Non-autoimmune Musculoskeletal Conditions Flashcards
What are the primary interventions for osteoarthritis?
weight loss, exercise, patient education, CBT
What medications are useful for osteoarthritis?
NSAIDs, duloxetine, ?nerve growth factor inhibitors (effective for analgesia but increases joint destruction), intra articular glucocorticoids (but may have accelerated loss of cartilage volume)
What medications are best avoided in osteoarthritis?
paracetamol, opioids, gabapentinoids, glucocorticoids, fish oil, glucosamine, chondroitin
What is fibromyalgia?
A centralised pain disorder
What are the clinical features of fibromyalgia?
chronic widespread pain allodynia fatigue fibrofog sleep disturbance mood disturbance sensory sensitivity intolerance of medications altered interoception
What are the 3 pillars of fibromyalgia management?
movement practice, attention to sleep, cognitive therapy
What are potential management options for fibromyalgia?
education, avoiding excessive diagnostic labels, pacing, TCAs, gabapentinoids, SNRIs, tramadol, low dose naltrexone, propranolol
What medications are best avoided in fibromyalgia?
opioids, paracetamol, NSAIDs, glucocorticoids, benzodiazepines
What are the principles of management of back pain?
continued movement, physical therapy, psychological therapy, avoid imaging, minimise pharmacological interventions
What management may be helpful in radiculopathy?
consider steroid injection
What is the management for rotator cuff disease?
time, education, physical therapy, NSAIDs, glucocorticoid injections
What is the management for greater trochanter pain?
physical therapy, analgesia as required
