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Clinical areas
Musculoskeletal, rheumatology and sports medicine
Page 3
Musculoskeletal, rheumatology and sports medicine
London trusts halt A&G ‘single point of access’ after GP concerns it would block referrals
Read Now
NHS England ‘hyper-focus’ on access has cut GP capacity to manage frailty, MPs warn
Read Now
Could GPs actually go private? Why are GPs rethinking LESs? And vitamin D and calcium for fracture prevention
(2)
GPs must routinely prescribe physical activity to older people, say MPs
(10)
Research raises questions about vitamin D and calcium supplements for fracture prevention
(4)
Quick cases in rheumatology
Financial incentives for GPs ‘effective’ to help reduce demand on fit notes, Government finds
(4)
GPs in four areas of England to pilot new fit note approach from July
(1)
Cauda equina syndrome: myths and facts explained
(3)
False penicillin allergies; when back pain could be cancer; and Gerada at Pulse LIVE
Axial spondyloarthritis – how to recognise it and what to do
(2)
‘Unwarranted variation’ in first contact physio services may impact care, review finds
Behçet’s disease – what it is and how to spot it
Women ‘overlooked’ in back and neck treatment guidelines, researchers warn
(2)
Casebook: Childhood orthopaedic conditions
Rational testing – how to investigate a case of multifocal bone pain
(1)
Effectiveness of exercise to ease osteoarthritis symptoms likely minimal, say researchers
Poorest patients more likely to have complications after hip replacement
(1)
NICE advises spinal checks at same time as bone density scans in draft guidance
Employment scheme aiming to reduce GP fit notes being rolled out nationally
(3)
Calls to end GP-issued fit notes after 40,000 per day issued in 2025
(9)
Health impacts of eating disorders last many years
(1)
Calls to end GP-issued fit notes after 40,000 per day issued in 2025
Read Now
(1)
Health impacts of eating disorders last many years
Read Now
(1)
Investigating joint pain using a rational testing approach
Read Now
(1)
Lack of GP targets resulting in too few frailty assessments, says Government watchdog
Read Now
(1)
GP fit notes should be replaced by employer-funded assessment, says Government review
Read Now
(1)
Walking, cycling and swimming best for knee osteoarthritis, research finds
Read Now
(1)
Free structured exercise programme shown to cut GP attendance
Read Now
(1)
Harms of tramadol ‘outweigh the benefits’ of GP prescribing
Read Now
(1)
Investigating myalgia – a rational testing approach
Read Now
(1)
What was causing this elderly male patient’s acute back pain?
Read Now
(1)
What is the underlying cause of this elderly male’s acute back pain?
Read Now
(1)
CPD: Challenges in vitamin D deficiency
Read Now
(1)
Cases of chikungunya almost triple in England among people travelling overseas
Read Now
(1)
Physiotherapists could prescribe pregabalin again to take pressure off GPs
Read Now
(1)
Once in a lifetime: Sarcoma
Read Now
(1)
Case of the month: Can you spot the underlying cause for this child’s limp?
Read Now
(1)
Final NICE falls guideline opens up for range of professionals to do home assessments
Read Now
(1)
Updated risk score better for identifying frailty, research shows
Read Now
(1)
GPs still write majority of fit notes despite reforms, finds Government evaluation
Read Now
(1)
CPD: Managing patients with medically unexplained symptoms – beyond investigations
Read Now
(1)
Once in a lifetime: Eosinophilic granulomatosis with polyangiitis (Churg Strauss syndrome)
Read Now
(1)
Adults with depression accrue long-term physical conditions at a faster rate
Read Now
(1)
CPD: Understanding medically unexplained symptoms – initial management
Read Now
(1)
Repeated paracetamol use linked with severe complications in over-65s
Read Now
(1)
Clinical Quizmas: Why the festive collapse and what has the ice-skater fractured?
Read Now
(1)
Clinical Quizmas: What is wrong with Santa and his elf?
Read Now
(1)
More than three-quarters of non-cancer opioids are given for musculoskeletal pain
Read Now
(1)
Case of the month answers – what was the cause of this young worker’s abdominal pain?
Read Now
(1)
CPD: Challenges in management of drug interactions
Read Now
(1)
Case of the month answers: What was causing this patient’s nausea and tingling fingers?
Read Now
(1)
Updated NICE guidelines on falls may be ‘challenging to implement’, GPs warn
Read Now
(1)
CPD: An introduction to genetic haemochromatosis
Read Now
(1)
AI physiotherapy clinic to roll out on NHS this year, makers say
Read Now
(1)
Under the radar: Cauda equina syndrome case
Read Now
(1)
Clinical clanger: ‘I’m worried about this infant’s asymmetric skin creases’
Read Now
(1)
Bone stress injuries: diagnosis and management in primary care
Read Now
(1)
NHS England pushes MSK triage system which leads to rejected GP referrals
Read Now
(1)
Funding for GP specialist services cut despite lengthy waiting lists
Read Now
(1)
Painkiller use in inflammatory arthritis is ‘widespread’ despite no benefit
Read Now
(1)
BMI limits on hip surgery ‘should be axed to reduce inequality’
Read Now
(1)
Medical arithmetic: Yellow pigmentation and unusual rashes
Read Now
(1)
Independent sector has ‘limited impact’ on clearing NHS backlog, say experts
Read Now
(1)
One in three fibromyalgia and arthritis patients at risk from long-term opioid use
Read Now
(1)
Researchers pinpoint link between metal hip replacements and heart damage
Read Now
(1)
Insufficient evidence to justify most antidepressant prescribing in chronic pain
Read Now
(1)
Surgery for sciatica does help in some people but only in the short term, analysis shows
Read Now
(1)
GPs should be cautious about prescribing painkillers for lower back pain
Read Now
(1)
Medical arithmetic: unusual skin lesions and mouth ulceration
Read Now
(1)
GPs should be able to prescribe massages, say MPs
Read Now
(1)
Health secretary announces plans for ‘major conditions’ strategy
Read Now
(1)
Managing sports injuries in the GP surgery: children and adolescents
Read Now
(1)
Managing sports injuries in the GP surgery: hip and groin
Read Now
(1)
NICE recommends adapted shoes for severe osteoarthritis
Read Now
(1)
Managing sports injuries in the GP surgery: arm and shoulder
Read Now
(1)
NICE guidance confirms tailored exercise as core GP treatment for osteoarthritis
Read Now
(1)
Are you a diagnostic genius? ‘My rheumatism is playing up’
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(1)
More patients opting to pay for private operations amid NHS backlog
Read Now
(1)
Medical arithmetic: a ‘popped’ muscle, skin thickening and facial telangiectasia
Read Now
(1)
Dealing with sports injuries in the GP surgery: foot and lower leg
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(1)
Medical arithmetic: Heel growths, a painful shoulder and an eyelid lesion
Read Now
(1)
Managing sports injuries in the GP surgery: knee
Read Now
(1)
BMI limits on knee ops cut overall surgery rates and increase inequalities, finds study
Read Now
(1)
GP practices forced to cancel appointments with physiotherapists amid registration issue
Read Now
(1)
GPs should prescribe tailored exercise and weight loss to relieve osteoarthritis
Read Now
(1)
Government considering ‘mandatory’ vitamin D fortification to reduce deficiencies
Read Now
(1)
How to consult remotely: orthopaedic presentations
Read Now
(1)
Most GPs think standing desks could improve consultations on physical health
Read Now
(1)
Over half of patients on methotrexate report three or more side effects
Read Now
(1)
Medical arithmetic: rough skin, a painful ear lump and ankle deformity
Read Now
(1)
Clinical casebook: sports injuries in general practice (2 CPD hours)
Read Now
(1)
Key questions on shoulder pain
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(1)
Highs and lows of on-court life
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(1)
Casebook: Parkinson’s disease
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(1)
Symptom sorter – Hand and wrist swellings
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(1)
CPD: Remote consulting for musculoskeletal problems
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(1)
PCNs urged to hire mental health specialists and physios in Covid aftermath
Read Now
(1)
‘No evidence’ vitamin D supplements help prevent or treat Covid, says NICE
Read Now
(1)
Examination of patients: How to carry out remotely for different symptoms – 15 April
Read Now
(1)
Osteoporosis: Continuing denosumab (Prolia) treatment for patients – 16 April
Read Now
(1)
Non-Covid clinical crises: New inflammatory arthritis or flare up of existing
Read Now
(1)
Non-Covid clinical crises: Temporal (giant cell) arteritis
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(1)
CPD: key questions on rheumatoid arthritis
Read Now
(1)
Forty years of rheumatology practice: ‘We used to refer people to the springs in Buxton’
Read Now
(1)
A guide to running minor injuries services
Read Now
(1)
GPs ‘should carry out additional infant hip screening’
Read Now
(1)
Steroid injections for joint pain could worsen osteoarthritis, says US study
Read Now
(1)
Menopause and osteoporosis
Read Now
(1)
First-contact physio ‘can deal with 99% of MSK patients’
Read Now
(1)
GPs should encourage smoking cessation to prevent rheumatoid arthritis, study suggests
Read Now
(1)
How to spot zebras – Behçet’s disease
Read Now
(1)
Osteoarthritis – five minute refresher
Read Now
(1)
How a self-referral exercise scheme is helping both patients and GPs
Read Now
(1)
Only investigate high-risk patients for vitamin D deficiency, says new guidance
Read Now
(1)
Government must fund public health properly if it’s serious about prevention
Read Now
(1)
Nine things you need to know about joint injection
Read Now
(1)
Genetics may play larger role than diet for developing gout, says study
Read Now
(1)
Group consultations must not be used to plug gaps in GP services
Read Now
(1)
Vitamin D does not improve bone health or prevent fractures, finds study
Read Now
(1)
Don’t rule out meal replacement for weight loss – it worked for my patients
Read Now
(1)
The information – Raynaud’s phenomenon
Read Now
(1)
NICE urges rheumatoid arthritis patients to seek specialist care during flare-ups
Read Now
(1)
CCGs to quit funding GP referrals to hip arthroscopy
Read Now
(1)
Better identification of vertebral fractures could cut unnecessary GP visits
Read Now
(1)
A quarter of patients did not disclose symptoms to their GP, finds study
Read Now
(1)
The Shape of the Pain: captivating play exploring how complex pain ‘feels’
Read Now
(1)
How our ‘welfare champions’ free up valuable GP time
Read Now
(1)
Patients face long waits as one in seven trusts fails to resume elective care
Read Now
(1)
Patients with hip fractures face long waits for rehab
Read Now
(1)
‘My back is killing me’ – managing ankylosing spondylitis
Read Now
(1)
Referral of the month – gout
Read Now
(1)
Journal digest – five must-read papers for January
Read Now
(1)
Primary care osteoporosis screening ‘could prevent a quarter of hip fractures’
Read Now
(1)
Discuss effect of weight loss on RA outcomes with patients, study recommends
Read Now
(1)
Rheumatology clinic – hypermobility
Read Now
(1)
Physio ‘first contact’ service set to be rolled out next year in GP practices
Read Now
(1)
Rheumatology clinic – psoriatic arthritis
Read Now
(1)
Co-prescribe bisphosphonate with steroid to reduce hip fractures, says study
Read Now
(1)
Aerobic exercise improves fibromyalgia, says new Cochrane review
Read Now
(1)
Many more eligible for bisphosphonates after NICE lowers threshold to 1%
Read Now
(1)
GP appointments freed up by physiotherapists in practices
Read Now
(1)
Guideline of the month: intervening earlier to manage gout
Read Now
(1)
GPs to review osteoporosis patients as drug is discontinued
Read Now
(1)
Picture quiz – head and neck swellings
Read Now
(1)
Prescribing quinine for muscle cramps ‘may lead to increased mortality’
Read Now
(1)
The new NOGG guidelines for osteoporosis
Read Now
(1)
GP social prescribing drive ‘unacceptable’ given lack of evidence, warn researchers
Read Now
(1)
Rheumatology clinic – temporal arteritis
Read Now
(1)
Call for ibuprofen sale to be restricted to pharmacies following cardiac concerns
Read Now
(1)
GPs should routinely ask older people about falls, says NICE
Read Now
(1)
GP social prescribing can reduce appointments ‘by over one fifth’
Read Now
(1)
NICE pushes through guidance limiting GP prescribing options for low back pain
Read Now
(1)
GP practice-based physiotherapist scheme to be rolled out
Read Now
(1)
Orthopaedic clinic – complex regional pain syndrome
Read Now
(1)
GPs come under pressure to stop prescribing over-the-counter drugs
Read Now
(1)
Longer GP appointments ‘highly cost effective’, finds major study
Read Now
(1)
Orthopaedic clinic – osteomyelitis
Read Now
(1)
Orthopaedic clinic – rickets
Read Now
(1)
GP prescribing of strong opioids up by more than a fifth in two years
Read Now
(1)
Picture quiz – rheumatological symptoms
Read Now
(1)
Review everyone on paracetamol for back pain, recommends NICE advisor
Read Now
(1)
Vitamin D treatment ‘out of control’ as prescriptions increase 40% in four years
Read Now
(1)
NICE dramatically reduces drug options for low back pain
Read Now
(1)
Prescribing paracetamol for osteoarthritis has no benefit, says study
Read Now
(1)
Clinical round-up – news and drug updates in March
Read Now
(1)
GPs urged to treat knee buckling in patients with osteoarthritis to prevent future falls
Read Now
(1)
GPs warned high doses of vitamin D could be harmful for elderly
Read Now
(1)
NHS England announces plans for fire service to undertake health checks
Read Now
(1)
Government experts want everyone to take vitamin D supplements
Read Now
(1)
The information – achilles tendinopathy
Read Now
(1)
GPs to refer long-term sick to occupational health service as national scheme goes live
Read Now
(1)
Guideline of the month – NICE osteoarthritis quality standards
Read Now
(1)
Orthopaedic groups apologise after claiming that ‘GPs not doing their job properly’
Read Now
(1)
Referral of the month – polymyalgia rheumatica
Read Now
(1)
Five-minute refresher – gout
Read Now
(1)
Grip strength ‘simple test for heart disease risk’
Read Now
(1)
Steroid injections ‘no better than gabapentin’ for low-back pain conditions
Read Now
(1)
Prescriptions for strong opioids up 10% in one year
Read Now
(1)
Drugs regulator urges GPs to review cardiovascular risk before prescribing ibuprofen
Read Now
(1)
Further doubts raised over benefits of paracetamol for musculoskeletal pain
Read Now
(1)
GPs start referring patients to ‘back-to-work’ service to prevent long-term sickness
Read Now
(1)
Over 10,000 patients to get combined personal health and social care budget
Read Now
(1)
GPs told to carry out review of patients taking pregabalin ‘as soon as possible’
Read Now
(1)
GPs told to be aware of potential harm of paracetamol as researchers call safety into question
Read Now
(1)
Inflammatory arthritis (2 CPD hours)
Read Now
(1)
Symptom sorter – abnormal movements
Read Now
(1)
Fit note may have cut long-term sickness absence
Read Now
(1)
GP beware – musculoskeletal
Read Now
(1)
The treatment – osteoarthritis
Read Now
(1)
GPs should consider ‘societal costs’ when signing patients off sick
Read Now
(1)
New ‘fit for work’ scheme to assess patients by telephone
Read Now
(1)
GPs ‘should recommend joining walking groups’ to their patients
Read Now
(1)
CCG restricts treatment for smokers and obese patients
Read Now
(1)
The information – trigger finger
Read Now
(1)
Two-thirds of GPs disregard NICE advice to offer statins to more patients
Read Now
(1)
Hot topics in lower limb musculoskeletal disorders (2 CPD hours)
Read Now
(1)
GPs advised to try CBT for non-specific physical symptoms in children and their mothers
Read Now
(1)
Ten top tips – painful shoulder
Read Now
(1)
Acupuncture ‘of no benefit in chronic knee pain’
Read Now
(1)
Key questions on rheumatoid arthritis (1.5 CPD hours)
Read Now
(1)
Hot topics in osteoporosis (2 CPD hours)
Read Now
(1)
GPs could face increased targets for dementia diagnosis
Read Now
(1)
Statins may hamper cardiac rehab efforts
Read Now
(1)
Non-drug treatments for osteoarthritis – a video module (1 CPD hour)
Read Now
(1)
GPs urged to review anticholinergics use in elderly
Read Now
(1)
Challenges in orthopaedics (1.5 CPD hours)
Read Now
(1)
Back-to-work service for long-term sick to launch this year
Read Now
(1)
Government’s telecare scheme costs 10 times NHS cost-effectiveness threshold
Read Now
(1)
Paracetamol ‘no better than placebo’ for acute low-back pain, claim researchers
Read Now
(1)
GPs should offer advice on dementia to middle-aged patients, says NICE
Read Now
(1)
Clinical casebook: back pain (1.5 CPD hours)
Read Now
(1)
CCGs urged to commission services to prevent fractures
Read Now
(1)
Screen men with gout for erectile dysfunction, researchers say
Read Now
(1)
The information – Dupuytren’s disease
Read Now
(1)
European regulator launches review of high-dose ibuprofen safety
Read Now
(1)
Clinical casebook: osteoarthritis (1.5 CPD hours)
Read Now
(1)
Self-referral for physiotherapy slashes costs
Read Now
(1)
Referral management systems lead to delay in urgent referrals, study finds
Read Now
(1)
NICE to look at developing multimorbidity QOF indicators
Read Now
(1)
Osteoporosis (2 CPD hours)
Read Now
(1)
NICE calls for national campaign to promote daily vitamin D supplements
Read Now
(1)
Back pain (2 CPD hours)
Read Now
(1)
NICE to move to multimorbidity guidance, chief says
Read Now
(1)
What not to do – musculoskeletal
Read Now
(1)
Lack of ‘convincing’ evidence for vitamin D supplementation, conclude researchers
Read Now
(1)
Ten top tips – foot and ankle pain
Read Now
(1)
Ten minute elbow examination: a video module (1 CPD hour)
Read Now
(1)
Guideline debrief: NICE OA guideline (2 CPD hours)
Read Now
(1)
Strontium ranelate gets reprieve from European regulator
Read Now
(1)
Ten minute foot and ankle examination: a video module (1 CPD hour)
Read Now
(1)
Ten minute shoulder examination: a video module (1 CPD hour)
Read Now
(1)
NICE forced into U-turn on advice to avoid paracetamol in osteoarthritis
Read Now
(1)
Back-to-work service for long-term sick to be tendered ‘imminently’
Read Now
(1)
Key questions on osteoporosis (1.5 CPD hours)
Read Now
(1)
Five minute hand and wrist examination: a video module (0.5 CPD hours)
Read Now
(1)
Paracetamol appropriate pain relief for osteoarthritis, say international experts
Read Now
(1)
Regulators consider withdrawing strontium ranelate over CV safety concerns
Read Now
(1)
Ten top tips – Cervical spondylosis
Read Now
(1)
Glucosamine and chondroitin sulphate ‘delays cartilage loss’ in osteoarthritis
Read Now
(1)
Ten minute knee examination: a video module (1 CPD module)
Read Now
(1)
GPs paid to reassess all long-term bisphosphonate patients
Read Now
(1)
Five minute hip examination: a video module (1 CPD hour)
Read Now
(1)
Two-thirds of long-term gout patients ‘not prescribed urate-lowering therapies’
Read Now
(1)
NICE guidance on paracetamol could increase risk of harm to patients, warn experts
Read Now
(1)
Successful management of fibromyalgia: a video module (1 CPD hour)
Read Now
(1)
Ten minute spine examination: a video module (1 CPD hour)
Read Now
(1)
Paracetamol can be used as a routine option for osteoarthritis, say Scottish experts
Read Now
(1)
The information – submandibular calculi
Read Now
(1)
Key questions on joint replacement (1.5 CPD hours)
Read Now
(1)
Key questions on orthopaedic hand conditions (1.5 hours)
Read Now
(1)
GPs warned over CV risk with dispersible formulations
Read Now
(1)
Toolbox – The Beighton score
Read Now
(1)
Key questions on seronegative spondarthritis (1.5 hours)
Read Now
(1)
Case study: How we enabled potential long-term sick patients to get back to work
Read Now
(1)
GPs to refer long-term sick to occupational health service under Government plans
Read Now
(1)
NICE: GPs should explain health benefits of even small reductions in weight
Read Now
(1)
Fibromyalgia (1.5 CPD hours)
Read Now
(1)
Surgery ‘should be first-line treatment’ for stress incontinence
Read Now
(1)
Polymyalgia rheumatica – How not to miss (0.5 CPD hours)
Read Now
(1)
Dr Kamal Sidhu: ‘We will stop or cut down on training if we have to pay’
Read Now
(1)
Analysis: The vanishing options for chronic pain
Read Now
(1)
Steroid injections ‘reduce risk of surgery’ in carpal tunnel syndrome
Read Now
(1)
Insoles ‘fail to improve knee osteoarthritis pain’
Read Now
(1)
How not to miss polymyalgia rheumatica
Read Now
(1)
‘No new evidence’ for NICE advice on paracetamol, says MHRA
Read Now
(1)
The information – sciatica
Read Now
(1)
Fish consumption ‘linked with reduced risk of rheumatoid arthritis’
Read Now
(1)
NICE warns against prescribing paracetamol for osteoarthritis
Read Now
(1)
Rheumatoid arthritis ‘doubles thrombosis risk’
Read Now
(1)
MHRA reviews over-the-counter availability of diclofenac
Read Now
(1)
Soft drinks ‘linked with knee osteoarthritis’ in men
Read Now
(1)
Women more prone to disability in late life than men
Read Now
(1)
Osteoarthritis – Key questions (1.5 CPD hours)
Read Now
(1)
Drugs regulator puts tighter restrictions on diclofenac use
Read Now
(1)
Hernia – The information (0.5 CPD hours)
Read Now
(1)
Tricky ten minutes – I can’t cope with my fibromyalgia
Read Now
(1)
Muscle disorders – Key questions (1.5 CPD hours)
Read Now
(1)
Rheumatology – Challenges in (1.5 CPD hours)
Read Now
(1)
Consider switch to naproxen in arthritis patients, GPs urged
Read Now
(1)
NICE calls for greater emphasis on encouraging exercise in QOF
Read Now
(1)
Musculoskeletal care – Top tips: a video module (1 CPD hour)
Read Now
(1)
Growing pains – The information (0.5 CPD hours)
Read Now
(1)
Advise men taking opioids of erectile dysfunction risk, say researchers
Read Now
(1)
Common avoidable admissions (1 CPD hour)
Read Now
(1)
Vitamin D testing guidance to prompt ‘sea change’ for GPs
Read Now
(1)
The information – growing pains
Read Now
(1)
No need for rheumatoid factor testing, GPs told
Read Now
(1)
Osteopathy ‘reduces low back pain’
Read Now
(1)
Moderate alcohol consumption ‘improves fibromyalgia’
Read Now
(1)
Video for patients on inguinal hernias and treatment options
Read Now
(1)
Practical guide on growing pains
Read Now
(1)
Paediatric gait, arms, legs and spine examination (pGALS)
Read Now
(1)
High-dose statins ‘linked with reduction in osteoarthritis risk’
Read Now
(1)
Osteoporosis resources for primary care
Read Now
(1)
Toolbox – Ottawa knee and ankle rules
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(1)
Diagnostic tests for non-specific symptoms ‘do not reassure patients’
Read Now
(1)
Thumb-base OA – The information (0.5 CPD hours)
Read Now
(1)
Patellofemoral pain syndrome – The information (0.5 CPD hours)
Read Now
(1)
Call for diclofenac ban rejected
Read Now
(1)
Tricky ten minutes – ‘I can’t cope with this back pain any longer’
Read Now
(1)
Gout – Key questions (1.5 CPD hours)
Read Now
(1)
Plantar fasciitis – The information (0.5 CPD hours)
Read Now
(1)
‘Little evidence’ for most complementary medicines in arthritis, finds review
Read Now
(1)
Ten top tips – the limping child
Read Now
(1)
Ganglions – The information (0.5 CPD hours)
Read Now
(1)
Epidural steroids offer only short-term relief from sciatica, concludes analysis
Read Now
(1)
Single antihypertensive plus NSAID not linked to kidney injury
Read Now
(1)
Core stability exercise ‘best for back pain’ short-term
Read Now
(1)
What is the cause of this man’s painful foot?
Read Now
(1)
Tennis elbow – The information (0.5 CPD hours)
Read Now
(1)
Antihypertensive associated with 43% increase of hip fracture
Read Now
(1)
Bisphosphonate use ‘raises cancer risk by 13%’
Read Now
(1)
GPs set for new indicators on depression and rheumatoid arthritis
Read Now
(1)
Injecting the first carpometacarpal joint
Read Now
(1)
Spinal manipulation benefits limited
Read Now
(1)
Guide to conducting a paediatric gait, arms, legs and spine examination
Read Now
(1)
Injecting in de Quervain’s tenosynovitis
Read Now
(1)
Metatarsalgia – The information (0.5 CPD hours)
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