Category Archives: Joints

Arthroplasties – the post-op period

This BMJ article covers post-op management of shoulder, hip, or knee arthroplasty. A lot of this is obviously going to be managed by the surgical team in question, but there are invariably GP queries, so I thought it was worth … Continue reading

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Reactive arthritis

(BMJ module on STIs) My name is (almost) a disease, it seems. Reactive arthritis is a sterile arthritis triggered by an infection elsewhere, typically urogenital or gastrointestinal, and SARA stands for sexually acquired reactive arthritis, most often triggered by chlamydia. … Continue reading

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Anterior knee pain

Alternative names: patellofemoral pain syndrome, cinema knee, theatre-goer’s knee. (Why the last two, I have no idea; it’s linked with athletics.) What it is: A broad term for anterior knee pain with no specific identified cause, usually due to a … Continue reading

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Differential diagnosis of hip pain

Pain over the anterior part of the thigh/around the groin can be from the femoral nerve, which can be caused by problems with the third and fourth lumbar segments.  To diagnose this, do a spinal examination and the femoral nerve … Continue reading

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Synovium 31, Autumn 2010

I usually tell my patients with hip or knee osteoarthritis to stay active, using the logic that a) staying active is A Good Thing generally and b) it will help them avoid the vicious circle of putting on more weight … Continue reading

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BMJ 2010: 341: 739 – 86 (9th October)

The topics: pelvic pain and hallux valgus. I was unsurprised by the statistic that up to 55% of women with chronic pelvic pain remain undiagnosed following investigation, and by the advice that it is important to clarify to women undergoing … Continue reading

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BMJ 2010: 341: 679 – 738 (2nd October)

Stop recommending glucosamine for patients with OA.  A meta-analysis of the effects of glucosamine, chondroitin, or both on hip or knee OA found no clinically relevant effect either on pain or on narrowing of the joint space.  At least some … Continue reading

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