Run the List Approach to Joint Pain
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Jul 19, 2021 Dr. Eli Miloslavsky, a rheumatologist at Massachusetts General Hospital, shares invaluable insights into joint pain. He discusses a systematic approach for primary care assessments, categorizing pain to better identify conditions like rheumatoid and psoriatic arthritis. Eli highlights the surprising link between psoriasis and joint symptoms and explains tailored treatment strategies. He also dives into management options, including steroid injections, and emphasizes the importance of synovial fluid analysis in diagnosis. A must-listen for anyone dealing with joint issues!
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Arthritis vs. Arthralgia
- Define arthritis as joint pain with objective findings on exam or imaging.
- Arthralgia is joint pain without objective findings.
Synovitis, Tenosynovitis, and Enthesitis
- Synovitis is inflammation of the synovium, often causing boggy joints.
- Tenosynovitis is synovitis affecting tendons, and enthesitis is inflammation where tendons insert onto bone.
Joint Pain Categories
- Consider four categories of joint pain: mechanical, inflammatory, infectious, or pain syndrome.
- Use time course, number of joints, inflammatory features, and joint patterns to narrow down the cause.