My knees hurt in the AM when I get out of bed but then are pretty consistent throughout the day. The behind the knee pain is worse at night it seems. My hands are worse in the AM - they seem more swollen in the AM . My wrist pain seems like it is consistently all day constant aches -- my knuckles are achey throughtout the day as well. It seems like I was doing much better until yesterday when my fingers puffed up, etc.