Rheumatologic disease is often encountered in the geriatric population. Osteoarthritis, rheumatoid arthritis, and crystal-induced arthritis primarily affect the joints. Osteoarthritis, or degenerative arthritis, is the most common joint disease of the elderly. The most common sites include the hands, spine, hip, knees and feet. Rheumatoid arthritis also occurs in the geriatric population. This autoimmune disorder requires early and aggressive treatment to prevent increased morbidity and mortality. Crystal-induced arthritis, mostly gout and pseudogout, has an increased incidence and prevalence in the elderly. Other rheumatologic diseases seen more commonly in the elderly include polymyalgia rheumatica, giant cell arteritis, remitting seronegative symmetrical synovitis with pitting edema, Sjogren’s syndrome, and inclusion body myositis. Polymyalgia rheumatica, an inflammatory disease primarily involving the shoulders and pelvic girdle, is only found in the elderly. Giant cell arteritis, a vasculitis of large vessels, is also only present in the geriatric population. Remitting seronegative symmetrical synovitis with pitting edema is a disease of patients older than 50 years of age.