In general, the first sign of arthritis is pain, also called arthralgia. This can feel like a dull ache or a burning sensation. Often, pain starts after you’ve used the joint a lot, for example, if you’ve been gardening or if you just walked up a flight of stairs. Some people feel soreness first thing in the morning

Gout is one of the most painful forms of arthritis. This condition is caused by elevated levels of uric acid, a bodily waste product, in the bloodstream.

Although there’s no cure for arthritis, treatments have improved greatly in recent years and, for many types of arthritis, particularly inflammatory arthritis, there’s a clear benefit in starting treatment at an early stage. It may be difficult to say what has caused your arthritis.