Agony Stiffness, Primarily in the morning Swelling in excess of the joints Reduced movement Pain that is certainly worse with joint movement Bumps in excess of the smaller joints Issues accomplishing activities of everyday living (ADLs), such as tying shoes, opening jars, or buttoning shirts Trouble greedy or pinching issues https://www.directivepublications.org/journal-of-arthritis-and-rheumatology/