Evidence
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People with painful rheumatic conditions are at increased risk of self-harm

People with painful rheumatic conditions such as fibromyalgia, rheumatoid arthritis, and osteoarthritis are at increased risk of self-harm. New research found the risk was highest for those with fibromyalgia, who were twice as likely to harm themselves as people without the condition.  Rheumatic conditions are characterised by pain in joints, muscles and/or connective tissue. People ...

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Surgery for hand disorder Dupuytren’s disease is effective, but repeat operations come with higher risks

Research using large national datasets has confirmed that surgery for the common hand disorder Dupuytren’s disease is safe and effective. When surgery needs to be repeated, however, there are higher risks of serious complications such as finger amputation.  In Dupuytren’s disease, the tissue beneath the skin of the palm becomes thickened; this often does not ...

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Three effective treatments for frozen shoulder have different costs and benefits, study shows

A so-called frozen shoulder is painful and stiff for months and sometimes years. People with the condition may be unable to move their arm or shoulder and the pain may disturb their sleep. The three treatments most often offered by the NHS are physiotherapy, manipulation of the shoulder under general anaesthesia, and a form of ...

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People who are active on the day of hip surgery, or the day after, are twice as likely to be home within a month

People over 60 who need surgery after breaking a hip are discharged from hospital sooner if they get moving quickly.  The largest study of its kind found that those who get out of bed on the day of hip surgery, or the day after, were twice as likely to leave hospital within 30 days.  The ...

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Most shoulder replacements last longer than a decade: patients can be reassured by new research

Most shoulder replacements last longer than 10 years. A new study – one of the most complete reports to date – found that patients can expect large and long-lasting improvements in pain, strength, range of movement, and their ability to complete everyday tasks. Before surgery, patients want to know how they will benefit from surgery and ...

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People who have survived torture need joined-up care to address physical, psychological and social aspects of pain

More than one in four refugees and asylum-seekers in the UK are thought to have experienced torture in their countries of origin. Increasing numbers are presenting to NHS services with persistent pain, often of muscle, bone or joints (musculoskeletal). New research finds that UK healthcare services are not meeting their needs, and suggests that better ...

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Hand strengthening and stretching for people with rheumatoid arthritis: online training helps therapists deliver an exercise programme

A programme of exercises for people with rheumatoid arthritis improves hand strength and function. The Strengthening and Stretching for Rheumatoid Arthritis of the Hand (SARAH) programme is recommended by NICE following positive results in a large clinical trial. Therapists were initially trained face-to-face to deliver the SARAH programme. To speed up its routine use in ...

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Physiotherapist-led exercise eases shoulder pain but ultrasound guidance for injections makes no difference, study finds

A large trial of interventions for people with shoulder pain showed that they benefitted more from personalised exercise programmes supervised by physiotherapists than from an exercise leaflet and standard advice. It also showed that guiding shoulder injections using ultrasound provided no added benefit over the usual, non-guided approach to these injections. Pain associated with structures ...

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People in the most deprived groups were least likely to take part in the exercise referral scheme, study finds

Exercise referral schemes are designed for people with long term conditions that can be improved by exercise, such as raised blood pressure or mental health problems. They aim to encourage people to become more active, but evidence for the success of such schemes is mixed. This study evaluated the Welsh National Exercise Referral Scheme and ...

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Hip replacements: some surgical approaches are better than others, research suggests

A common surgical approach used for hip replacements carries higher risks of worse outcomes and should not be routinely adopted by trainee surgeons, a new analysis suggests. The study found significantly worse outcomes associated with so-called lateral procedures to the hip joint, in which surgeons access the hip by detaching muscle from the side of ...

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