Musculoskeletal

MSK

Self refer physio

Self refer to a NHS physiotherapist

You can now self refer for physiotherapy without speaking to your GP or first contact physiotherapist: 

Ring: 0115 784 2147

Website: https://www.connecthealth.co.uk/services/nottingham/

 

 

 

First Contact Physiotherapist 

You can make an appointment with one of our specialist First Contact Physiotherapists for assessment of many spinal, joint and muscle related problems.

They are experts on the diagnosis and treatment of many common problems. 

They will be able to liaise with the GP should you require any medication, a test, or further input.

Appointments are available daily. 

MSK

Musculoskeletal (MSK) Self-Care App

The MSK app has been developed to offer support and guidance on how to manage MSK conditions or injury involving muscles, bones or joints.

This app includes videos to show you exercises. Download it:

Google Play

Apple App Store

 

 

 

(Thanks to NHS Leicestershire for developing the app!)

MSK

Cauda Equina

Many patients have back pain and leg problems (numbness, weakness). These symptoms don't always require urgent medical attention, but there are some symptoms to be looking for that could suggest a medical emergency called CAUDA EQUINA SYNDROME.
 
This happens when the nerves of the spine become compressed and affect your back, legs, bladder and bowels.
 
if you have any symptoms to suggest this, you must go straight to the emergency department - time is of the essence!

CES

Painkillers

Over-the-counter painkillers can be purchased relatively cheaply at pharmacy or shop without needing a prescription from your GP. These include paracetamol, ibuprofen, low-dose codeine and aspirin. Some of these cannot be taken if you have a history of stomach ulcers, bleeding and kidney problems.

Please speak to the pharmacist before purchasing, to check you can take it.

Painkillers

Pain Toolkit

All about chronic pain and living with pain.

They have online workshops and videos to understand pain and how to live and adapt to it.

Take a look at: https://www.paintoolkit.org/

 

Information about prescribed painkillers

PIL

NSAIDs (Ibuprofen, naproxen)
PIL

Amitriptyline

PIL

Gabapentin

Opiates in Chronic Pain

OPIATES FOR CHRONIC PAIN - THERE IS ANOTHER WAY:

Opiates include medication such as codeine, tramadol, morphine.

Opiates are very good for acute pain and for pain at the end of life, but there is little evidence that they are helpful for long-term pain.

The risk of harm increases substantially with higher doses of these medications, but there is no increased benefit.

Patient in chronic pain need specialist input from a chronic pain service.