Table 1.

Signs and symptoms of an acute joint bleed

Early onset joint bleed [14,15]	Advanced joint bleed [14,15]	In infants and young children
• Pain	• Severe pain	• Decreased range of motion
• Tingling/unusual sensation (‘aura’)	• Swelling	• Reluctance to use an arm or leg [14]
• Limited range of motion	• Warmth of the skin over the joint	• Favouring one limb over another [16]
	• Major decrease in ROM	• A limb that hurts when touched
	• Immobility	• Limping [16]
		• Walking slowly instead of running
		• Abnormal swelling or stiffness in a joint

Acute joint bleed versus arthritic pain
Acute joint bleed	Pain resolves rapidly following infusion of factor concentrates
Chronic arthritis	Pain related to physical activity soon improves after a period of rest

ROM, range of motion.