The Curbsiders Internal Medicine Podcast

#493: Joint Pain in Older Adults with Dr. Una Makris

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An age-friendly approach to arthralgias.

Attack arthralgias with ease! Learn how to evaluate and manage common joint complaints in older adults. We’re joined by Dr Una Makris, @unamakris.bsky.social (UT Southwestern).

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Show Segments

  • Intro
  • Case 1 from Kashlak
  • General approach to joint pain in older adults
  • Diagnosing osteoarthritis
  • Management of osteoarthritis in older adults
    • Non-pharmacological interventions
    • Pharmacological interventions: topicals, orals, injectables
    • When to refer for joint replacement
    • Case 2 from Kashlak
    • Diagnosis of Late onset rheumatoid arthritis (LORA)
      • Differential Diagnosis and Distinguishing features
      • Lab work/Imaging
      • When to refer to rheumatology
      • Approach to managing LORA
        • The 5Ms framework
        • Initial treatment with glucocorticoids
        • Ageism as a driver of undertreatment in older adults
        • Treating to target
        • Key takeaways 
        • Outro 

          • Credits

          • Producers, Writers and Show Notes: Joseph (Lee) Young, MD, Leah Witt, MD, Rachel Miller, MD
          • Cover Art and Infographic: Leah Witt, MD
          • Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
          • Reviewer: Emi Okamoto, MD
          • Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
          • Technical Production: PodPaste
          • Guest: Dr. Una Makris

            • Disclosures

            Dr. Makris reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures.


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