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Safely Managing Acute Osteoarthritis in the Emergency Department: An Evidence-Based Review
Scott E Young1, Jason D Bothwell1, Ryan M Walsh1
1Department of Emergency Medicine, Madigan Army Medical Center, Tacoma, Washington.
The Journal of Emergency Medicine
|August 3, 2016
Summary
Managing acute osteoarthritis (OA) pain in the emergency department requires careful consideration of treatment risks and benefits. Alternative therapies like injections and physical therapy may be underutilized for effective OA pain management.
Area of Science:
- Emergency Medicine
- Rheumatology
- Pain Management
Background:
- Acute osteoarthritis (OA) causes debilitating joint pain, impacting daily activities and increasing mortality risk.
- Managing OA pain in emergency departments presents challenges, especially for patients with comorbidities.
Purpose of the Study:
- Review risks and benefits of OA pain treatments in emergency settings.
- Provide evidence-based recommendations for managing OA pain in patients with comorbidities.
Main Methods:
- Review of available treatment options for acute OA-related pain.
- Consideration of patient comorbidities (cardiovascular disease, renal insufficiency, GI bleeding risk).
Main Results:
- Common OA treatments (acetaminophen, NSAIDs, opioids) have variable efficacy and risks based on comorbidities.
- Alternative therapies (topical, injections, bracing, rehabilitation) are potentially underused.
Conclusions:
- Emergency providers must understand risks/benefits of all OA pain treatments.
- Comprehensive management includes oral medications, topical agents, injections, bracing, and physical therapy.
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