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

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

Author: The Curbsiders Internal Medicine Podcast July 28, 2025 Duration: 1:13:56
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

  • 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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Tune in to The Curbsiders Internal Medicine Podcast for a direct line to practical clinical knowledge and the ever-evolving art of patient care. This isn't a dry lecture series; it's a dynamic conversation among practicing physicians who break down complex topics into actionable insights you can use. Each episode delves into the nuances of internal medicine, from managing common chronic conditions to interpreting the latest guidelines and navigating diagnostic dilemmas. You'll hear honest discussions about challenges at the bedside, evidence-based debates, and expert interviews that go beyond textbook summaries to reveal how medicine works in the real world. The podcast serves as both a continuing education resource and a professional companion, offering thoughtful analysis and clinical pearls that resonate whether you're a seasoned hospitalist, a resident in training, or a primary care provider. The focus is consistently on deepening understanding and improving daily practice, making the rounds or the clinic day feel a little less daunting and a lot more informed. Listen for a blend of curiosity, camaraderie, and a genuine commitment to mastering the craft of medicine, all delivered through engaging dialogue that feels like consulting with a trusted colleague.
Author: Language: English Episodes: 100

The Curbsiders Internal Medicine Podcast
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