Arthritis and Joint Pain

Dec 01, 2021 Issue
Septic Arthritis: Diagnosis and Treatment [Article]

Septic arthritis must be considered and promptly diagnosed in any patient presenting with acute atraumatic joint pain, swelling, and fever. Risk factors for septic arthritis include age older than 80 years, diabetes mellitus, rheumatoid arthritis, recent joint surgery, hip or knee prosthesis, skin i...

Dec 01, 2021 Issue
Lyme Disease: Updated Recommendations from the IDSA, AAN, and ACR [Practice Guidelines]

A multidisciplinary panel representing the Infectious Diseases Society of America, the American Academy of Neurology, and the American College of Rheumatology has published recommendations on the prevention, diagnosis, and treatment of Lyme disease.

Dec 1, 2020 Issue
Shoulder Pain and Stiffness with Abnormal Imaging Findings [Photo Quiz]

A 51-year-old patient presented with several years of diffuse shoulder pain and abnormal imaging findings.

Aug 1, 2020 Issue
Acupuncture for Knee Osteoarthritis [FPIN's Clinical Inquiries]

Electroacupuncture can be used to improve pain and physical function in adults with knee osteoarthritis.

Oct 1, 2019 Issue
Oral Antibiotics Are Equal to IV Antibiotics for Serous Bone and Joint Infections [POEMs]

Oral antibiotics started within seven days of surgery for patients with a serious bone or joint infection are as safe and effective as six weeks of IV antibiotics.

Jun 1, 2018 Issue
Ultrasound Is Reasonably Accurate in Detecting Synovitis in Patients with Rheumatoid Arthritis [POEMs]

In this systematic review of patients with rheumatoid arthritis, ultrasonography was reasonably accurate compared with magnetic resonance imaging (MRI) in detecting synovitis in fingers and wrists. The use of MRI as a reference standard is convenient, but problematic.

May 1, 2018 Issue
Effectiveness and Safety of Celecoxib for the Treatment of Rheumatoid Arthritis [Cochrane for Clinicians]

Compared with placebo, celecoxib improves pain (number needed to treat [NNT] = 4) and clinical symptoms (NNT = 7), but it has no effect on physical function in patients with RA.

Apr 1, 2018 Issue
Rheumatoid Arthritis: Common Questions About Diagnosis and Management [Article]

Early diagnosis and treatment of rheumatoid arthritis are associated with better outcomes for patients. Methotrexate is the disease-modifying antirheumatic drug of choice, although other nonbiologic and biologic agents are available. Patients should be screened for chronic infections before beginning treatment for rheumatoid arthritis.

Nov 15, 2017 Issue
Spondyloarthritis: NICE Releases Guidelines on Diagnosis and Treatment [Practice Guidelines]

Spondyloarthritis comprises inflammatory disorders that have some overlapping characteristics. The National Institute for Health and Care Excellence (NICE) released a guideline on diagnosing and treating spondyloarthritis.

Nov 15, 2016 Issue
Acute Monoarthritis: Diagnosis in Adults [Article]

Osteoarthritis, gout, and trauma are the most common causes of acute monoarthritis. Review the typical history and examination findings for these and other etiologies. If infection is suspected, arthrocentesis should be performed for synovial fluid analysis.

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