Joint swelling

Definition

Joint swelling is the build up of fluid in the soft tissue surrounding the joint.

Alternative Names

Considerations

Joint swelling may occur along with joint pain.

Causes

• Osteoarthritis
• Trauma
• Acute gouty arthritis (gout)
• Chronic gouty arthritis
• Rheumatoid arthritis
• Ankylosing spondylitis
• Enteropathic arthropathy
• Infection
• Ludwig's angina
• Pseudogout
• Psoriatic arthritis
• Reiter's syndrome
• Systemic lupus erythematosus
• Hemarthrosis

Home Care

For unexplained soft tissue joint swelling, contact your health care provider. Follow prescribed therapy to treat the underlying cause.

When to Contact a Medical Professional

Call your health care provider if any of the following occurs:

• Severe, unexplained joint pain
• Severe, unexplained stiffness or swelling, especially if accompanied by other unexplained symptoms

Your health care provider will obtain your medical history and will perform a physical examination. The joint(s) will be closely examined. You will be asked questions about your joint swelling, such as:

• Location
  • Which joint is swollen?
  • Is more than one joint swollen?
• Time pattern
  • When did the joint swelling develop?
  • Is it always swollen or does it come and go?
  • Is this the first time you have had swollen joints?
• Quality
  • How swollen is the area?
  • If you press over the swollen area with a finger, does it leave a dent after you take the finger away?
• Aggravating factors
  • What makes the swelling worse?
  • Is it any worse in the morning or at night?
  • Does exercise make it worse?
• Relieving factors
  • What make the swelling better?
  • Does elevating the affected body part make the swelling go down?
  • Is it better if you use an elastic wrap?
  • What home treatment have you tried? How effective was it?
• Other
  • What other symptoms are also present?
  • Is there joint pain?
  • Is there fever?
  • Is there a rash?

Tests to diagnose the cause of joint swelling may include:

• Blood studies (such as a CBC or blood differential)
• Joint x-rays
• Joint aspiration and examination of joint fluid