Prodromal symptoms of stiffness or warmth occur in the affected joint. As the joint capsule
distends, severe pain follow with swelling from effusion and decreased range of motion. the
swelling will eventually tamponade the bleeding, and the hemarthrosis will gradually resolve over
a matter of days to weeks. Almost all patients with severe hemophilia (<5% of normal factor
activity) will have recurrent hemarthroses tend to be less frequent or occur following more
significant trauma. hemarthroses first begin to occur in weight-bearing joints when a child is just
learning to walk.