CONSULT REQUEST GUIDELINES                                                                         Print

Muscle Pain (Generalized )

Suggested Pre-Referral Evaluation and Management Guidelines
  • If associated with headache or tenderness of temporal head region, consider polymyalgia rheumatica if geriatric age group
  • Rule out temporal arteritis. Careful examination for evidence of temporal artery pain, tenderness, and for visual symptoms
  • If present, refer to rheumatology, start prednisone (high dose), obtain MRA of the head or refer to neuropathy for temporal artery biopsy for temporal arteritis which is can be associated with sudden irreversible blindness.
  • If proximal and symmetric consider myopathy. Review medications for steroid and/or statins. Consider discontinuing steroid or statins
  • If diabetic and painful, consider diabetic amyotrophy
  • Consider fibromyalgia
  • Consider NSAIDS or acetaminophen for pain. Chronic pain consider tricyclic antidepressants (TCAs), begin conditioning exercise program
    Suggested Additional Test/Management Prior to Specialty Visit
  • Consider WESR, CBC with differential, CPK, TSH, T 4, rheumatologic laboratory work up
  • Consider EMG to evaluate for myopathy, diabetic amyotrophy
    Patient Education/Information (includes preps)  
    Appointment Timeframe  
    How to Get Results to Consultant UMHS Patients: See MiChart
    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 Neuromuscular Rehabilitation Faculty
    Revised on: 01/26/2015



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