#493: Joint Pain in Older Adults with Dr. Una Makris
Jul 28, 2025
1:11:37
Episode Description
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
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.
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