Chikungunya
A viral infection spread by Aedes mosquitoes that causes sudden fever and severe joint pain, which can last for weeks or months.
Quick Summary
Sudden fever, severe joint pain and swelling, muscle pain, headache, rash and tiredness.
Rest, fluids and paracetamol for pain and fever. Gentle exercise helps long-lasting joint pain.
Living in or travelling to areas with Aedes mosquitoes, especially during the rainy season; older age for long-term joint pain.
Overview
Chikungunya is caused by a virus spread by the same Aedes mosquitoes that carry dengue. The name comes from a word meaning 'to become contorted', describing the bent posture caused by joint pain.
Fever usually settles within a week, but joint pain can continue for weeks, months or longer in some people. It's rarely life-threatening.
Symptoms
Sudden fever
Often high, lasting a few days.
Severe joint pain
Usually in several joints, such as hands, wrists and ankles, often on both sides.
Joint swelling
Joints may be swollen and stiff.
Rash and tiredness
An itchy rash and feeling exhausted are common.
Causes & Risk Factors
Biological Causes
Infection with the chikungunya virus, passed on by bites from infected Aedes mosquitoes.
Key Risk Factors
- Mosquito exposure Standing water near homes allows Aedes mosquitoes to breed.
- Older age Older adults are more likely to have long-lasting joint pain.
- Other conditions Existing arthritis may make joint symptoms worse.
Management & Treatment
01. Rest and fluids
Rest during the fever and drink plenty of fluids.
02. Pain relief
Paracetamol for fever and pain. Avoid anti-inflammatory painkillers until dengue has been ruled out.
03. Long-lasting pain
Physiotherapy, gentle exercise and treatment from a doctor can help ongoing joint pain.
Frequently Asked Questions
How is it different from dengue?
Can I get it again?
How can I prevent it?
Sources and further reading
Last updated 21 October 2026. For more detail, see these trusted health organisations.
- Chikungunya(opens in a new tab) · MedlinePlus, US National Library of Medicine
- Chikungunya(opens in a new tab) · World Health Organization