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As we grow older, most joint pain from arthritis comes not from inflammation (for which corticosteroids may be used) but from immobility of the joint due to joint damage from years of inflammation. How to Identify Joint Pain in Patients With Arthritis If you are working with an osteopath, the first thing you would do is to get the patient's history. If that patient is already on medication for their arthritis and is being followed closely, you will often see something called a "pulse oximeter." This simple instrument measures the level of blood going into the joint. When it measures something like 95 percent or 100 percent blood, the patient can easily be given the prescription for the medicine needed to treat the joint. If a patient has a low pulse oximeter reading, you will be told what medication is needed and will need to give them a prescription for any additional medication. As an osteopath, I recommend you ask the patient to take a deep breath, move the finger into one of a series of positions and then go very slow. Then, using their entire arm, move it up and down while trying to keep it level, at the same time keeping their fingers level as well. Then, just as you would the patient's hand, move it up and down, keeping them completely level, without moving their fingers. If the patient becomes aware of these movements of the joints, they can go back to the original position, or they can continue their "pulse oximeter" test. A pulse oximeter will not tell you if a pain is coming from a muscle group. It will tell you if your patient's finger feels like it hurts, but it will be different from the pain you would feel when they are in pain. In most cases, the pulse oximeter does not show the pain directly caused by muscle irritation. If this is you, you might be in difficulty. Do I always have to treat the problem by administering medicine to the affected joint? I am not sure of the correct answer here. Some people are told to just go to the doctor and get the prescription for the medicine needed. But, if you are a patient in pain with a pain that is not coming from inflammation, you do not need medicine. You might consider getting a physical examination (called a "glimmer test"). If it is determined that your problem is not muscle irritation or inflammatory pain, then you should have the proper medication prescribed. It does not make sense to treat an arthritis problem when it is not related to muscle pain. Should I be concerned if a patient with joint pain is using a medication? Probably! If the person Related Article: