Category Archives: Musculoskeletal

Back pain – NICE guidelines

This is the BMJ Learning module I started when I was trying to look up red flags for back pain; as promised, I’ve now gone back to finish the module. Guidelines recommend using the STarTBack questionnaire for identifying risk of … Continue reading

Posted in Back pain, Musculoskeletal | Leave a comment

Red flags in low back pain

I noticed I have someone booked into an upcoming session to see me about back pain, so I decided it was time I checked the list of red flags for back pain to be sure I don’t miss anything. This … Continue reading

Posted in Back pain, Credits 2019, Don't miss, Musculoskeletal | 1 Comment

Axial spondyloarthritis

The spondyloarthritides are a group of inflammatory conditions which can affect axial or peripheral joints. Axial spondyloarthritis Radiographic axial spondyloarthritis* Non-radiographic axial spondyloarthritis** *This is the entity that used to be known as ankylosing spondyloarthritis. However, the criteria for diagnosing … Continue reading

Posted in Back pain, Musculoskeletal, Rheumatology | 1 Comment

Iliotibial band syndrome

History Occurs in people practicing various forms of athletics (most commonly running, but can be cycling, rowing, swimming, hiking, team games) Most commonly lateral knee pain, but can sometimes affect the hip or thigh. Can show up if training intensity … Continue reading

Posted in Credits 2019, Musculoskeletal, Orthopaedics, Sports medicine | Leave a comment

MRI for nerve root compression/sciatica?

Latest guidelines from our local hospital have some useful pointers for when to refer for MRI and when not to: Radicular thoracic pain should be referred for MRI. Sciatica, however, probably not – if <6/52 then wait and see, and … Continue reading

Posted in Credits 2017, Musculoskeletal, Radiology | Leave a comment

Back pain

Red flags for cauda equina compression syndrome Saddle or genital anaesthesia or altered sensation (and, after almost getting horribly caught out once, I will at least now remember forever after that THIS MAY PRESENT UNILATERALLY) Altered bladder, bowel, or sexual … Continue reading

Posted in Back pain | Leave a comment

Walking programme for back pain

Prescriber cites an interesting study on the use of a walking programme for back pain: Pain 2015; 156(1): 131 – 47. In this RCT, the use of a walking programme, usual tailored physical therapy, and a weekly group exercise class, … Continue reading

Posted in Back pain, Credits 2015, Orthopaedics | Leave a comment