Episode #323: Joint Pain (Osteoarthritis) Teaching Rounds

Dr. Jordan Feigenbaum and Dr. Baraki discuss osteoarthritis (OA), emphasizing its complexity and the importance of a holistic approach. OA affects joints, causing pain, stiffness, and reduced function, with knees being the most commonly affected. Risk factors include age, prior injury, obesity, and inflammation. Diagnosis often relies on clinical history rather than imaging. Treatments include exercise, weight management, and non-pharmacological interventions like knee sleeves. Pharmacological options include topical NSAIDs, oral NSAIDs, and GLP-1 receptor agonists, with a cautious approach to opioids and steroid injections. Surgery may be considered for severe cases, but lifestyle changes and appropriate exercise are crucial for long-term management.

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Resources:

• https://www.barbellmedicine.com/blog/the-barbell-medicine-guide-to-osteoarthritis/
• https://www.barbellmedicine.com/blog/what-do-knee-sleeves-do/
• https://pain-calculator.com/
• https://pmc.ncbi.nlm.nih.gov/articles/PMC2730438/
• https://pubmed.ncbi.nlm.nih.gov/27103611/
• https://pain-calculator.com/treatment/osteoarthritis-pain/viscosupplementation-publicly-funded-trials/
• https://www.nephjc.com/news/nsaids-vs-opioids
• https://www.safetyandquality.gov.au/standards/clinical-care-standards/osteoarthritis-knee-clinical-care-standard

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