Whether you are an elite athlete, weekend warrior or an everyday active person the musculoskeletal care pathway for rehabilitation is the same

Guest Blog by Dr Jo Larkin, Sport and Exercise Medicine Consultant FFSEM

The knowledge and principles used to treat elite professional athletes in Sport and Exercise Medicine can be used to treat injuries occurring in the rest of the population.

The musculoskeletal (MSK) rehabilitation plan must consider the fact that the objective of the patient is to return to the same activity and environment in which the injury occurred. Functional capacity after rehabilitation should at the minimum be to at the same level, if not better, than before injury.…

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Updated LUPUS UK Publications

In the past month LUPUS UK has published updated versions of three of our information leaflets/booklets. These publications were updated to ensure that they meet the requirements of the Information Standard and reflected the most up-to-date evidence.

Physical copies are available to order free of charge from LUPUS UK National Office, or you can read/download them on our website by following the hyperlinks:

 

Contribution to the Scottish Medicines Consortium’s (SMC) consultation of the use of Benlysta (belimumab) in SLE

Benlysta (belimumab) is due to be discussed by the SMC and a decision made for its use by certain SLE patients in Scotland.…

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DMARDs guideline for prescriptions and monitoring

The latest guidance is out for the prescription and monitoring of non-biologic disease-modifying anti-rheumatic drugs (DMARDs). It’s aimed at primary and secondary care practitioners managing patients with rheumatic disease in the UK.

Significant updates include:

(1) Harmonisation of monitoring schedules, recommending that all DMARDs that require laboratory monitoring follow the same frequency of testing

(2) More nuanced discussion of the use of methotrexate in lung disease is provided, drawing from the two large meta-analyses recently published.

(3) Significant change is made regarding the evaluation of retinal toxicity for hydroxychloroquine users:

Lead author Dr James Galloway, Senior Clinical Lecturer at King’s College London says:
“These updates have two major focuses: firstly, streamlining monitoring schedules wherever possible, given the myriad of different regimens across drugs, and most of the schedule variations were somewhat arbitrary in their origins; second, to review and incorporate the evidence base available, acknowledging several key publications that have emerged since the first guidance.…

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Providing physical activity for people with musculoskeletal conditions

aruk thumbThis month Arthritis Research UK launched the new report ‘Providing physical activity interventions for people with musculoskeletal conditions’ at the Local Government Association/Associated Directors of Public Health conference on the 9th of March, where we also ran a policy session outlining the work in the report and the wider relationship between physical activity and musculoskeletal health.

Joining us at the event were speakers from Public Heath England, the Royal Borough of Greenwich and an expert patient on exercising with arthritis and we were very pleased that delegates from a wide range of professional backgrounds attended the session.  …

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A Message to My Younger Self

The National Osteoporosis Society is launching “A Message to My Younger Self” – an awareness campaign about keeping bones strong and health. It begins on 12th April 2017 and runs through to World Osteoporosis Day on 20th October. NOS want the generations to have a conversation about healthy bones, to talk about the steps that can be taken to make sure bones are strong, and to give a voice to the millions of people with the condition.

The campaign is being fronted by Liz Earle who is personally concerned about the impact of social media on the eating habits of her teenage children, backed-up by research that we have conducted showing that 20% of 18-24 year olds have reduced or completely cut out dairy from their diets, which could potentially be storing up problems for them in later life.…

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Calling all back pain sufferers

The Back Pain Show – 19 & 20 May 2017

After a decade, The Back Pain Show has moved from Olympia London to St Andrews Birmingham, to give access to sufferers from the Midlands and the North of England. This iconic, two-day show is a hub for sufferers to meet doctors and therapists who provide treatment and manufacturers who supply both preventative and therapeutic equipment.

There are many causes of back pain including crush fractures of the spine which are usually caused by osteoporosis.…

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BSR publishes updated DMARDs guideline

British Society for Rheumatology publishes updated guideline non-biologic disease modifying anti-rheumatic drugs (DMARDs).

This latest guidance sets out evidence based recommendations for clinicians prescribing synthetic, non-biologic, anti-rheumatic drugs to tackle multisystem rheumatic conditions. Previous guidelines on DMARDs were published in 2008 but significant shifts in the evidence base mean updated guidance is needed. Monitoring of DMARDs is essential and the guideline includes focuses on baseline screening; implications of co-morbid illness; monitoring for toxicity; management during intercurrent illness or surgery, and shared care guidance.…

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New self-management event in Bury St Edmunds

Arthritis Action will be holding a new two day Self-Management Event on 15th and 16th March 2017 in Bury St Edmunds.

We aim to help our attendees take control of the symptoms of their arthritis, covering topics such as:

  • The impact of physical therapies
  • How you can best manage your pain
  • The benefits of exercise and a healthy diet
  • Ways to work in partnership with healthcare professionals

This event  will be free of charge and refreshments will be provided, and is open to all.…

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Upcoming EULAR educational events

Dear colleagues,

We would like to bring to your attention the below EULAR courses and educational events.

During the year of EULAR’s 70th Anniversary, we offer some special courses and a new seminar. If one or the other triggers your interest, please feel free to register and pass on the information to your fellows and colleagues. EULAR offers bursaries for most of its courses.

 


EULAR/ACR exchange programme for young rheumatologists

3 – 8 November 2017 in San Diego, California

Apply for a EULAR stipend, take part in an individualised institution visit, participate at a half day workshop and attend the 2017 ACR – a great opportunity for networking and making valuable contacts for your professional future.…

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NRAS becomes co-chair of the Prescription Charges Coalition

In 1968, the Beatles topped the charts with Hey Jude. That’s the same year the medical exemption list for Prescription Charges was written up. Treatments for RA, JIA and other long-term conditions have come on a lot in that time but other than the addition of Cancer in 2009 the list hasn’t changed.

Many of you know that campaigning for all long-term conditions to be added to the exemption list is one of NRAS’s campaign priorities for the year. We’re pleased to have stepped up to join Parkinson’s UK and Crohn’s & Colitis as co-chairs of the Prescription Charges Coalition.…

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