34 results
Approach to Joint Pain - Diagnostic Framework

1) Chronicity
2) Inflammatory vs Non-Inflammatory
3) Number of Joints Involved

1) Chronicity:
Pain - Diagnostic ... Framework 1) ... Involved 1) ... #Joint #Pain #MSK ... #rheumatology #
Medial Approach Knee Intra-articular Corticosteroid Injection 

Landmark 1/3 to 1/2 way from top of patella. Find
Landmark 1/ ... osteophytes & narrowed joint ... #clinical #video ... physicalexam #procedure #msk ... orthopedics #sports #rheumatology
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
lasting > 30 mins - 1 ... - Autoimmune Rheumatologic ... Ankylosing Spondylitis, IBD ... #Diagnosis #MSK ... #rheumatology #
Skin Conditions Associated with Joint Pain

Rash
	• Human parvovirus B19 infection

Malar rash
	• SLE
	• Human parvovirus B19 infection
	•
Associated with Joint ... gangrenosum • IBD ... #dermatology #joint ... #pain #skin #rashes ... differential #diagnosis #rheumatology
Rheumatoid Arthritis Summary
Overview: chronic, inflammatory symmetric polyarthritis involving small joints of hands/feet, knees, shoulders
Signs & Symptoms:
AM stiffness, >1 ... pain / swelling ... corticosteroid injections ... Certolizumab, Golimumab), IL ... diagnosis #management #rheumatology
Ankle Joint Injection

Dr. Janet Pope @Janetbirdope

#Ankle #Joint #Injection #clinical #video #rheumatology #procedure #msk
Ankle Joint Injection ... Janetbirdope #Ankle #Joint ... #Injection #clinical ... #video #rheumatology ... #procedure #msk
Knee Joint Injection

Dr. Janet Pope @Janetbirdope

#Knee #Joint #Injection #clinical #video #rheumatology #procedure #msk
Knee Joint Injection ... Janetbirdope #Knee #Joint ... #Injection #clinical ... #video #rheumatology ... #procedure #msk
Distinguishing between Inflammatory and Degenerative joint disease
Inflammatory Joint Disease
 • Swelling stimulates joint nociceptors -> Pain
nociceptors -> Pain ... painful swelling -> Pain ... resolves after > 1 ... cartilage triggers a mild ... Comparison #Versus #MSK
Inflammatory Joint Pain - Differential Diagnosis Algorithm 
Monoarticular
 • Gout (Podagra, Tophi)
 • Pseudogout
 • Early
Inflammatory Joint ... Pain - Differential ... Genitourinary Infection ... Oligoarticular (1- ... Inflammatory #JointPain #MSK
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Pain History ... : Is the pain from ... Disease: • Pain ... Acute or chronic infections ... #Pain #MSK #rheumatology