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Atraumatic joint and limb pain in the elderly.

Lori Harrington1, Jeffrey I Schneider

  • 1Department of Emergency Medicine, Boston Medical Center, Dowling 1 South, 1 Boston Medical Center Place, Boston, MA 02118, USA.

Emergency Medicine Clinics of North America
|April 6, 2006
PubMed
Summary

Emergency departments see many patients with joint and limb pain. This article addresses common causes like gout, osteoarthritis, and arthritis, differentiating between age groups and offering timely interventions to prevent disability.

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Area of Science:

  • Emergency Medicine
  • Rheumatology
  • Geriatrics

Background:

  • Joint and limb pain are common emergency department complaints.
  • Diagnosis and treatment vary significantly between younger and elderly patients.
  • Emergency physicians play a crucial role in early intervention to prevent disability.

Purpose of the Study:

  • To provide a comprehensive overview of atraumatic joint and limb pain in the emergency department.
  • To differentiate between common etiologies across different age groups.
  • To discuss specific conditions prevalent in the elderly population.

Main Methods:

  • Review of common atraumatic joint and limb pain etiologies.
  • Discussion of crystal deposition diseases (gout, pseudogout).

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  • Examination of osteoarthritis, septic arthritis, and inflammatory arthritides (rheumatoid arthritis).
  • Inclusion of elderly-specific arthritides (polymyalgia rheumatica, giant cell arteritis).
  • Presentation of cervical and lumbar disc disease and gait disorders in the elderly.

    • Main Results:

    • Common causes of atraumatic joint and limb pain include crystal deposition diseases, osteoarthritis, septic arthritis, and inflammatory arthritides.
    • Elderly patients present unique challenges with conditions like polymyalgia rheumatica and giant cell arteritis.
    • Cervical and lumbar disc disease, along with gait disorders, significantly impact the elderly population.

    Conclusions:

    • Emergency physicians must consider age-specific differential diagnoses for joint and limb pain.
    • Prompt recognition and management are essential to prevent long-term disability.
    • This article serves as a guide for emergency physicians managing joint and limb pain across the lifespan.