This is a category taken from the full feed of Musculoskeletal and Arthritis news provided by ARMA's members.


Upcoming webinar: Paediatric rheumatology: lived experience and psychological needs

Friday 27 March 12.30 – 1.30

Around 12,000 children and young people in the UK have a musculoskeletal condition. Supporting them to live the lives they want is an important part of treating their conditions. This webinar will discuss these issues using the example of Juvenile Dermatomyositis (JDM), a rare condition affecting just 3 in a million children in the UK.

Polly Livermore is a rheumatology nurse who has studied the psychological needs of children with JDM. The findings of her study will be widely applicable to children with other musculoskeletal conditions and many other rare chronic conditions in childhood.

Polly will discuss her findings with Clinical Scientist Dr Claire Deakin and a parent, Mrs Carolyn Farrugia.

The webinar will cover:

  • Paediatric Rheumatology with introduction to Juvenile Dermatomyositis (JDM)
  • The UK wide registry which collects data on these children and young people
  • What we know about the lived experience and psychosocial needs of children with Juvenile Dermatomyositis and what support they feel they need.
  • Current psychology service provision around the UK
  • Discuss ideas for future work

Who should attend:

Rheumatologists, nurses, psychologists, allied health professionals, social workers, GPs and any other healthcare professionals working with children and young people with musculoskeletal conditions, voluntary organisations and school teachers.


Polly Livermore, NIHR Clinical Nursing Doctoral Research Fellow, GOSH BRC Clinical Academic Lead at Great Ormond Street Children’s Hospital, NHS Foundation Trust
Dr Claire Deakin, Senior Scientist, University College London Hospital
Lyn Farrugia, parent

Register for the webinar here.

The Transformation of MSK Physiotherapy Services – a practical example

Friday 17 January 2020 12:30pm

What can services in England learn from a Scottish experience? General practice in Midlothian is currently experiencing considerable capacity and sustainability challenges, with MSK making up a significant proportion of this demand. Half the practices were operating with restricted lists as a result of increasing demand: a demand which is predicted to quickly rise as the influx of new housing has resulted in Midlothian being the fastest growing local authority area in Scotland.

The transformation of physiotherapy services aimed to address some of these challenges. The webinar will cover:

  • An overview of the changes we have made within MSK physiotherapy over the last 2 years
  • The introduction of first contact physiotherapists as an alternative to a GP for MSK conditions
  • The role of the core MSK rehabilitation team
  • Challenges we have encountered along the way
  • Where we are now and next steps.


Debbie Crerar – Lead Physiotherapist, Midlothian Health and Social Care Partnership
Jennifer Mulvey – Advanced Physiotherapy Practitioner in Primary Care, Midlothian Health and Social Care Partnership

Register here.

What everyone working with back pain needs to know about Cauda equina syndrome

Friday 21 February 2020, 12.30pm

Cauda equina syndrome (CES) is a rare condition that affects the nerves in the spine supplying the bladder, bowel and sexual function. Identification and subsequent urgent action is required to avoid permanent damage to these essential organs. Delays in diagnosis can have devastating and life changing consequences for patients and result in high cost negligence claims.

This webinar will be of interest to any health professional treating patients with low back pain, particularly those seeing this patient group in pre-surgical settings. We will cover:

  • Definition of Cauda Equina Syndrome
  • Presenting Signs and symptoms
  • Examination for CES
  • Evidence relating to CES
  • Pathways of Care
  • Medico-legal issues relating to CES

Who should attend:

Clinicians, physiotherapists, osteopaths, chiropractors, nursing staff, in fact anyone likely to come in to contact with people with back pain.


Laura Finucane, Consultant Physiotherapist, Sussex MSK partnership
Chris Mercer, Consultant Physiotherapist, Western Sussex Hospitals Trust

The Musculoskeletal Association of Chartered Physiotherapists (MACP) is a membership organisation of physiotherapists who have reached a recognised standard of excellence in musculoskeletal physiotherapy. We work to support physiotherapists managing people with musculoskeletal complaints and conditions in a range of settings (NHS, private practice, sport etc.). Our members promote excellence in musculoskeletal health and offer specialist musculoskeletal physiotherapy practice across the UK, with many working as first contact practitioners given their skills and expertise.

For more information about the MACP and how to join visit

Register for the webinar here.

Register for a new webinar

The next ARMA webinar is on ‘Addressing the burden of rheumatic and musculoskeletal foot and ankle pain.’

You can sign-up for free to this NHS England and ARMA webinar, to watch live or get a link to replay the recording when it suits your schedule.

Although foot and ankle pain affects an estimated 20% of the general population and this figure rises to around 90% in people with rheumatoid arthritis, they are frequently trivialised and overlooked. Podiatry and foot health services should, therefore, be a vital part of all MSK and rheumatology services but all too often that’s not the case.

This webinar will explore the role of podiatry in multidisciplinary rheumatology and MSK teams and provide examples of how foot health needs can be provided within clinical pathways.

The first presentation by Dr Mike Backhouse (University of York) will summarise the latest evidence regarding access to foot care services, update attendees on the latest guidelines, and provide examples of different models for delivering foot health services. Professor Cathy Bowen (University of Southampton) will then look at the early findings from a systematic review of guidelines for the management of foot health. She will discuss her recent analysis of the UK GP database of encounters and referrals for foot pain and arthritis. She will also present common themes emerging from interviews with GPs and commissioners, patients, and podiatrists and consider how foot health can be addressed in MSK pathways.


Dr Mike Backhouse has a background in podiatry having qualified from the University of Southampton, and over a decade of experience in applied clinical research. His research is highly multidisciplinary and ranges from large pragmatic clinical trials to imaging and mechanism of action studies, all of which aim to improve the lives of people with musculoskeletal disease and other long term conditions.

Professor Catherine Bowen has a specific education and research focus related to investigation and management of inflammatory and non-inflammatory arthritic manifestations within the foot and ankle. Catherine currently holds a UK NIHR Fellowship award investigating optimal models of foot care for individuals who have osteoarthritis (OA). As Professor in Podiatry at the University of Southampton and Honorary Lecturer at the University of Oxford, Catherine leads a multi-professional research partnership with a focus on MSK foot and ankle pathology.

Who should attend:

The webinar is aimed at commissioners and managers of MSK services and everyone involved in treating patients with MSK conditions affecting foot health.

Time for live webinar

10 May 2019, 12:30-1.30 pm

If you can’t join live, sign-up to get a link to replay the webinar recording at a convenient time.

Registration link:

Friday 29 March 2019, 3:00pm

The importance of integrating psychosocial care into the treatment of long term musculoskeletal conditions is well established. What would this look like in practice? Using the example of the 3 Dimensions for Long Term Conditions service at King’s Health Partners this webinar will cover why and how to provide and effective integrated service which benefits patients and works for clinicians. The 3 dimensions service is not an MSK service, but the approach would work equally well in supporting people with MSK conditions.

Depression is the most common co-morbidity among people with rheumatoid arthritis (RA), and the presence of depression can lead to a person’s pain and overall disability being worse. Yet in a recent survey of people with RA, 2 in 5 had never been asked by a healthcare professional about their emotional or psychological wellbeing. Twenty two percent had a diagnosis of depression, but 37% of these were not receiving treatment for that depression.

The webinar will cover why we need to integrate mental and physical healthcare, common psychological reactions and symptoms. It will describe an example of psychosocial integration using a stepped care approach and explore the challenges and successes of joint working.

Presenter: Dr. Lindsay Ip, Principal Clinical Psychologist at King’s Health Partners (KHP)

Who should attend: This webinar is for anyone involved in providing or commissioning services for people with long term musculoskeletal conditions.

Register for this webinar:

Managing women of child bearing potential living with chronic inflammatory rheumatic disease
Wednesday 3 April 2019, 2.30pm-3.30pm

This webinar will cover why it is important to appropriately plan a patient’s pregnancy journey, to minimise disease activity to ensure an optimal outcome for mother and baby, and how healthcare professionals can ensure they initiate conversations around family planning at an early stage.

Disease onset for patients living with chronic inflammatory disease (RA, PSA, axSpA and PSO), tends to overlap with peak female reproductive ages. Currently, many women receive inconsistent advice regarding family planning and treatment options during pregnancy. It is important to plan with patients early on and to initiate the discussions even if the patient is not currently planning to get pregnant.

High-disease activity and certain medications (such as NSAIDs and high-dose corticosteroids) have been shown to affect fertility. Active disease is also associated with an increased risk of complications. Adequate disease control before and during pregnancy is crucial to ensure the best maternal and foetal health. Patients who are well controlled during pregnancy are in an optimal position to prepare for birth and breastfeeding.

The webinar will cover:

  • Current challenges of family planning within this patient group.
  • The need to encourage earlier family planning discussions between patients and health care providers, even if the patient is not currently planning to get pregnant.
  • The importance of controlling the symptoms of disease/activity before, during and after pregnancy, to ensure optimal outcomes for mother and baby
  • Current guidelines and evidence-based medicine in the management of young women in their journey through to motherhood.

Who should attend:
Healthcare professionals with patients living with chronic inflammatory disease including rheumatologists, nurses, GPs, gynaecologists, obstetricians, midwives, pharmacists.

Register in advance for this webinar:

If you can’t join live, sign-up to get a link to replay the webinar at a convenient time.

ARMA webinars are free to access thanks to the support of our partners. We would like to thank UCB for supporting this webinar who have had no editorial control/input in its development.

Professor Peter C. Taylor MA, BM, BCh, PhD, FRCP, FRCPE, Professor of Musculoskeletal Sciences, Oxford University;
Professor Catherine Nelson-Piercy MA FRCP FRCOG, Consultant Obstetric Physician, Guy’s and St. Thomas’ Hospitals Trust and Queen Charlotte’s and Chelsea Hospital.

How to implement the National Back and Radicular Pain Pathway (NBRPP)

12.30 – 1.30pm Friday 8 March 2019

The webinar aims to support the implementation of the National Back and Radicular Pain Pathway. It will initially explain the pathway and present data from early implementers to help make the case for change in your local area. The physiotherapist who led the implementation of the NBRPP across Cheshire and Merseyside as part of the Walton Centre Vanguard Project will talk about her experiences, common barriers to implementation and strategies to overcome them.

Back pain is the largest single cause of disability in the UK, with lower back pain alone accounting for 11% of the total disability of the UK population as well as the largest cause of sickness absence.

The NBRPP is the product of a unanimous consensus of 29 stakeholders based on best evidence. Its objectives are to provide a streamlined care pathway for radicular pain and an effective, managed pathway for patients with low back pain. Value impact analysis has indicated substantial cost savings in early implementation in the North East. The Pathway is demonstrating improved clinical results in patient clinical outcomes and patient satisfaction.

Who should attend: All professionals involved in the commissioning and delivery of spinal care.

Register in advance for this webinar:

Stephen Hodges, NHS RightCare
Samantha Davies, The Walton Centre

Sign up for the webinar rescheduled for 15 February 2019 at 12.30—1.30pm

The rescheduled webinar on Friday 15 February 2019 describes the set-up of the Telford Musculoskeletal Service and some of the problems encountered along the way, with the solutions used.

The Service is a single-point of access for rheumatology, pain, physiotherapy, orthopaedics and musculoskeletal services in the NHS within Telford. The service is a prime vendor type model with Shropshire Community Trust holding the main contract and sub-contracting to other NHS and Private providers in the locality.

The speaker is GP Dr Louise Warburton and medical lead for Telford MSK service, which sees a wide variety of patients with MSK and rheumatology problems. She has wide experience in a variety of roles related to MSK services including GP champion for Keele University working in Primary Care MSK research and dissemination. 

Who should attend? Commissioners, first contact practitioners, GPs, hospital consultants, physiotherapists, patients and patient organisations and charities.

The webinar is provided by ARMA and NHS England. Previous registrants do not need to register again.

ARMA webinars are free to access thanks to the support of our partners. We would like to thank Roche Products Limited and Chugai Pharma UK for supporting this webinar.