The approach to the patient presenting with multiple joint pain

Upper limb in primary care, Part 1 Upper and lower arm, elbow.

Patients present to their GP with symptoms rather than diseases, and often it takes time for musculoskeletal problems to evolve into a recognisable form. The challenge for the GP is to manage this uncertainty in a safe but balanced way with appropriate use of resources. One particular issue for GPs is ensuring that patients with inflammatory arthritis are identified at an early stage so that they can receive disease-modifying therapy with significant prognostic benefits.

Refreshingly, in this era of data collection and quality targets, musculoskeletal medicine still relies on good history-taking and clinical acumen.


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