Approach to Patient with Unexplained Joint Pain

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About the Case Presentation

Joint pain can be caused by a variety of factors, ranging from common to rare, unpleasant to life-threatening. Even the most minor causes of joint discomfort can result in severe disability. A complete history and physical exam are required when evaluating a patient with joint pain (typically focusing on extra-articular symptoms), as well as the examination of joint fluid, serologies, and radiologic testing. The differential diagnosis of joint pain can be framed using three key questions. First, is the joint discomfort limited to a single joint or does it affect numerous joints? If the pain is only in one joint, the next question is whether it is monoarticular or extraarticular. Although the distinction may appear evident, changes in periarticular tissues can mimic articular illness.Finally, are the affected joints inflamed or not? Further down the spectrum, the sharpness of the pain may be significant.

About the Speaker

Dr. Rachit Gulati

Dr. Rachit Gulati

Medical Director, Recoup Health, Bengaluru

Dr. Rachit Gulati is the Medical Director and Lead Consultant of Physical Medicine and Rehabilitation at Recoup Health in Bengaluru, Karnataka, where he has been instrumental since March 2024. In this role, he provides strategic direction for medical services, steers clinical protocols, and drives operational initiatives within the organization. Prior to this, he served as Medical Director at SAAOL Ortho Care, a network of holistic, non-surgical pain management clinics, where he focused on innovative approaches to pain management and rehabilitation from January 2022 to February 2024. Dr. Gulati’s extensive experience includes positions as Assistant Professor at Mahatma Gandhi University of Medical Sciences and Technology and Senior Resident roles at prestigious institutions such as AIIMS Bhopal and the Department of Health & Family Welfare in West Bengal. He holds an MBBS from SMS Medical College and an MD in Physical Medicine and Rehabilitation from R.G. Kar Medical College and Hospital. With a robust background in rheumatology, pain management, and neurorehabilitation, Dr. Gulati is a passionate advocate for advancing patient care through multidisciplinary approaches and evidence-based practices.