During a follow-up visit, which sign would suggest that a client with osteoarthritis needs intervention?

Severe joint stiffness lasting all day is a key indicator that a client with osteoarthritis may need further intervention. In osteoarthritis, it is not uncommon for individuals to experience stiffness after periods of inactivity; however, if the stiffness persists throughout the day, it can be a sign of a more significant underlying issue. This may suggest that the disease is progressing, or that there are additional complications such as inflammation or joint effusion contributing to the symptoms.

Persistent and severe stiffness can lead to decreased mobility and function, making it essential for healthcare providers to reassess the management plan, which could include physical therapy, medication adjustments, or addressing other factors that may be aggravating the condition.

In contrast, pain subsiding with rest is generally not a cause for concern in osteoarthritis, as it indicates that the joints are not significantly aggravated during inactivity. Increased flexibility in the joint would be an unusual finding in osteoarthritis, where stiffness is more typical. Intermittent pain with physical activity can also be common and may not warrant immediate intervention unless it is accompanied by alarming signs. Therefore, the presence of severe, all-day stiffness is a red flag that typically necessitates a reevaluation of treatment strategies.