Відео

Safety netting is worth nothing if you know they have incomplete cauda equina then it's your job to make sure they don't go on to develop complete cauda equina. don't leave them waiting for the worst thing to happen to them.

Dr Alf's last point about individual goals is like those "hate exercise love activity" posters I see which irk me. We need to be pushing people to get fitter and stronger. And of course its all relative to the patients capabilities but I believe for significant outcomes we need to be putting people on a path to vigorous exercise. If gardening twice a week is the most vigorous thing they're doing then that will eternally be their celling of capability. If I can get every person over the age of 70 doing sit to stands holding onto a 30kg kettlebell gardening, getting off the floor,lifting a lawnmower will never be an issue. Patient activity goals are super important but it's not the prescription.

Promo SM

Hi, I absolutely agree mainstream MSK dysfunction should be addressed in a community based setting however, I have concern regarding litigation and the triage of individuals who have primary Ca which could have a secondary spread? Via a robust triage process these individuals are prioritised however my concern is if you make this model mainstream patients with joint/muskuloskeletal pain and a prior history of Ca could be at risk! this could be considered a litigious? but I assume you have measures in place to mitigate this! In York we currently have a 52 week wait for mainstream MSK patients so, your model would work well but my concern remains with those individuals who are an exception to the rule! Kind regards Lucy Meyers

Pain Concern is proud to be a member of ARMA and to support this enquiry

Thank you for hosting this incredibly important lecture. Although I work in private health care in MSK this is such an important conversation. I think it is so important to get people to take responsibility for their own health in the widest context because as Adam said, the patient, is not a cardiovascular or a mental health or a MSK problem but a Client with all these needs. It is so rewarding not when I 'fix' someone but rather with my encouragement, when I see that patient at the Supermarket, and I find out that they have joined a drumming group or bell ringing group etc. Surely this has to be the way forward.

The NHS will give you a funfair ticket and you will ride...the pudendal nerve block ride...the epidural ride, the transurethral botox ride, the hernia op ride, the botched hernia op ride + two more goes, the prostatitis ride, the disturbingly awful nerve pain meds including the suppository meds ride, the colonoscopy ride, the vestibular clinic ride, the verge clinic ride, the A&E ride + rides to the point you just refuse cos its a bit of a let down, oh yes and the thrombosis bus...Your GP will be so happy with all your paperwork that you will be boxed in a corner as one of those patients with a chronic condition...cant do much ride...have you tried pregabalin ride ? oh you have ride...another MRI ride Sir...the antibiotic ROLLERCOASEEEERRRRRRRRR....the physiotherapy ride +++...Loss of work ride...loss of home ride...social housing bus...Atos medical fit for work ride+failure ride...No PIP ride...No life ride...Can't get a job and nobody believes me ride...wheres my friends and family ride...why has my mental health deteriorated ride...oh i need those pain eds now ride...oh everything is ok now Dr, i know something is going on but I'm too dependant on the sweeties you give me to complain...

17 when it started 52 now...NHS help...its a revolving door i will let you know when it stops...You want help walk into A & E and piss yourself and save yourself years of the revolving door and heavy SSRI antidepressants. From watching this they don't really understand where to start treatment. I was diagnosed with prostatitis for at least two decades and fed antibiotics non stop and i am still offered them, that's just one of the many things, like four hernia repairs, when it was CES, you will get told all sorts. I think the most frustrating thing is being told its not "true" CES!!!! ...so go to the back of the queue and suffer a few more years of misery until it is in fact "true"...If you're CES incomplete on the NHS its meds/physio/door...

8 yrs of being ignored and told I must be drug seeking. I swear the operation I had to save me from an incarcerated femoral hernia set off the nerve pain. It got bad about 2 yrs later and from then on my legs began to become more neuropathic. I was told the reason for urinary and bowl issues was lack of water (I drink plenty) and I have a double ureter anomaly. So again, blown off. Thank you for explaining where I am at now, even though I have to wait till the middle of August to see a neurosurgeon, I finally feel validated.

Thank you for your time and energy. Missed the window. Not officially diagnosed YET, but almost all else has been ruled out. That, and I'm very intuitive. I know things. Pretty sure I've been blessed with this.🙄 No fear. I'm a warrior. Gonna fight like hell to live a somewhat normal life. Focus on the healing, not the the past. 'Don't look back, you're not going that way'..... ❤️🙏

I live in the USA. It has taken me 8 years to get diagnosed with AxSpa, despite being in the care of a rheumatologist since 2017. Most of my doctors (primary, chiropractor, cardiologist, and even my pain management doctor) are not fully aware of the new diagnostic criteria for spondyloarthritis. Much less believing that it affects women! It has been an uphill climb to get this diagnosis, and the only reason they paid attention to my cries of pain was because I've methodically switched all my physicians from male to female over the course of the last year! I cannot stress how gaslighted I've been by a plethora of male doctors all these years. So many years in pain without relief and without having a solid diagnosis :(. So thank you for sharing this information- now, how do we get doctors to learn and listen?! I advocate constantly about AxSpa.

Thankyou for this webinar I am 55 years old female and am struggling with these symptoms and trying to get a diagnoses

Great webinar! I really enjoyed the discourse.

Hello how do I get this card please for myself I have lumbar and central stenosis diagnosed in 2018

If someone has cauda equina syndrome from past 6 months It occur due to s2 fracture nerve compression occurs It occur due to accident Now tell the treatment

very nice, please do invite me next seminar ( maribalizaidi@gmail.com )

Nice your lecture mam

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This has been an excellent piece of work and I am pleased to see that it is in the public domain. Are there plans for a follow up UA-cam post?

Does MSK deal with undiagnosed bone lesions/lumps/cyst

I have muscular dystrophy and as a fitness instructor, I know how important it is to exercise for your physical and mental well being. I created a group exercise class for those who require a gateway to fitness, we have classes across the UK and the majortity of those who attend have a health issue, have been inactive for a while or are over 50. We offer an effective, enjoyable, accessible, affordable programme classes are packed and in demand, we need more instructors to join us. www.paracise.com Our case studies show the extremely positive effect that Paracise™ has on reducing medication, falls, pain and anxiety to name a few benefits. If you really want to encourage people to exercise you have to listen to those of us in the fitness industry that are successfully getting people moving as we have the formula that works, you can tell people how good it is for them but if they don't enjoy it they won't do it.

This is a fantastic resource for all those interested in knowing what the role involves and how it can have an impact on primary care. Thanks for the share Sue. Matt

Evidence-based mind-body programmes, such as 'Yoga for Healthy Lower Backs' courses have a big, as yet under-utilised, part to play within this pathway.