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Joint Stiffness

Difficulty moving a joint through its full range of motion, often worst after rest. A hallmark symptom of osteoarthritis, typically improving with gentle movement.

Extended Definition

Joint stiffness refers to reduced flexibility or difficulty initiating movement in a joint. In osteoarthritis, it’s typically worst after periods of inactivity (morning stiffness) and improves with gentle movement—sometimes called “gelling.”

Patterns in OA

  • Morning stiffness - Usually lasts less than 30 minutes
  • Post-activity stiffness - After prolonged sitting or rest
  • Weather-related - Some patients report worsening with cold or humidity
  • Progressive - Tends to increase as OA advances

Why It Happens

  1. Synovial fluid thickens during rest
  2. Inflammatory chemicals accumulate overnight
  3. Cartilage swelling from fluid absorption
  4. Muscle tightening around the joint

Relief Strategies

  • Gentle range-of-motion exercises
  • Warm shower or heating pad
  • Moving around before extended activity
  • HA injections (improve synovial fluid quality)

Related Terms

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