Acute
Chronic

| OPQRST | - Worse in the morning (prolonged ‣ > 1 hrs) – after you are immobile for a period of time - Night pain (pain that wakes you up from sleep, particularly the second half of night) | | --- | --- | | Aggregating | Worse with immobility, in the morning | | Alleviating | Better with activity (esp. ankylosing spondylitis), better at the end of day | | Associated | Systemic symptoms: fever, weight loss, overwhelming exhaustion
O/E: Swelling, Erythema, Effusion |