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Joint swelling


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

Alternative Names
Swelling of a joint

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

What to Expect at Your Office Visit
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

Physical therapy for muscle and joint rehabilitation may be recommended.

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Review Date: 9/21/2006
Reviewed By:Jeffrey Kauffman, MD, Sacramento Knee and Sports Medicine, Sacramento, CA. Review provided by VeriMed Healthcare Network.
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The information contained on this site is for educational purposes only. In no way is it intended to be a substitute for professional healthcare advice, diagnosis or treatment. Always consult your physician or other qualified healthcare providers about medical issues affecting your daily life. If you are experiencing a medical emergency, call your doctor or 911 immediately.