Adult Nurse Practitioner Stanford Health Care - Division Pain Medicine Division Pain Medicine, Stanford Health Care San Carlos, California
For adult patients living with chronic knee pain due to degenerative joint disease, a multimodal analgesic strategy is recommended. Intra-articular corticosteroids (IACS) and non-steroidal anti-inflammatory drugs (NSAIDs) are among the most common treatments for symptomatic osteoarthritis of the knee, and they may be deployed at all stages of degeneration. As such, some individuals may be exposed to these therapeutic modalities for long periods of time.
Knowledge of the impact of these therapies over time on individual patients is required for clinicians to maintain a balanced approach to musculoskeletal care while also being cognizant of the systemic effects of steroids and NSAIDs, especially in aging patients. This lecture will explore the risks and benefits of these therapies in the care continuum of pain, the progression of joint disease, and the burden of treatment-emergent adverse effects in this population. Specific attention will be paid to the use of these modalities in patients living with cardiovascular disease and diabetes mellitus.
Learning Objectives:
Discuss the risks and benefits of intra-articular corticosteroids in the treatment of symptomatic osteoarthritis in terms of joint preservation
Recognize the indications and contraindications for NSAIDs in the aging population
State two concerns regarding the use of intra-articular steroids in the degenerating joint
.jpg "Theresa Mallick-Searle, MS, PMGT-BC, ANP-BC, FAANP photo")