1. EachPod

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

Author
The Curbsiders Internal Medicine Podcast
Published
Mon 28 Jul 2025
Episode Link
https://audioboom.com/posts/8754760

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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