Soreness Stiffness, Specifically in the morning Swelling in excess of the joints Diminished movement Discomfort which is worse with joint movement Bumps around the little joints Problems performing things to do of every day living (ADLs), for example tying sneakers, opening jars, or buttoning shirts Difficulties grasping or pinching factors https://www.directivepublications.org/journal-of-arthritis-and-rheumatology/