When is a client with rheumatoid arthritis most likely to experience increased pain and limited movement of the joints?

Clients with rheumatoid arthritis (RA) commonly experience a phenomenon known as morning stiffness, which is characterized by increased pain and limited movement in the joints upon waking. This occurs because, during the night, the body is at rest, and the joints can become stiff due to inactivity and inflammation. As the individual wakes and begins to use their joints, they often find that the pain and stiffness decrease as movement increases, but the initial period after waking can be particularly challenging and painful.

The inflammatory nature of RA contributes to this pattern, as immune activity typically involves the joints and is often more pronounced after extended periods of immobility. Understanding this characteristic of RA can help clients manage their expectations and develop coping strategies, such as gentle stretching or taking medications at night to ease morning discomfort.

While increased pain can occur at various times throughout the day, including after activities or during physical therapy, the hallmark experience for many individuals with RA is that significant stiffness and pain are most acutely felt in the morning.