Question

If a patient on OA returns having lost weight with good results, taking NSAIDS, but still having nocturnal pain, what should be the next step?

1) Increase the dose of NSAIDS
2) Refer to orthopedic specialist
3) Prescribe a different pain medication
4) Recommend physical therapy

Answer 1

If a patient with OA experiences nocturnal pain despite weight loss and taking NSAIDs, it is recommended to refer them to an orthopedic specialist.

Step-by-step explanation:

If a patient with osteoarthritis (OA) returns with weight loss and good results from taking NSAIDs but still experiences nocturnal pain, the next step should be to refer them to an orthopedic specialist.

While increasing the dose of NSAIDs or prescribing a different pain medication may provide some relief, these measures may not address the underlying issue causing the nocturnal pain.

By consulting an orthopedic specialist, the patient can receive a comprehensive evaluation and potentially explore other treatment options such as physical therapy or surgery if necessary.

If a patient with osteoarthritis (OA) has lost weight and seen good results from non-steroidal anti-inflammatory drugs (NSAIDs), yet still experiences nocturnal pain, the next step would not be to increase the dose of NSAIDs due to potential serious side effects such as gastrointestinal bleeding and increased risk of stroke. Instead, other treatments should be considered.