Podcasts · The Curbsiders Internal Medicine Podcast

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

· 1 h 12 min

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

0:00 1:11:37

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). Claim CME for this episode at curbsiders.vcuhealth.org! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME 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. Sponsor: Heart of Care If you care about patient safety, team performance, and building a culture of readiness, subscribe to In the Heart of Care. Available now, wherever you get your podcasts. Sponsor: FIGS Curbsiders listeners can get 15% off. Just go to wearFIGS.com and use code FIGSRX.

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