doctor know if you are using alternative treatments. Supplements and other treatments can have side effects and interact with traditional therapy.
What are the potential complications of joint pain?
Any complications associated with joint pain can be progressive and vary depending on the underlying cause. Because joint pain can be due to serious diseases, failure to seek treatment can result in complications. It is important to contact your healthcare provider when you experience any kind of persistent joint pain or other unusual symptoms.
Once the underlying cause is diagnosed, it is important to follow the treatment plan outlined by your healthcare provider to reduce your risk of potential complications related to joint pain, such as:
Loss of mobility
Permanent joint damage
Permanent joint immobility
Permanent joint instability
Permanent loss of sensation
Poor quality of life
- Spread of infection