The State of Musculoskeletal Health 2018

The State of Musculoskeletal Health 2018 is a resource for health professionals, policy makers, public health leads and anyone interested in musculoskeletal health.

The document contains the best available data on the prevalence, risk factors, comorbidities, and impact of musculoskeletal conditions in the UK, so you can understand more about the number of people living with and affected by these conditions. 

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The National Back Pain and Radicular Pain Pathway

In 2008 NICE estimated the cost to the NHS of back pain management was £2.1 billion, or just over £12 million for the average CCG of 300,000 people. In 2013 back pain was responsible for 11% of the total disability in the UK. The NICE guidance published in 2009 in general was not implemented.

The National Back Pain and Radicular Pain Pathway 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 most importantly an effective, managed pathway for patients with low back pain.

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Prevalence of axial spondyloarthritis in patients with acute anterior uveitis: a cross-sectional study utilising MRI.

Acute anterior uveitis (AAU) is the most common extra-articular manifestation of axial spondyloarthritis (axSpA). In this study, patients presenting with AAU were evaluated clinically and with MRI in order to estimate the prevalence of axSpA.

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Physiotherapy works: Chronic pain

Evidence briefing for physiotherapy for chronic pain

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Physiotherapy works: Fitness for work

Evidence briefing for physiotherapy for fitness for work

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NICE Guideline for Spondyloarthritis [NG65]

This guideline covers diagnosing and managing spondyloarthritis that is suspected or confirmed in adults who are 16 years or older. It aims to raise awareness of the features of spondyloarthritis and provide clear advice on what action to take when people with signs and symptoms first present in healthcare settings. It also provides advice on the range of treatments available.

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RCGP e-learning module on axial spondyloarthritis

This course aims to educate GPs about Axial Spondyloarthritis (SpA). The first session will cover the presentation, including which clinical features in patients with back pain should raise suspicion of SpA. A case study will illustrate key features in the history and examination, how to investigate in primary care and the criteria for referral to secondary care. The second session discusses management and the wider impact of SpA, including effects on employment. Co-authored by BRITSpA and NASS.

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Services for spondyloarthritis: a survey of patients and rheumatologists

An online patient survey was emailed to all members of the National Ankylosing Spondylitis Society and advertised widely via social media. Separately, a Web-based questionnaire about axSpA services was sent to rheumatologists at all 172 acute hospital trusts in the UK.

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