CONSULT REQUEST GUIDELINES                                                                         Print

Arm Pain

Suggested Pre-Referral Evaluation and Management Guidelines
  • History of: trauma, smoking, cancer?
  • Associated with burning, tingling or parasthesias and/or motor loss?
     Consider Radiculopathy , brachial plexopathy
  • If neurogenic pain/parasthesias in hands, evaluate lower extremities for possible peripheral neuropathy
     Consider gabapentin 100 mg po TID and tritrate
  • If limited or no relief with NSAIDs, acetaminophen, joint(s) painful but no red hot joints and minimal swelling
     Consider osteoarthritis
     Consider regular doses of acetaminophen; NSAIDS for short periods
  • If joint(s) painful with red joints and effusion,
     Consider inflammatory arthritis, rheumatology consult
    Suggested Additional Test/Management Prior to Specialty Visit
    1)If radicular or dermatomal pattern, consider EMG, neck x-ray with AP, lateral and oblique views
    2)If chronic or sub acute, x-ray of the effected region
    3)If inflammatory, consider CBC, WESR, ANA, RF, if history of cancer consider adding alkaline phosphatase
    4)If peripheral neuropathy a consideration, obtain lab workup
    Patient Education/Information (includes preps)  
    Appointment Timeframe  
    How to Get Results to Consultant UMHS Patients: See CareWeb
    External Patients: hand carry medical records and clinic notes to visit
    Clinic Contact Information Physician: 800-962-3555
    Patient: 734-936-7175
    Clinic Location Sites MedRehab, Briarwood Building 04
    UM Consulting Physician Musculoskeletal Rehabilitation Faculty
    Revised on: 10/07/2009
     
     

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