The Curbsiders Internal Medicine Podcast28 Juli 2025

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

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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