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The rise of the physician associates

How the Government's focus on PAs is affecting general practice

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Musculoskeletal, rheumatology and sports medicine

AI physiotherapy clinic to roll out on NHS this year, makers say
AI physiotherapy clinic to roll out on NHS this year, makers say

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Under the radar: Cauda equina syndrome case
Under the radar: Cauda equina syndrome case

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Spotting pathology in art: Arch in the back
Spotting pathology in art: Arch in the back

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Spotting pathology in art: ‘The Ugly Duchess’
Spotting pathology in art: ‘The Ugly Duchess’

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Clinical clanger: ‘I’m worried about this infant’s asymmetric skin creases’
Clinical clanger: ‘I’m worried about this infant’s asymmetric skin creases’

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Bone stress injuries: diagnosis and management in primary care
Bone stress injuries: diagnosis and management in primary care
NHS England pushes MSK triage system which leads to rejected GP referrals
NHS England pushes MSK triage system which leads to rejected GP referrals

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Funding for GP specialist services cut despite lengthy waiting lists
Funding for GP specialist services cut despite lengthy waiting lists

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Painkiller use in inflammatory arthritis is ‘widespread’ despite no benefit
Painkiller use in inflammatory arthritis is ‘widespread’ despite no benefit

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BMI limits on hip surgery ‘should be axed to reduce inequality’
BMI limits on hip surgery ‘should be axed to reduce inequality’

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Medical arithmetic: Yellow pigmentation and unusual rashes
Medical arithmetic: Yellow pigmentation and unusual rashes
Independent sector has ‘limited impact’ on clearing NHS backlog, say experts
Independent sector has ‘limited impact’ on clearing NHS backlog, say experts
One in three fibromyalgia and arthritis patients at risk from long-term opioid use
One in three fibromyalgia and arthritis patients at risk from long-term opioid use

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Researchers pinpoint link between metal hip replacements and heart damage
Researchers pinpoint link between metal hip replacements and heart damage
Insufficient evidence to justify most antidepressant prescribing in chronic pain
Insufficient evidence to justify most antidepressant prescribing in chronic pain

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Surgery for sciatica does help in some people but only in the short term, analysis shows
Surgery for sciatica does help in some people but only in the short term, analysis shows
GPs should be cautious about prescribing painkillers for lower back pain
GPs should be cautious about prescribing painkillers for lower back pain

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Medical arithmetic: unusual skin lesions and mouth ulceration
Medical arithmetic: unusual skin lesions and mouth ulceration
GPs should be able to prescribe massages, say MPs
GPs should be able to prescribe massages, say MPs

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Health secretary announces plans for ‘major conditions’ strategy
Health secretary announces plans for ‘major conditions’ strategy

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Managing sports injuries in the GP surgery: children and adolescents
Managing sports injuries in the GP surgery: children and adolescents
Managing sports injuries in the GP surgery: hip and groin
Managing sports injuries in the GP surgery: hip and groin
NICE recommends adapted shoes for severe osteoarthritis
NICE recommends adapted shoes for severe osteoarthritis

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Managing sports injuries in the GP surgery: arm and shoulder
Managing sports injuries in the GP surgery: arm and shoulder

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NICE guidance confirms tailored exercise as core GP treatment for osteoarthritis 
NICE guidance confirms tailored exercise as core GP treatment for osteoarthritis 

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Are you a diagnostic genius? ‘My rheumatism is playing up’
Are you a diagnostic genius? ‘My rheumatism is playing up’

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More patients opting to pay for private operations amid NHS backlog
More patients opting to pay for private operations amid NHS backlog

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Medical arithmetic: a ‘popped’ muscle, skin thickening and facial telangiectasia
Medical arithmetic: a ‘popped’ muscle, skin thickening and facial telangiectasia

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Dealing with sports injuries in the GP surgery: foot and lower leg
Dealing with sports injuries in the GP surgery: foot and lower leg

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Medical arithmetic: Heel growths, a painful shoulder and an eyelid lesion
Medical arithmetic: Heel growths, a painful shoulder and an eyelid lesion

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Managing sports injuries in the GP surgery: knee
Managing sports injuries in the GP surgery: knee

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BMI limits on knee ops cut overall surgery rates and increase inequalities, finds study
BMI limits on knee ops cut overall surgery rates and increase inequalities, finds study

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GP practices forced to cancel appointments with physiotherapists amid registration issue
GP practices forced to cancel appointments with physiotherapists amid registration issue

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GPs should prescribe tailored exercise and weight loss to relieve osteoarthritis
GPs should prescribe tailored exercise and weight loss to relieve osteoarthritis

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Government considering ‘mandatory’ vitamin D fortification to reduce deficiencies
Government considering ‘mandatory’ vitamin D fortification to reduce deficiencies

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How to consult remotely: orthopaedic presentations
How to consult remotely: orthopaedic presentations

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Most GPs think standing desks could improve consultations on physical health
Most GPs think standing desks could improve consultations on physical health

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Over half of patients on methotrexate report three or more side effects
Over half of patients on methotrexate report three or more side effects

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Medical arithmetic: rough skin, a painful ear lump and ankle deformity
Medical arithmetic: rough skin, a painful ear lump and ankle deformity

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Clinical casebook: sports injuries in general practice (2 CPD hours)
Clinical casebook: sports injuries in general practice (2 CPD hours)

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Key questions on shoulder pain
Key questions on shoulder pain

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Highs and lows of on-court life
Highs and lows of on-court life

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Casebook: Parkinson’s disease
Casebook: Parkinson’s disease

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Symptom sorter – Hand and wrist swellings
Symptom sorter – Hand and wrist swellings

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CPD: Remote consulting for musculoskeletal problems
CPD: Remote consulting for musculoskeletal problems

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PCNs urged to hire mental health specialists and physios in Covid aftermath
PCNs urged to hire mental health specialists and physios in Covid aftermath

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‘No evidence’ vitamin D supplements help prevent or treat Covid, says NICE
‘No evidence’ vitamin D supplements help prevent or treat Covid, says NICE

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Examination of patients: How to carry out remotely for different symptoms – 15 April
Examination of patients: How to carry out remotely for different symptoms – 15 April

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Osteoporosis: Continuing denosumab (Prolia) treatment for patients – 16 April
Osteoporosis: Continuing denosumab (Prolia) treatment for patients – 16 April

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Non-Covid clinical crises: New inflammatory arthritis or flare up of existing
Non-Covid clinical crises: New inflammatory arthritis or flare up of existing

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Non-Covid clinical crises: Temporal (giant cell) arteritis
Non-Covid clinical crises: Temporal (giant cell) arteritis

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CPD: key questions on rheumatoid arthritis
CPD: key questions on rheumatoid arthritis

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Forty years of rheumatology practice: ‘We used to refer people to the springs in Buxton’
Forty years of rheumatology practice: ‘We used to refer people to the springs in Buxton’

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A guide to running minor injuries services
A guide to running minor injuries services

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GPs ‘should carry out additional infant hip screening’
GPs ‘should carry out additional infant hip screening’

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Steroid injections for joint pain could worsen osteoarthritis, says US study
Steroid injections for joint pain could worsen osteoarthritis, says US study

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Menopause and osteoporosis
Menopause and osteoporosis

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First-contact physio ‘can deal with 99% of MSK patients’
First-contact physio ‘can deal with 99% of MSK patients’

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GPs should encourage smoking cessation to prevent rheumatoid arthritis, study suggests
GPs should encourage smoking cessation to prevent rheumatoid arthritis, study suggests

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How to spot zebras – Behçet’s disease
How to spot zebras – Behçet’s disease

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Osteoarthritis – five minute refresher
Osteoarthritis – five minute refresher

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How a self-referral exercise scheme is helping both patients and GPs
How a self-referral exercise scheme is helping both patients and GPs

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Only investigate high-risk patients for vitamin D deficiency, says new guidance
Only investigate high-risk patients for vitamin D deficiency, says new guidance

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Government must fund public health properly if it’s serious about prevention
Government must fund public health properly if it’s serious about prevention

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Nine things you need to know about joint injection
Nine things you need to know about joint injection

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Genetics may play larger role than diet for developing gout, says study
Genetics may play larger role than diet for developing gout, says study

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Group consultations must not be used to plug gaps in GP services
Group consultations must not be used to plug gaps in GP services

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Vitamin D does not improve bone health or prevent fractures, finds study
Vitamin D does not improve bone health or prevent fractures, finds study

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Don’t rule out meal replacement for weight loss – it worked for my patients
Don’t rule out meal replacement for weight loss – it worked for my patients

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The information – Raynaud’s phenomenon
The information – Raynaud’s phenomenon

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NICE urges rheumatoid arthritis patients to seek specialist care during flare-ups
NICE urges rheumatoid arthritis patients to seek specialist care during flare-ups

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CCGs to quit funding GP referrals to hip arthroscopy
CCGs to quit funding GP referrals to hip arthroscopy

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Better identification of vertebral fractures could cut unnecessary GP visits
Better identification of vertebral fractures could cut unnecessary GP visits

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A quarter of patients did not disclose symptoms to their GP, finds study
A quarter of patients did not disclose symptoms to their GP, finds study

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The Shape of the Pain: captivating play exploring how complex pain ‘feels’
The Shape of the Pain: captivating play exploring how complex pain ‘feels’

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How our ‘welfare champions’ free up valuable GP time
How our ‘welfare champions’ free up valuable GP time

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Patients face long waits as one in seven trusts fails to resume elective care
Patients face long waits as one in seven trusts fails to resume elective care

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Patients with hip fractures face long waits for rehab
Patients with hip fractures face long waits for rehab

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‘My back is killing me’ – managing ankylosing spondylitis
‘My back is killing me’ – managing ankylosing spondylitis

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Referral of the month – gout
Referral of the month – gout

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Journal digest – five must-read papers for January
Journal digest – five must-read papers for January

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Primary care osteoporosis screening ‘could prevent a quarter of hip fractures’
Primary care osteoporosis screening ‘could prevent a quarter of hip fractures’

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Discuss effect of weight loss on RA outcomes with patients, study recommends
Discuss effect of weight loss on RA outcomes with patients, study recommends

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Rheumatology clinic – hypermobility
Rheumatology clinic – hypermobility

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Physio ‘first contact’ service set to be rolled out next year in GP practices
Physio ‘first contact’ service set to be rolled out next year in GP practices

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Rheumatology clinic – psoriatic arthritis
Rheumatology clinic – psoriatic arthritis

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Co-prescribe bisphosphonate with steroid to reduce hip fractures, says study
Co-prescribe bisphosphonate with steroid to reduce hip fractures, says study

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Aerobic exercise improves fibromyalgia, says new Cochrane review
Aerobic exercise improves fibromyalgia, says new Cochrane review

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Many more eligible for bisphosphonates after NICE lowers threshold to 1%
Many more eligible for bisphosphonates after NICE lowers threshold to 1%

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GP appointments freed up by physiotherapists in practices
GP appointments freed up by physiotherapists in practices

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​Guideline of the month: intervening earlier to manage gout
​Guideline of the month: intervening earlier to manage gout

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GPs to review osteoporosis patients as drug is discontinued
GPs to review osteoporosis patients as drug is discontinued

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Picture quiz – head and neck swellings
Picture quiz – head and neck swellings

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Prescribing quinine for muscle cramps ‘may lead to increased mortality’
Prescribing quinine for muscle cramps ‘may lead to increased mortality’

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The new NOGG guidelines for osteoporosis
The new NOGG guidelines for osteoporosis

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GP social prescribing drive ‘unacceptable’ given lack of evidence, warn researchers
GP social prescribing drive ‘unacceptable’ given lack of evidence, warn researchers

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Rheumatology clinic – temporal arteritis
Rheumatology clinic – temporal arteritis

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Call for ibuprofen sale to be restricted to pharmacies following cardiac concerns
Call for ibuprofen sale to be restricted to pharmacies following cardiac concerns

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GPs should routinely ask older people about falls, says NICE
GPs should routinely ask older people about falls, says NICE

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GP social prescribing can reduce appointments ‘by over one fifth’
GP social prescribing can reduce appointments ‘by over one fifth’

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NICE pushes through guidance limiting GP prescribing options for low back pain
NICE pushes through guidance limiting GP prescribing options for low back pain

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GP practice-based physiotherapist scheme to be rolled out
GP practice-based physiotherapist scheme to be rolled out

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Orthopaedic clinic – complex regional pain syndrome
Orthopaedic clinic – complex regional pain syndrome

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GPs come under pressure to stop prescribing over-the-counter drugs
GPs come under pressure to stop prescribing over-the-counter drugs

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Longer GP appointments ‘highly cost effective’, finds major study
Longer GP appointments ‘highly cost effective’, finds major study

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Orthopaedic clinic – osteomyelitis
Orthopaedic clinic – osteomyelitis

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Orthopaedic clinic – rickets
Orthopaedic clinic – rickets

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GP prescribing of strong opioids up by more than a fifth in two years
GP prescribing of strong opioids up by more than a fifth in two years

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Picture quiz – rheumatological symptoms
Picture quiz – rheumatological symptoms

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Review everyone on paracetamol for back pain, recommends NICE advisor
Review everyone on paracetamol for back pain, recommends NICE advisor

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Vitamin D treatment ‘out of control’ as prescriptions increase 40% in four years
Vitamin D treatment ‘out of control’ as prescriptions increase 40% in four years

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NICE dramatically reduces drug options for low back pain
NICE dramatically reduces drug options for low back pain

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Prescribing paracetamol for osteoarthritis has no benefit, says study
Prescribing paracetamol for osteoarthritis has no benefit, says study

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Clinical round-up – news and drug updates in March
Clinical round-up – news and drug updates in March

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GPs urged to treat knee buckling in patients with osteoarthritis to prevent future falls
GPs urged to treat knee buckling in patients with osteoarthritis to prevent future falls

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GPs warned high doses of vitamin D could be harmful for elderly
GPs warned high doses of vitamin D could be harmful for elderly

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NHS England announces plans for fire service to undertake health checks
NHS England announces plans for fire service to undertake health checks

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Government experts want everyone to take vitamin D supplements
Government experts want everyone to take vitamin D supplements

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The information – achilles tendinopathy
The information – achilles tendinopathy

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GPs to refer long-term sick to occupational health service as national scheme goes live
GPs to refer long-term sick to occupational health service as national scheme goes live

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Guideline of the month – NICE osteoarthritis quality standards
Guideline of the month – NICE osteoarthritis quality standards

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Orthopaedic groups apologise after claiming that ‘GPs not doing their job properly’
Orthopaedic groups apologise after claiming that ‘GPs not doing their job properly’

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Referral of the month – polymyalgia rheumatica
Referral of the month – polymyalgia rheumatica

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Five-minute refresher – gout
Five-minute refresher – gout

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Grip strength ‘simple test for heart disease risk’
Grip strength ‘simple test for heart disease risk’

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Steroid injections ‘no better than gabapentin’ for low-back pain conditions
Steroid injections ‘no better than gabapentin’ for low-back pain conditions

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Prescriptions for strong opioids up 10% in one year
Prescriptions for strong opioids up 10% in one year

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Drugs regulator urges GPs to review cardiovascular risk before prescribing ibuprofen
Drugs regulator urges GPs to review cardiovascular risk before prescribing ibuprofen

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Further doubts raised over benefits of paracetamol for musculoskeletal pain
Further doubts raised over benefits of paracetamol for musculoskeletal pain

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GPs start referring patients to ‘back-to-work’ service to prevent long-term sickness
GPs start referring patients to ‘back-to-work’ service to prevent long-term sickness

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Over 10,000 patients to get combined personal health and social care budget
Over 10,000 patients to get combined personal health and social care budget

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GPs told to carry out review of patients taking pregabalin ‘as soon as possible’
GPs told to carry out review of patients taking pregabalin ‘as soon as possible’

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GPs told to be aware of potential harm of paracetamol as researchers call safety into question
GPs told to be aware of potential harm of paracetamol as researchers call safety into question

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Inflammatory arthritis (2 CPD hours)
Inflammatory arthritis (2 CPD hours)

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Symptom sorter – abnormal movements
Symptom sorter – abnormal movements

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Fit note may have cut long-term sickness absence
Fit note may have cut long-term sickness absence

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GP beware – musculoskeletal
GP beware – musculoskeletal

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The treatment – osteoarthritis
The treatment – osteoarthritis

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GPs should consider ‘societal costs’ when signing patients off sick
GPs should consider ‘societal costs’ when signing patients off sick

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New ‘fit for work’ scheme to assess patients by telephone
New ‘fit for work’ scheme to assess patients by telephone

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GPs ‘should recommend joining walking groups’ to their patients
GPs ‘should recommend joining walking groups’ to their patients

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CCG restricts treatment for smokers and obese patients
CCG restricts treatment for smokers and obese patients

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The information – trigger finger
The information – trigger finger

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Two-thirds of GPs disregard NICE advice to offer statins to more patients
Two-thirds of GPs disregard NICE advice to offer statins to more patients

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Hot topics in lower limb musculoskeletal disorders (2 CPD hours)
Hot topics in lower limb musculoskeletal disorders (2 CPD hours)

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GPs advised to try CBT for non-specific physical symptoms in children and their mothers
GPs advised to try CBT for non-specific physical symptoms in children and their mothers

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Ten top tips – painful shoulder
Ten top tips – painful shoulder

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Acupuncture ‘of no benefit in chronic knee pain’
Acupuncture ‘of no benefit in chronic knee pain’

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Key questions on rheumatoid arthritis (1.5 CPD hours)
Key questions on rheumatoid arthritis (1.5 CPD hours)

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Hot topics in osteoporosis (2 CPD hours)
Hot topics in osteoporosis (2 CPD hours)

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GPs could face increased targets for dementia diagnosis
GPs could face increased targets for dementia diagnosis

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Statins may hamper cardiac rehab efforts
Statins may hamper cardiac rehab efforts

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Non-drug treatments for osteoarthritis – a video module (1 CPD hour)
Non-drug treatments for osteoarthritis – a video module (1 CPD hour)

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GPs urged to review anticholinergics use in elderly
GPs urged to review anticholinergics use in elderly

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Challenges in orthopaedics (1.5 CPD hours)
Challenges in orthopaedics (1.5 CPD hours)

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Back-to-work service for long-term sick to launch this year
Back-to-work service for long-term sick to launch this year

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Government’s telecare scheme costs 10 times NHS cost-effectiveness threshold
Government’s telecare scheme costs 10 times NHS cost-effectiveness threshold

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Paracetamol ‘no better than placebo’ for acute low-back pain, claim researchers
Paracetamol ‘no better than placebo’ for acute low-back pain, claim researchers

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GPs should offer advice on dementia to middle-aged patients, says NICE
GPs should offer advice on dementia to middle-aged patients, says NICE

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Clinical casebook: back pain (1.5 CPD hours)
Clinical casebook: back pain (1.5 CPD hours)

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CCGs urged to commission services to prevent fractures
CCGs urged to commission services to prevent fractures

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Screen men with gout for erectile dysfunction, researchers say
Screen men with gout for erectile dysfunction, researchers say

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The information – Dupuytren’s disease
The information – Dupuytren’s disease

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European regulator launches review of high-dose ibuprofen safety
European regulator launches review of high-dose ibuprofen safety

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Clinical casebook: osteoarthritis (1.5 CPD hours)
Clinical casebook: osteoarthritis (1.5 CPD hours)

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Self-referral for physiotherapy slashes costs
Self-referral for physiotherapy slashes costs

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Referral management systems lead to delay in urgent referrals, study finds
Referral management systems lead to delay in urgent referrals, study finds

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NICE to look at developing multimorbidity QOF indicators
NICE to look at developing multimorbidity QOF indicators

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Osteoporosis (2 CPD hours)
Osteoporosis (2 CPD hours)

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NICE calls for national campaign to promote daily vitamin D supplements
NICE calls for national campaign to promote daily vitamin D supplements

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Back pain (2 CPD hours)
Back pain (2 CPD hours)

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NICE to move to multimorbidity guidance, chief says
NICE to move to multimorbidity guidance, chief says

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What not to do – musculoskeletal
What not to do – musculoskeletal

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Lack of ‘convincing’ evidence for vitamin D supplementation, conclude researchers
Lack of ‘convincing’ evidence for vitamin D supplementation, conclude researchers

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Ten top tips – foot and ankle pain
Ten top tips – foot and ankle pain

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Ten minute elbow examination: a video module (1 CPD hour)
Ten minute elbow examination: a video module (1 CPD hour)

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Guideline debrief: NICE OA guideline (2 CPD hours)
Guideline debrief: NICE OA guideline (2 CPD hours)

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Strontium ranelate gets reprieve from European regulator
Strontium ranelate gets reprieve from European regulator

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Ten minute foot and ankle examination: a video module (1 CPD hour)
Ten minute foot and ankle examination: a video module (1 CPD hour)

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Ten minute shoulder examination: a video module (1 CPD hour)
Ten minute shoulder examination: a video module (1 CPD hour)

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NICE forced into U-turn on advice to avoid paracetamol in osteoarthritis
NICE forced into U-turn on advice to avoid paracetamol in osteoarthritis

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Back-to-work service for long-term sick to be tendered ‘imminently’
Back-to-work service for long-term sick to be tendered ‘imminently’

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Key questions on osteoporosis (1.5 CPD hours)
Key questions on osteoporosis (1.5 CPD hours)

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Five minute hand and wrist examination: a video module (0.5 CPD hours)
Five minute hand and wrist examination: a video module (0.5 CPD hours)

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Paracetamol appropriate pain relief for osteoarthritis, say international experts
Paracetamol appropriate pain relief for osteoarthritis, say international experts

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Regulators consider withdrawing strontium ranelate over CV safety concerns
Regulators consider withdrawing strontium ranelate over CV safety concerns

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Ten top tips – Cervical spondylosis
Ten top tips – Cervical spondylosis

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Glucosamine and chondroitin sulphate ‘delays cartilage loss’ in osteoarthritis
Glucosamine and chondroitin sulphate ‘delays cartilage loss’ in osteoarthritis

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Ten minute knee examination: a video module (1 CPD module)
Ten minute knee examination: a video module (1 CPD module)

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GPs paid to reassess all long-term bisphosphonate patients
GPs paid to reassess all long-term bisphosphonate patients

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Five minute hip examination: a video module (1 CPD hour)
Five minute hip examination: a video module (1 CPD hour)

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Two-thirds of long-term gout patients ‘not prescribed urate-lowering therapies’
Two-thirds of long-term gout patients ‘not prescribed urate-lowering therapies’

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NICE guidance on paracetamol could increase risk of harm to patients, warn experts
NICE guidance on paracetamol could increase risk of harm to patients, warn experts

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Successful management of fibromyalgia: a video module (1 CPD hour)
Successful management of fibromyalgia: a video module (1 CPD hour)

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Ten minute spine examination: a video module (1 CPD hour)
Ten minute spine examination: a video module (1 CPD hour)

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Paracetamol can be used as a routine option for osteoarthritis, say Scottish experts
Paracetamol can be used as a routine option for osteoarthritis, say Scottish experts

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The information – submandibular calculi
The information – submandibular calculi

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Key questions on joint replacement (1.5 CPD hours)
Key questions on joint replacement (1.5 CPD hours)

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Key questions on orthopaedic hand conditions (1.5 hours)
Key questions on orthopaedic hand conditions (1.5 hours)

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GPs warned over CV risk with dispersible formulations
GPs warned over CV risk with dispersible formulations

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Toolbox – The Beighton score
Toolbox – The Beighton score

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Key questions on seronegative spondarthritis (1.5 hours)
Key questions on seronegative spondarthritis (1.5 hours)

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Case study: How we enabled potential long-term sick patients to get back to work
Case study: How we enabled potential long-term sick patients to get back to work

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GPs to refer long-term sick to occupational health service under Government plans
GPs to refer long-term sick to occupational health service under Government plans

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NICE: GPs should explain health benefits of even small reductions in weight
NICE: GPs should explain health benefits of even small reductions in weight

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Fibromyalgia (1.5 CPD hours)
Fibromyalgia (1.5 CPD hours)

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Surgery ‘should be first-line treatment’ for stress incontinence
Surgery ‘should be first-line treatment’ for stress incontinence

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Polymyalgia rheumatica – How not to miss (0.5 CPD hours)
Polymyalgia rheumatica – How not to miss (0.5 CPD hours)

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Dr Kamal Sidhu: ‘We will stop or cut down on training if we have to pay’
Dr Kamal Sidhu: ‘We will stop or cut down on training if we have to pay’

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Analysis: The vanishing options for chronic pain
Analysis: The vanishing options for chronic pain

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Steroid injections ‘reduce risk of surgery’ in carpal tunnel syndrome
Steroid injections ‘reduce risk of surgery’ in carpal tunnel syndrome

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Insoles ‘fail to improve knee osteoarthritis pain’
Insoles ‘fail to improve knee osteoarthritis pain’

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How not to miss polymyalgia rheumatica
How not to miss polymyalgia rheumatica

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‘No new evidence’ for NICE advice on paracetamol, says MHRA
‘No new evidence’ for NICE advice on paracetamol, says MHRA

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The information – sciatica
The information – sciatica

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Fish consumption ‘linked with reduced risk of rheumatoid arthritis’
Fish consumption ‘linked with reduced risk of rheumatoid arthritis’

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NICE warns against prescribing paracetamol for osteoarthritis
NICE warns against prescribing paracetamol for osteoarthritis

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Rheumatoid arthritis ‘doubles thrombosis risk’
Rheumatoid arthritis ‘doubles thrombosis risk’

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MHRA reviews over-the-counter availability of diclofenac
MHRA reviews over-the-counter availability of diclofenac

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Soft drinks ‘linked with knee osteoarthritis’ in men
Soft drinks ‘linked with knee osteoarthritis’ in men

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Women more prone to disability in late life than men
Women more prone to disability in late life than men

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Osteoarthritis – Key questions (1.5 CPD hours)
Osteoarthritis – Key questions (1.5 CPD hours)

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Drugs regulator puts tighter restrictions on diclofenac use
Drugs regulator puts tighter restrictions on diclofenac use

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Hernia – The information (0.5 CPD hours)
Hernia – The information (0.5 CPD hours)

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Tricky ten minutes – I can’t cope with my fibromyalgia
Tricky ten minutes – I can’t cope with my fibromyalgia

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Muscle disorders – Key questions (1.5 CPD hours)
Muscle disorders – Key questions (1.5 CPD hours)

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Rheumatology – Challenges in (1.5 CPD hours)
Rheumatology – Challenges in (1.5 CPD hours)

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Consider switch to naproxen in arthritis patients, GPs urged
Consider switch to naproxen in arthritis patients, GPs urged

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NICE calls for greater emphasis on encouraging exercise in QOF
NICE calls for greater emphasis on encouraging exercise in QOF

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Musculoskeletal care – Top tips: a video module (1 CPD hour)
Musculoskeletal care – Top tips: a video module (1 CPD hour)

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Growing pains – The information (0.5 CPD hours)
Growing pains – The information (0.5 CPD hours)

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Advise men taking opioids of erectile dysfunction risk, say researchers
Advise men taking opioids of erectile dysfunction risk, say researchers

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Common avoidable admissions (1 CPD hour)
Common avoidable admissions (1 CPD hour)

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Vitamin D testing guidance to prompt ‘sea change’ for GPs
Vitamin D testing guidance to prompt ‘sea change’ for GPs

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The information – growing pains
The information – growing pains

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No need for rheumatoid factor testing, GPs told
No need for rheumatoid factor testing, GPs told

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Osteopathy ‘reduces low back pain’
Osteopathy ‘reduces low back pain’

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Moderate alcohol consumption ‘improves fibromyalgia’
Moderate alcohol consumption ‘improves fibromyalgia’

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Video for patients on inguinal hernias and treatment options
Video for patients on inguinal hernias and treatment options

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Practical guide on growing pains
Practical guide on growing pains

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Paediatric gait, arms, legs and spine examination (pGALS)
Paediatric gait, arms, legs and spine examination (pGALS)

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High-dose statins ‘linked with reduction in osteoarthritis risk’
High-dose statins ‘linked with reduction in osteoarthritis risk’

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Osteoporosis resources for primary care
Osteoporosis resources for primary care

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Toolbox – Ottawa knee and ankle rules
Toolbox – Ottawa knee and ankle rules

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Diagnostic tests for non-specific symptoms ‘do not reassure patients’
Diagnostic tests for non-specific symptoms ‘do not reassure patients’

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Thumb-base OA – The information (0.5 CPD hours)
Thumb-base OA – The information (0.5 CPD hours)

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Patellofemoral pain syndrome – The information (0.5 CPD hours)
Patellofemoral pain syndrome – The information (0.5 CPD hours)

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Call for diclofenac ban rejected
Call for diclofenac ban rejected

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Tricky ten minutes – ‘I can’t cope with this back pain any longer’
Tricky ten minutes – ‘I can’t cope with this back pain any longer’

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Gout – Key questions (1.5 CPD hours)
Gout – Key questions (1.5 CPD hours)

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Plantar fasciitis – The information (0.5 CPD hours)
Plantar fasciitis – The information (0.5 CPD hours)

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‘Little evidence’ for most complementary medicines in arthritis, finds review
‘Little evidence’ for most complementary medicines in arthritis, finds review

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Ten top tips – the limping child
Ten top tips – the limping child

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Ganglions – The information (0.5 CPD hours)
Ganglions – The information (0.5 CPD hours)

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Epidural steroids offer only short-term relief from sciatica, concludes analysis
Epidural steroids offer only short-term relief from sciatica, concludes analysis

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Single antihypertensive plus NSAID not linked to kidney injury
Single antihypertensive plus NSAID not linked to kidney injury

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Core stability exercise ‘best for back pain’ short-term
Core stability exercise ‘best for back pain’ short-term

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What is the cause of this man’s painful foot?
What is the cause of this man’s painful foot?

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Tennis elbow – The information (0.5 CPD hours)
Tennis elbow – The information (0.5 CPD hours)

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Antihypertensive associated with 43% increase of hip fracture
Antihypertensive associated with 43% increase of hip fracture

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Bisphosphonate use ‘raises cancer risk by 13%’
Bisphosphonate use ‘raises cancer risk by 13%’

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GPs set for new indicators on depression and rheumatoid arthritis
GPs set for new indicators on depression and rheumatoid arthritis

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Injecting the first carpometacarpal joint
Injecting the first carpometacarpal joint

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Spinal manipulation benefits limited
Spinal manipulation benefits limited

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Guide to conducting a paediatric gait, arms, legs and spine examination
Guide to conducting a paediatric gait, arms, legs and spine examination

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Injecting in de Quervain’s tenosynovitis
Injecting in de Quervain’s tenosynovitis

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Metatarsalgia – The information (0.5 CPD hours)
Metatarsalgia – The information (0.5 CPD hours)

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Carpal tunnel syndrome – The information (0.5 CPD hours)
Carpal tunnel syndrome – The information (0.5 CPD hours)

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Back pain – Hot topics (2 CPD hours)
Back pain – Hot topics (2 CPD hours)

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Orthopaedic surgery complications (1 CPD hour)
Orthopaedic surgery complications (1 CPD hour)

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Assessing fracture risk – Guideline debrief (2 CPD hours)
Assessing fracture risk – Guideline debrief (2 CPD hours)

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Aspiration and injection in the knee
Aspiration and injection in the knee

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High-potency statins ‘raise risk of muscle damage’
High-potency statins ‘raise risk of muscle damage’

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Gout factsheets
Gout factsheets

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GPs warned over muscle risk with simvastatin-amlodipine combination
GPs warned over muscle risk with simvastatin-amlodipine combination

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GPs urged to commission yoga for people suffering with back pain
GPs urged to commission yoga for people suffering with back pain

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Injecting in trigger finger
Injecting in trigger finger

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Injecting in golfer’s elbow
Injecting in golfer’s elbow

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Looking after joints with arthritis
Looking after joints with arthritis

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Injecting for trochanteric bursitis
Injecting for trochanteric bursitis

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Patient booklet: splints for arthritis of the wrist and hand
Patient booklet: splints for arthritis of the wrist and hand

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Injecting in plantar fasciitis
Injecting in plantar fasciitis

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Hip or knee replacement surgery quadruples heart attack risk
Hip or knee replacement surgery quadruples heart attack risk

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Injecting in carpal tunnel syndrome
Injecting in carpal tunnel syndrome

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Ankle and knee injuries – Key questions (1.5 CPD hours)
Ankle and knee injuries – Key questions (1.5 CPD hours)

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Injecting tennis elbow
Injecting tennis elbow

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Viscosupplementation ‘linked with increased risk of adverse events’
Viscosupplementation ‘linked with increased risk of adverse events’

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Injecting the acromioclavicular joint
Injecting the acromioclavicular joint

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Back pain – Key questions (1.5 CPD hours)
Back pain – Key questions (1.5 CPD hours)

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Why does this woman have painful, swollen joints?
Why does this woman have painful, swollen joints?

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Gout – Hot topics (1.5 CPD hours)
Gout – Hot topics (1.5 CPD hours)

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NICE recommends annual GP checks for all patients with rheumatoid arthritis
NICE recommends annual GP checks for all patients with rheumatoid arthritis

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The information – plantar fasciitis
The information – plantar fasciitis

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Bisphosphonates ‘can be stopped after three years’
Bisphosphonates ‘can be stopped after three years’

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How we cut direct referrals for back pain to nothing
How we cut direct referrals for back pain to nothing

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Osteoporosis – Hot topics (2 CPD hours)
Osteoporosis – Hot topics (2 CPD hours)

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MSK conditions aren’t sexy – but neither are Britain’s lifestyle problems
MSK conditions aren’t sexy – but neither are Britain’s lifestyle problems

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Arthritis guides
Arthritis guides

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Key questions on pelvic inflammatory disease (1.5 CPD hours)
Key questions on pelvic inflammatory disease (1.5 CPD hours)

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Clinical casebook: Inflammatory arthritis (1.5 CPD hours)
Clinical casebook: Inflammatory arthritis (1.5 CPD hours)

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Dieting ‘increases fracture risk by 70%’
Dieting ‘increases fracture risk by 70%’

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Shoulder exercise regime ‘prevents surgery’
Shoulder exercise regime ‘prevents surgery’

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Print falls question on prescriptions to prevent fractures, say experts
Print falls question on prescriptions to prevent fractures, say experts

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What is causing the swelling and deformity of this woman’s feet?
What is causing the swelling and deformity of this woman’s feet?

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PPIs raise fracture risk by 35%
PPIs raise fracture risk by 35%

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How our joint injection clinic saved £300k
How our joint injection clinic saved £300k

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Clinical picture of the week: Dupuytren’s contracture
Clinical picture of the week: Dupuytren’s contracture

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The information – Trochanteric bursitis
The information – Trochanteric bursitis

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NICE reveals proposed GP targets for rheumatoid arthritis and cancer
NICE reveals proposed GP targets for rheumatoid arthritis and cancer

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Strength training ‘helps hip fracture recovery’
Strength training ‘helps hip fracture recovery’

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Spinal manipulation and exercise ‘best for neck pain’
Spinal manipulation and exercise ‘best for neck pain’

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Clinical picture of the week: Rheumatoid arthritis
Clinical picture of the week: Rheumatoid arthritis

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GPs advised to ask about recent falls to assess fracture risk
GPs advised to ask about recent falls to assess fracture risk

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Complaints as referral management centre diverts patients to out-of-town ISTCs
Complaints as referral management centre diverts patients to out-of-town ISTCs

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Opioids ‘not effective’ treatment for sciatica
Opioids ‘not effective’ treatment for sciatica

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Podiatry and diagnostics top AQP list of service priorities
Podiatry and diagnostics top AQP list of service priorities

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Why are this man’s fingers changing shape?
Why are this man’s fingers changing shape?

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Stretching exercises and yoga work for back pain
Stretching exercises and yoga work for back pain

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GPs take up slack for social care cuts
GPs take up slack for social care cuts

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Time to get up from chair indicates fracture risk
Time to get up from chair indicates fracture risk

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‘Back to work’ is about holistic care
‘Back to work’ is about holistic care

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Ten top tips on non-osteoarthritic hip pain
Ten top tips on non-osteoarthritic hip pain

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GPs urged to tailor back pain treatment to long-term risk of disability
GPs urged to tailor back pain treatment to long-term risk of disability

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NSAIDs ‘associated with increased CVD risk’
NSAIDs ‘associated with increased CVD risk’

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Bisphosphonates being prescribed off licence
Bisphosphonates being prescribed off licence

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Chrondroitin sulphate reduces pain in hand OA
Chrondroitin sulphate reduces pain in hand OA

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Cardiovascular risk in arthritis patients ‘reduced by DMARD treatment’
Cardiovascular risk in arthritis patients ‘reduced by DMARD treatment’

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What is the lump on this girl’s neck?
What is the lump on this girl’s neck?

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GPs agree ban on operations for smokers and obese patients
GPs agree ban on operations for smokers and obese patients

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Use of NSAIDS ‘increases atrial fibrillation risk’
Use of NSAIDS ‘increases atrial fibrillation risk’

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What is the reason for this man’s upper back pain?
What is the reason for this man’s upper back pain?

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GPs advised to review patients after bisphosphonate fracture warning
GPs advised to review patients after bisphosphonate fracture warning

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Revealed: Indicators put forward for next year’s QOF
Revealed: Indicators put forward for next year’s QOF

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Travel and thrombosis
Travel and thrombosis

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Increasing calcium dose may not cut fracture risk
Increasing calcium dose may not cut fracture risk

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Highest risk patients ‘should be targeted for low back pain treatment’
Highest risk patients ‘should be targeted for low back pain treatment’

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The wisdom of the people
The wisdom of the people

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Why does this man have backache and swollen ankles?
Why does this man have backache and swollen ankles?

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Chiropractic subluxation is a myth
Chiropractic subluxation is a myth

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Bisphosphonate atypical fracture risk a ‘class effect’
Bisphosphonate atypical fracture risk a ‘class effect’

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Calcium supplements ‘raise cardiac risk by a quarter’
Calcium supplements ‘raise cardiac risk by a quarter’

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Private centres ‘fail to cut referrals’
Private centres ‘fail to cut referrals’

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Strontium ranelate helps rebuild bone and stop loss
Strontium ranelate helps rebuild bone and stop loss

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Joint injections: Tennis elbow
Joint injections: Tennis elbow

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Joint injection techniques: Bicipital tendonitis
Joint injection techniques: Bicipital tendonitis

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Early treatment key to rheumatoid arthritis remission
Early treatment key to rheumatoid arthritis remission

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Why has this snuffly toddler got a rash on his legs and arms?
Why has this snuffly toddler got a rash on his legs and arms?

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Spinal manipulation for chronic back pain?
Spinal manipulation for chronic back pain?

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Joint injection techniques: De Quervain’s tenosynovitis
Joint injection techniques: De Quervain’s tenosynovitis

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Physiotherapy ‘reduces chronic shoulder pain’
Physiotherapy ‘reduces chronic shoulder pain’

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Joint injection techniques: Acromioclavicular joint
Joint injection techniques: Acromioclavicular joint

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Ten top tips on diagnosing inflammatory arthritis
Ten top tips on diagnosing inflammatory arthritis

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Acute knee injuries
Acute knee injuries

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Hot topics in musculoskeletal medicine
Hot topics in musculoskeletal medicine

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Key learning points on musculoskeletal medicine
Key learning points on musculoskeletal medicine

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Video: GALS examination
Video: GALS examination

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Joint injection techniques: Golfer’s elbow
Joint injection techniques: Golfer’s elbow

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Video: Exercise programme for plantar fasciitis
Video: Exercise programme for plantar fasciitis

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Exercise programmes for patients with plantar fasciitis
Exercise programmes for patients with plantar fasciitis

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Joint injection techniques: Trigger finger
Joint injection techniques: Trigger finger

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Joint injection techniques: Glenohumeral joint
Joint injection techniques: Glenohumeral joint

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‘Make patients pay and limit minor procedures’ says BMA-backed report
‘Make patients pay and limit minor procedures’ says BMA-backed report

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Joint injection techniques: Knee
Joint injection techniques: Knee

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Joint injection techniques: Carpal tunnel
Joint injection techniques: Carpal tunnel

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Joint injection techniques: Subacromial space
Joint injection techniques: Subacromial space

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Tricyclic antidepressants ‘raise cardiovascular risk’
Tricyclic antidepressants ‘raise cardiovascular risk’

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Joint injection techniques: An introduction
Joint injection techniques: An introduction

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Why has this patient got back ache and a rigid neck?
Why has this patient got back ache and a rigid neck?

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Osteoarthritis knee exercises
Osteoarthritis knee exercises

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Patient decision aids
Patient decision aids

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Clinical picture of the week: Rheumatoid arthritis
Clinical picture of the week: Rheumatoid arthritis

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From cradle to grave?
From cradle to grave?

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Video: Exercise programme for tennis elbow
Video: Exercise programme for tennis elbow

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Exercise programmes for patients with tennis elbow
Exercise programmes for patients with tennis elbow

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Clinical picture of the week: Rheumatoid nodules
Clinical picture of the week: Rheumatoid nodules

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Video: Exercise programme for knee osteoarthritis
Video: Exercise programme for knee osteoarthritis

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Exercise programmes for patients with osteoarthritis of the knee
Exercise programmes for patients with osteoarthritis of the knee

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GPs ‘should use short courses of steroid injections’
GPs ‘should use short courses of steroid injections’

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Video: Exercise programme for golfer’s elbow
Video: Exercise programme for golfer’s elbow

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Why has this man got pale, painful fingers?
Why has this man got pale, painful fingers?

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Exercise programmes for patients with golfer’s elbow
Exercise programmes for patients with golfer’s elbow

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Symptom sorter on hip-area pain
Symptom sorter on hip-area pain

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Exercise programmes for patients with patello-femoral pain syndrome
Exercise programmes for patients with patello-femoral pain syndrome

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Video: Exercise programme for anterior knee pain
Video: Exercise programme for anterior knee pain

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Video: Exercise programme for subacromial impingement
Video: Exercise programme for subacromial impingement

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Doubt over link between alendronate and atypical fractures
Doubt over link between alendronate and atypical fractures

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Exercise programmes for patients with subacromial impingement
Exercise programmes for patients with subacromial impingement

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Difficult pain scenarios
Difficult pain scenarios

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Video: Exercise programme for lower back pain
Video: Exercise programme for lower back pain

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NICE guidance to push for BP combination treatments
NICE guidance to push for BP combination treatments

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Drug regulator announces bisphosphonates safety review
Drug regulator announces bisphosphonates safety review

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Exercise programmes for patients with low mechanical back pain
Exercise programmes for patients with low mechanical back pain

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GP referrals for operations wrongly blocked
GP referrals for operations wrongly blocked

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Carpal tunnel restriction beggars belief
Carpal tunnel restriction beggars belief

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Bisphosphonate link with oesophageal cancer ‘unresolved’
Bisphosphonate link with oesophageal cancer ‘unresolved’

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Symptom sorter – recurrent knee pain
Symptom sorter – recurrent knee pain

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Glucosamine of no benefit for osteoarthritis
Glucosamine of no benefit for osteoarthritis

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NICE gives denosumab green light
NICE gives denosumab green light

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Osteopathy techniques: Neck
Osteopathy techniques: Neck

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Switching osteoporosis drugs ‘increases GI risk’
Switching osteoporosis drugs ‘increases GI risk’

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Anger as specialists block GPs from developing carpal tunnel services
Anger as specialists block GPs from developing carpal tunnel services

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GPs facing raised referral thresholds for hip and knee ops
GPs facing raised referral thresholds for hip and knee ops

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Osteopathy techniques: Shoulder
Osteopathy techniques: Shoulder

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Regular statin use ‘reduces rheumatoid arthritis risk’
Regular statin use ‘reduces rheumatoid arthritis risk’

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GPs barred from applying NICE back pain guidance
GPs barred from applying NICE back pain guidance

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Oral bisphosphonates ‘increase risk of oesophageal cancer’
Oral bisphosphonates ‘increase risk of oesophageal cancer’

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What is the lump on this young girl’s neck?
What is the lump on this young girl’s neck?

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Osteopathy techniques: Thoracic spine
Osteopathy techniques: Thoracic spine

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Osteopathy techniques: An introduction
Osteopathy techniques: An introduction

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Osteopathy techniques: Lumbar spine
Osteopathy techniques: Lumbar spine

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A 68-year-old woman with severe myalgia
A 68-year-old woman with severe myalgia

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What’s causing the swelling on this woman’s neck?
What’s causing the swelling on this woman’s neck?

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Revealed: The 30-year contract with Care UK that GP commissioners will have to honour
Revealed: The 30-year contract with Care UK that GP commissioners will have to honour

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Antidepressants linked with significant risk of stroke and fracture
Antidepressants linked with significant risk of stroke and fracture

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Use of calcium supplements in osteoporosis ‘should be reassessed’
Use of calcium supplements in osteoporosis ‘should be reassessed’

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Frustrated change
Frustrated change

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Injections for shoulder pain ‘have no long-term benefit’
Injections for shoulder pain ‘have no long-term benefit’

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Topical NSAIDs usually better option than oral
Topical NSAIDs usually better option than oral

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Calcium supplements may increase MI risk
Calcium supplements may increase MI risk

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Regular exercise protects against fibromyalgia
Regular exercise protects against fibromyalgia

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Elderly advised to take up judo to prevent breaks
Elderly advised to take up judo to prevent breaks

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CBT improves symptom tolerance in RA; Chronic pain linked to cardiovascular risk; Adult weight gain linked to breast cancer
CBT improves symptom tolerance in RA; Chronic pain linked to cardiovascular risk; Adult weight gain linked to breast cancer

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Spinal manipulation ‘has benefits for back pain and migraine’
Spinal manipulation ‘has benefits for back pain and migraine’

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Care UK service ‘more expensive than NHS’
Care UK service ‘more expensive than NHS’

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DH plans complementary therapy pilots
DH plans complementary therapy pilots

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Exercise in fibromyalgia reduces pain
Exercise in fibromyalgia reduces pain

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Warnings over long-term use of bisphosphonates
Warnings over long-term use of bisphosphonates

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CBT effective for managing chronic back pain
CBT effective for managing chronic back pain

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Osteoporosis drug cuts risk of breast cancer
Osteoporosis drug cuts risk of breast cancer

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Effect of homeopathy ‘due to consultation’
Effect of homeopathy ‘due to consultation’

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Report calls for more GP training on rheumatoid arthritis
Report calls for more GP training on rheumatoid arthritis

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Why does this girl have painful finger joints?
Why does this girl have painful finger joints?

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Ottawa knee, ankle and foot rules
Ottawa knee, ankle and foot rules

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NICE digs in heels over osteoporosis guidance
NICE digs in heels over osteoporosis guidance

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Vitamin D supplementation ‘can reduce falls in care homes’
Vitamin D supplementation ‘can reduce falls in care homes’

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Alexander technique ‘preferred to exercise’ for back pain
Alexander technique ‘preferred to exercise’ for back pain

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Diclofenac OTC switch confounds efforts to cut NSAID use
Diclofenac OTC switch confounds efforts to cut NSAID use

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Why is this woman’s shoulder suddenly swollen and painful?
Why is this woman’s shoulder suddenly swollen and painful?

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GPs urged to screen for statin-induced muscle damage
GPs urged to screen for statin-induced muscle damage

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