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Easier Exams for Cogwheel Rigidity
The assessment of cogwheel rigidity requires checking for smooth flexion and extension of the elbows and wrists. However, many patients stiffen their joints when they are aware that you are checking for stiffness. To obviate this problem, begin by asking whether they have any joint pain, then proceed to flex and extend their joints.
The assessment of cogwheel rigidity requires checking for smooth flexion and extension of the elbows and wrists. However, many patients stiffen their joints when they are aware that you are checking for stiffness. To obviate this problem, begin by asking whether they have any joint pain, then proceed to flex and extend their joints. Because the patients think you are only checking for pain, they don't stiffen. This approach also reminds you to assess for pain.
- Barbara E. Harrison, PhD, APRN-BC
Rochester, Mich
Primary Viewpoints Episode 7: Antidepressants for Back Pain, Osteoarthritis Pain
February 25th 2021Listen to our newest podcast episode where the lead author of a recent meta-analysis shares his findings on the safety and efficacy of antidepressant medications to treat back and osteoarthritis pain.
Podcast: Arthritis, Anxiety, and Depression: Managing a Common Comorbidity
May 14th 2012Anxiety is even more common than depression among people who have arthritis, a new study has shown. Here to discuss the implications for diagnosis and treatment is Eilzabeth Lin MD, a family medicine physician who is a longstanding researcher in the field of depression and pain.
