MIMS Education

Diagnosis and Management Approach to Musculoskeletal Pain

Diagnosis and Management Approach to Musculoskeletal Pain

Internal MedicineFamily MedicineRheumatologyGeneral Practice
A badge with ribbon in color black No CME/CPD credits | An analog clock in color black 1 hour | A black calendar with white triangle in center that has a black exclamation point in the middle 18 Aug 2024 


About this course

Not all musculoskeletal pain (MSK) is caused by arthritis. MSK pain can be articular or periarticular in nature, with the former category encompassing osteoarthritis, rheumatoid arthritis, septic arthritis, and gouty arthritis, to name a few. A thorough history and a systematic physical examination is vital in the proper diagnosis of MSK pain. Moreover, recognizing red flags and knowing when to refer to a rheumatologist is important when managing these conditions.

This e-learning module aims to discuss the common risk factors, clinical features, approach to the diagnosis, and management of musculoskeletal pain. 

Learning outcomes

Upon completion of the educational activity, participants should be able to:

  • Differentiate articular and non-articular causes of musculoskeletal pain based on history and physical examination
  • Identify common causes of articular and non-articular pain
  • Outline the initial management and treatment considerations of common soft-tissue rheumatisms and arthritides

Topics covered

  • Introduction: Differentiating articular and non/peri-articular pain
  • Approach to Musculoskeletal Pain based on History and Physical Examination
  • Management of Soft Tissue Rheumatisms (STR)
  • Algorithm for the diagnosis of musculoskeletal complaints
  • Red Flag conditions
  • Approach to Articular source of pain
  • Radiologic Imaging in Musculoskeletal Pain
  • Initial Management of Arthritis
    • Commonly used oral NSAIDs for musculoskeletal pain
    • What to watch out for using NSAIDs
    • How to choose anti-inflammatory therapy

Keywords: musculoskeletal pain, articular pain, non-articular pain, rheumatoid arthritis