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Morning stiffness that improves with movement and bilateral hand aching suggests joint-related involvement in the hands/wrists (e.g., early osteoarthritic changes) more than cervical or lumbar nerve root origin. Screening active and passive ranges at the wrists and fingers, plus observing light gripping and functional tasks (e.g., opening/closing the hand), provides immediate data about joint mobility, end-feel, pain behavior, and functional tolerance relevant to massage planning. Spurling’s test (A) is neck-specific for radicular symptoms; it is less relevant given bilateral distal presentation and relief with movement. Straight leg raise (C) screens lumbosacral nerve tension, unrelated to the complaint. Thoracic palpation (D) may reveal general tension but would not clarify hand function. Findings guide technique choice (gentle joint-friendly soft tissue, heat, edema management strategies) and precautions (avoid aggressive compressive work on inflamed joints). Document baseline stiffness duration, ROM limits, and pain ratings to monitor outcomes across sessions and inform referral if swelling, warmth, or progressive loss of function occurs.

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