Neck stiffness and discom...

A 49-year-old woman presented to a clinic with generalized neck stiffness and occasional discomfort diagnosed as biomechanical neck dysfunction. In addition, the patient reported persistent pain, stiffness, and swelling primarily involving bilateral metacarpophalangeal articulations (MCP) of the index and middle fingers. The patient stated that her hand symptoms were worse in the morning, would last for over an hour, and improve with activity, strongly suggesting a so-called “gelling phenomenon” or an inflammatory nature of her complaint. The onset of her present condition began approximately 8 months before her initial visit.