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Ministry of Health - By BC Physicians, for BC Physicians

Rheumatological and Musculoskeletal Systems

Guidelines (in HTML) Printable Documents (PDF)
Ankle Injury - X-Ray for Acute Injury of the Ankle or Mid-Foot (2014) Full Guideline (PDF 162K)
Antinuclear Antibody (ANA) Testing for Connective Tissue Disease (2013) Full Guideline (PDF 219K)
Erythrocyte Sedimentation Rate (ESR) (2007) Full Guideline (PDF 112K)
Osteoarthritis in Peripheral Joints - Diagnosis and Treatment (2009) Full Guideline (PDF 2.4M)
Summary (PDF 199K)
Osteoarthritis (OA) Medications Table (PDF 221K)
Appendix A - History (PDF 88K)
Appendix B - Physical Examination (PDF 80K)
Appendix C - Alternate Diagnosis and Overall Assessment (PDF 71K)
Appendix D - Investigations (PDF 61K)
Appendix E - Follow-up Patient Assessment Form (PDF 83K)
Patient Guide for People Living with Osteoarthritis (PDF 221K)
A Guide for People with Hip Osteoarthritis (PDF 428K)
A Guide for People with Knee Osteoarthritis (PDF 315K)
A Guide for People with Hand Osteoarthritis (PDF 422K)
Choosing a Complementary Therapy (PDF 223K)
Calculation of Body Mass Index (PDF 75K)
Osteoporosis: Diagnosis, Treatment and Fracture Prevention (2012) Full Guideline (PDF 876K)
Summary (PDF 368K)
Appendix A - Examples of Medications that May Contribute to Bone Loss (PDF 211K)
Appendix B - Testing for Suspected Secondary Causes of OP in Selected Patients (PDF 211K)
Appendix C - Using the FRAX® Calculator to Assess Absolute Fracture Risk (PDF 362K)
Appendix D - Pharmacologial Therapy for Osteoporosis (PDF 227K)
Patient Guide (PDF 295K)
Rheumatoid Arthritis- Diagnosis and Management (2012) Full Guideline (PDF 294K)
Summary (PDF 482K)
Patient Guide (PDF 266K)
Appendix A - Non-Biologic Disease-Modifying Anti-Rheumatic Drugs (PDF 266K)

Disclaimer The Clinical Practice Guidelines (the "Guidelines") have been developed by the Guidelines and Protocols Advisory Committee on behalf of the Medical Services Commission. The Guidelines are intended to give an understanding of a clinical problem and outline one or more preferred approaches to the investigation and management of the problem. The Guidelines are not intended as a substitute for the advice or professional judgment of a health care professional, nor are they intended to be the only approach to the management of clinical problems.  We cannot respond to patients or patient advocates requesting advice on issues related to medical conditions. If you need medical advice, please contact a health care professional.