 Hi, I'm Dr. Vijay Rao. I'm a consultant working in the rheumatology department in Manipal Hospital's Bangalore number one pain in small joints of the body that is hands and feet affecting the knuckles which is more in the morning time Gets better when you exercise gets better when you take painkillers Worse when you take rest Number two swelling in the similar joints that is small joints of the hands and feet more often You know noticeable towards the early part of the morning and gradually reduces towards the later part stiffness in the joints, which is pretty much constant in severe disease and of course Heat feeling of warmth or redness, which you obviously see and there are no other causes associated with this Then you must consult a rheumatologist as early as possible The reason being if we treat the symptoms within three months of symptom onset Then there are chances that we can achieve a symptom We can achieve a cure cure means we stop treatment and disease doesn't come back So that happens only when we start treatment by a rheumatologist within three months of the symptoms