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

An episode of [The Curbsiders Internal Medicine Podcast](https://invisiblenetwork.ai/podcast/1198732014), 28 Jul 2025, 1 h 12 min.

Audio: https://clrtpod.com/m/pscrb.fm/rss/p/dts.podtrac.com/redirect.mp3/audioboom.com/posts/8754760.mp3?modified=1780918280&sid=5034728&source=rss

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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