Which of the following is a symptom of PVNS?

• A. Boggy feel
• B. Numbness of toes
• C. Sharp localized pain only at rest
• D. Increased skin temperature at all times

Answer: (A)

PVNS presents as a proliferative synovial process that leads to chronic, monoarticular joint swelling. The most reliable and characteristic physical finding is a soft, doughy, boggy sensation around the joint, caused by excess synovial tissue and fluid. This texture reflects the synovial proliferation rather than nerve damage or isolated, resting pain. Numbness of the toes would suggest nerve involvement rather than joint disease. Pain that is sharp and only at rest is not typical for PVNS, which tends to cause persistent discomfort and reduced motion. While the joint can be warm due to inflammation, constant increased skin temperature is not a defining feature. Thus, the boggy joint feel best identifies PVNS.