What is Polymyalgia Rheumatica with Jack March

This episode takes a look at scans, why scans might be needed and how they can helpScan.com was founded to make scanning accessible for clients and support earlier diagnosis making a positive difference in patient journeys and recoveryHear about the clinical pathway for getting a scan with Scan.com and why their process supports accurate and clear information along with the next steps through an integrated system and pathways that support the patient journey KEY TAKEAWAYS There is a clinical pathway that is followed alongside the option to be referred for scanning if appropriate We use each process depending on the clinical situation, but the scans are complementary to each other The patient won’t know necessarily know what the most appropriate scan will be, and when you have been screened you will be directed to the most appropriate appointment With a scan, it’s important that it’s carried out as part of a process with a clinician You can be a clinician and make a referral on the platform Ultrasounds are an important scan for peripheral muscular-skeletal conditions BEST MOMENTS‘We now offer MRI, ultrasounds, X-rays and CTs’‘Lots of reports can be so confusing for patients and we make sure the patients understand and know what’s relevant’There’s a whole package on offer’ RESOURCES FOR THIS EPISODEhttps://uk.scan.com/ THE BACK PAIN PODCAST PROVIDER MAP - FINDING SOMEONE TO HELP YOU WITH YOUR BACK PAINhttps://thebackpainpodcast.com/index.php/members-map/ VALUABLE RESOURCESThe Back Pain PodcastThe Back Pain Podcast websiteThe Back Pain Podcast recommended products affiliate linkOur Rode Mixer https://amzn.to/3waU8bxOur Microphones https://amzn.to/3rzSZ9ZSecond Microphone https://amzn.to/2ObKMeAXLR Cable https://amzn.to/3rBL8ZBStudio Headphones https://amzn.to/3u082LELaptophttps://amzn.to/3dhfafTOur webcam https://amzn.to/31uUefQ  ABOUT THE HOSTSDave ElliottDave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at [email protected]  if you have any questions for him.-Instagram  Rob BeavenRob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors, and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.-Instagram-Twitter SOCIAL MEDIA LINKSInstagramTwitterFacebookSupport the show: https://thebackpainpodcast.com

Angela Jackson, specialist paediatric muscular skeletal physiotherapist joins the podcast again to talk about all things spondySpondylolysis is one of the most common back pain injuries seen in child athletes and although common it's vitally important that these injuries are picked up and The Back Pain Podcast is helping to raise awareness with Angela explaining how a stress fracture is very different to a full fracture and how they can be picked up along with the actions that need to be taken  KEY TAKEAWAYS  Lower back pain in a young athlete is an inconvenience that needs sorting out but the majority go back to sport without any problems  These injuries don’t occur in the non-athlete population. Whatever level it’s at, it needs checking If you have an experienced clinician they should be able to manage it without imaging  A graduated return to activities is what’s required, we want to have an adult athlete who can withstand the demands of adult sport We need to help them to see good credible role models who have come back from this injury  Working in phases helps young people see what the journey is back to health  It’s about getting them back into sport layer by layer, making them stronger and educating them BEST MOMENTS‘It’s not that kids are doing too much, it’s that they are doing too much too soon’‘We only get this opportunity to make you stronger once’ ‘Find a hero in their sport that you know has come back from this injury, loads of people have gone through this’ RESOURCES FOR THIS EPISODE https://kidsback2sport.com/ https://angelajacksonphysio.com/  THE BACK PAIN PODCAST PROVIDER MAP - FINDING SOMEONE TO HELP YOU WITH YOUR BACK PAINhttps://thebackpainpodcast.com/index.php/members-map/ VALUABLE RESOURCESThe Back Pain PodcastThe Back Pain Podcast websiteThe Back Pain Podcast recommended products affiliate linkOur Rode Mixer https://amzn.to/3waU8bxOur Microphones https://amzn.to/3rzSZ9ZSecond Microphone https://amzn.to/2ObKMeAXLR Cable https://amzn.to/3rBL8ZBStudio Headphones https://amzn.to/3u082LELaptophttps://amzn.to/3dhfafTOur webcam https://amzn.to/31uUefQThe Healthcare Co Polos - https://www.thehealthcare-co.com/en-gb ABOUT THE HOSTSDave ElliottDave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at [email protected]   if you have any questions for him.-Instagram  Rob BeavenRob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors, and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.-Instagram-Twitter SOCIAL MEDIA LINKSInstagramTwitterFacebookSupport the show: https://thebackpainpodcast.com

The sacroiliac joint is an area that remains contentious despite all of the research that’s taken place and in this episode, we are chatting to Wilfried Simon, an osteopath and physio from Belgium about the misconceptions, if it can be a cause of pain and what to do if it is KEY TAKEAWAYS It’s a connection point but there isn’t much movement, only 3 degrees and its deep within the spine If you want the patient to be able to treat themselves and achieve autonomy they have to understand what’s wrong When you have manipulation it’s about what it creates overall including how the person thinks about it Identify the movement that is painful and work with the patient to make the movement less sensitive through changing the axis of the movement and building the confidence of the patient to complete movements Trust the future and the process, not very day is the same, not every day is pain free but that’s what make the patient stronger and you stronger BEST MOMENTS ‘It’s important to treat the person not the problem’ ‘There is aways a combination of what’s happening mechanically to the joint and how the patient perceives and feels about what’s happening’ RESOURCES FOR THIS EPISODE https://www.instagram.com/the.spine.physio/?hl=en THE BACK PAIN PODCAST PROVIDER MAP - FINDING SOMEONE TO HELP YOU WITH YOUR BACK PAIN https://thebackpainpodcast.com/index.php/members-map/ VALUABLE RESOURCES The Back Pain Podcast The Back Pain Podcast website The Back Pain Podcast recommended products affiliate link Our Rode Mixer https://amzn.to/3waU8bx Our Microphones https://amzn.to/3rzSZ9Z Second Microphone https://amzn.to/2ObKMeA XLR Cable https://amzn.to/3rBL8ZB Studio Headphones https://amzn.to/3u082LE Laptophttps://amzn.to/3dhfafT Our webcam https://amzn.to/31uUefQ  The Healthcare Co Polos - https://www.thehealthcare-co.com/en-gb ABOUT THE HOSTS Dave Elliott Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at [email protected]   if you have any questions for him. -Instagram    Rob Beaven Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors, and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better. -Instagram -Twitter   SOCIAL MEDIA LINKS Instagram Twitter FacebookSupport the show: https://thebackpainpodcast.com

Adam Dobson, physiotherapist, returns to the podcast to talk about the Back to Health Programme, a residential rehabilitation programme for people suffering from persistent back painIn this episode hear not only from Adam but also from Rebecca whose experience on the programme changed her life. They discuss the challenges of being told many different things, medication and why the programme is life-changing KEY TAKEAWAYS You can go to various physiotherapists and be told many different things, it can become a shopping list given to patients without any real idea of what it means to manage the problem I was pushed out of my comfort zone in many different ways but I was in an environment with people who understood and shared their experiences, it was enlightening in many ways and restored my faith in human nature In the first days of the course there will be many accounts of the shopping list of problems  people have been told about their bodies When a professional tells you something you believe them because they are the expert in that area. The programme has taken on a lot of feedback and has evolved, with lots of previous patients contributing to the programme It should be a front-ended option for people with persistent pain who want to learn deeply to take control and get happy again To know with confidence that doing things isn’t going to cause any more damage has made me stronger than I’ve ever been The course gives you the confidence to understand how the body is working, what it's telling you and what’s dangerous and what isn’t BEST MOMENTS‘There wasn’t one thing that was important, the whole course is important every aspect of it is important’‘Everyone’s experiences had put them in a dark place’‘He led us through those grotty times and showed us where we could be today’‘It’s given me back my confidence and I do more than I’ve ever done before,'I no longer believe the pain is causing damage’ THE BACK PAIN PODCAST PROVIDER MAP - FINDING SOMEONE TO HELP YOU WITH YOUR BACK PAINhttps://thebackpainpodcast.com/index.php/members-map/ VALUABLE RESOURCESThe Back Pain PodcastThe Back Pain Podcast websiteThe Back Pain Podcast recommended products affiliate linkOur Rode Mixer https://amzn.to/3waU8bxOur Microphones https://amzn.to/3rzSZ9ZSecond Microphone https://amzn.to/2ObKMeAXLR Cable https://amzn.to/3rBL8ZBStudio Headphones https://amzn.to/3u082LELaptophttps://amzn.to/3dhfafTOur webcam https://amzn.to/31uUefQ  ABOUT THE HOSTSDave ElliottDave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at [email protected]   if you have any questions for him. Rob BeavenRob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors, and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better.-Instagram-Twitter SOCIAL MEDIA LINKSInstagramTwitterFacebookSupport the show: https://thebackpainpodcast.com

Dave and Rob are having a behind the treatment room door chat about their working week as chiropractors They discuss the importance of exercise plans and how increasing functional capacity is an important element of any treatment plan and share a great analogy to help understanding   KEY TAKEAWAYS Any conservative or passive care doesn’t necessarily decrease pain from issues such as osteoarthritis People assume massage is aimed at reducing pain but its about increasing functional capacity If we improve the capacity of someone’s knee health then it means they can do more Exercise increases the capacity and your threshold so you are increasing functional capacity You have to look at the bigger picture, if you knee or back is stopping you doing the things you want in life then surgery may be the option to consider If you are utilising exercise as part of your treatment plan you need to look at usage and function as well as lessening pain levels Having an expectation of no pain can result in less resilience   BEST MOMENTS ‘You may be able to do more with the same amount of pain’ ‘Pain is a very normal aspect of society’ ‘We can usually increase your capacity but this may not lessen the level of pain’   THE BACK PAIN PODCAST PROVIDER MAP - FINDING SOMEONE TO HELP YOU WITH YOUR BACK PAIN https://thebackpainpodcast.com/index.php/members-map/   VALUABLE RESOURCES The Back Pain Podcast The Back Pain Podcast website The Back Pain Podcast recommended products affiliate link Our Rode Mixer https://amzn.to/3waU8bx Our Microphones https://amzn.to/3rzSZ9Z Second Microphone https://amzn.to/2ObKMeA XLR Cable https://amzn.to/3rBL8ZB Studio Headphones https://amzn.to/3u082LE Laptophttps://amzn.to/3dhfafT Our webcam https://amzn.to/31uUefQ    ABOUT THE HOSTS Dave Elliott Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at [email protected]   if you have any questions for him. -Instagram    Rob Beaven Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors, and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better. -Instagram -Twitter   SOCIAL MEDIA LINKS Instagram Twitter Facebook                                    Support the show: https://thebackpainpodcast.com

Dave and Rob are talking about diagnostic labels and particularly those for lower back pain Lower back pain is a complex and multifactorial condition and a specific diagnosis may not reflect the underlying causes or mechanisms for the pain so does a specific label help or hinder? This is a learning episode where the discussion is a great opportunity to carefully consider what you do as a clinician with the evolution of diagnostic labelling KEY TAKEAWAYS The research is now saying a diagnostic label is not as important as previously thought There is back pain that needs a specific diagnosis but this is not the case for the  majority of non-specific back pain With non-specific back pain we know it’s nothing sinister or serious and what’s left is a combination of other things Many things can be contributing to the pain and the treatments and outcomes are similar for non-specific back pain Understanding the multifactorial and compounding aspect of non-specific back pain means there are a multitude of things you can do to help yourself The vast majority of patients will be better in 12 weeks It makes sense for us to stop using these labels and be better at explaining BEST MOMENTS ‘Our previous notion of a single answer to find is a bit immature’ ‘A more holistic approach may lead to better outcomes’ ‘This is evolving and changing our diagnostic labelling in line with current research’ THE BACK PAIN PODCAST PROVIDER MAP - FINDING SOMEONE TO HELP YOU WITH YOUR BACK PAIN https://thebackpainpodcast.com/index.php/members-map/ VALUABLE RESOURCES The Back Pain Podcast The Back Pain Podcast website The Back Pain Podcast recommended products affiliate link Our Rode Mixer https://amzn.to/3waU8bx Our Microphones https://amzn.to/3rzSZ9Z Second Microphone https://amzn.to/2ObKMeA XLR Cable https://amzn.to/3rBL8ZB Studio Headphones https://amzn.to/3u082LE Laptophttps://amzn.to/3dhfafT Our webcam https://amzn.to/31uUefQ  ABOUT THE HOSTS Dave Elliott Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at [email protected]   if you have any questions for him. -Instagram  Rob Beaven Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors, and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better. -Instagram -Twitter SOCIAL MEDIA LINKS Instagram Twitter FacebookSupport the show: https://thebackpainpodcast.com

In this episode, Rob is with Dr Sophie Newton talking about the medication both prescribed and over the counter that is used to treat back pain What is appropriate for one person may not be the right thing for another but this is an opportunity to find out more about how different types of medication work and the reasons why specific treatments are used  KEY TAKEAWAYS Short-term, acute pain treatments include anti-inflammatory medication which works on damping down the  inflammation Milder opioids like codeine are often given in conjunction with co-codamol Opiates work on opioid receptors that trigger the pain response Medications can be very effective but they do have side effects and it’s important that people know about these People need to become active to repair the back and it’s about the medication that can help support this Antidepressants are now recommended for chronic pain because they work on neurotransmitters The topical gels and patches do really work and for many people, it’s a much better option as the side effects profile is less   BEST MOMENTS ‘The smallest dose is the best dose’ ‘We need you to get moving and you need pain relief onboard to get moving because this is what will be the biggest help’ ‘GPs are always assessing the risk and the benefits of any medication’  RESOURCES FOR THIS EPISODE Dr Sophie Newton: Youtube Channelhttps://www.youtube.com/channel/UCEUJz86eCtUsXBMssYoC6pA Instagram  https://www.instagram.com/drsophiegp/?hl=en Twitter https://twitter.com/drsophiegp?lang=en  THE BACK PAIN PODCAST PROVIDER MAP - FINDING SOMEONE TO HELP YOU WITH YOUR BACK PAIN https://thebackpainpodcast.com/index.php/members-map/  VALUABLE RESOURCES The Back Pain Podcast The Back Pain Podcast website The Back Pain Podcast recommended products affiliate link Our Rode Mixer https://amzn.to/3waU8bx Our Microphones https://amzn.to/3rzSZ9Z Second Microphone https://amzn.to/2ObKMeA XLR Cable https://amzn.to/3rBL8ZB Studio Headphones https://amzn.to/3u082LE Laptophttps://amzn.to/3dhfafT Our webcam https://amzn.to/31uUefQ  ABOUT THE HOSTS Dave Elliott Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at [email protected]   if you have any questions for him. -Instagram  Rob Beaven Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors, and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better. -Instagram -Twitter SOCIAL MEDIA LINKS Instagram Twitter FacebookSupport the show: https://thebackpainpodcast.com

In this episode, Dave shares a detailed lower back pain case history and  takes specific questions from the audience in the journey to a diagnosis This is a fascinating insight into the approach that begins from the moment the clinician meets the patient through to the treatment journey and the factors that influence recovery   KEY TAKEAWAYS Whatever your discipline the tenets are the same when you talking about pain As osteopaths and chiropractors, we are talking the same words just in a different language A disc doesn’t have to present with radicular symptoms initially Back or cervical disc issues have to be considered When the range of motion is restricted isolating the areas and specific groups of muscles, joints and nerves can help with the diagnosis If the specific pain is on a full extension this is a classic sign of a set joint irritation If you experience pain over a period of time fear avoidance can become a part of the individual's experience The biggest test can be the basic test of ‘poking it’ Everything is testing and a provocative test can be seeing the patient coming into the room A test doesn’t have to have a name and make it onto your notes   BEST MOMENTS ‘The basic tenets of good care should be what you are going by’ ‘Identifying which one is the head honcho and ruling the show is what we are looking for’ ‘Your provocative test starts when you greet that patient’   THE BACK PAIN PODCAST PROVIDER MAP - FINDING SOMEONE TO HELP YOU WITH YOUR BACK PAIN https://thebackpainpodcast.com/index.php/members-map/   VALUABLE RESOURCES The Back Pain Podcast The Back Pain Podcast website The Back Pain Podcast recommended products affiliate link Our Rode Mixer https://amzn.to/3waU8bx Our Microphones https://amzn.to/3rzSZ9Z Second Microphone https://amzn.to/2ObKMeA XLR Cable https://amzn.to/3rBL8ZB Studio Headphones https://amzn.to/3u082LE Laptophttps://amzn.to/3dhfafT Our webcam https://amzn.to/31uUefQ    ABOUT THE HOSTS Dave Elliott Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at [email protected]   if you have any questions for him. -Instagram    Rob Beaven Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors, and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better. -Instagram -Twitter   SOCIAL MEDIA LINKS Instagram Twitter Facebook                        Support the show: https://thebackpainpodcast.com

Ian Gatt is a physiotherapist with extensive experience and expertise and is an upper limb injury specialist. In this episode Ian shares advice on tennis and golfers' elbow from the symptoms to the causes and what you can do to be able to get on with your life in the way you want to. KEY TAKEAWAYS It’s something that affects a tendon and it impacts daily activities Tennis elbow tends to be on the outside and golfers the inside of the elbow It can be linked to who you are as a person and the environment you are in Having a conversation and understanding how the person feels is important and the first step You can be chasing a diagnosis but understanding the function of the person is vital so you know what they need to do and can do It’s not posture, it's technique and the repetition of a technique can cause the issue It’s about planning, taking a step back when you experience the symptoms and doing things in a different way If you are feeling something, listen to your body and give yourself a breather   BEST MOMENTS ‘It’s important to understand the nature of the symptoms’ ‘We just need to understand what the person can and can’t do with the focus on the can’ ‘I  use the formula of prognosis equals diagnosis plus function’   RESOURCES FOR THIS EPISODE Ian Gatt Instagram   THE BACK PAIN PODCAST PROVIDER MAP - FINDING SOMEONE TO HELP YOU WITH YOUR BACK PAIN https://thebackpainpodcast.com/index.php/members-map/   VALUABLE RESOURCES The Back Pain Podcast The Back Pain Podcast website The Back Pain Podcast recommended products affiliate link Our Rode Mixer https://amzn.to/3waU8bx Our Microphones https://amzn.to/3rzSZ9Z Second Microphone https://amzn.to/2ObKMeA XLR Cable https://amzn.to/3rBL8ZB Studio Headphones https://amzn.to/3u082LE Laptophttps://amzn.to/3dhfafT Our webcam https://amzn.to/31uUefQ    ABOUT THE HOSTS Dave Elliott Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at [email protected]   if you have any questions for him. -Instagram    Rob Beaven Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors, and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better. -Instagram -Twitter   SOCIAL MEDIA LINKS Instagram Twitter Facebook              Support the show: https://thebackpainpodcast.com

Jack March aka the rheumatology physio returns to talking about PMR and the treatment route He explains what the symptoms are and how its diagnosed and discusses the treatment pathway along with measures that can be taken to improve the symptoms KEY TAKEAWAYS PMR occurs 3x more in women than it does in men and a typical onset is a pain and stiffness in the shoulders when you wake up in the morning There is an overlap of rheumatology conditions which can make diagnosis challenging There is a risk of it developing into rheumatoid arthritis and the difficulties that brings High levels of inflammation can cause problems with your cardiovascular system It is almost exclusively treated with steroids and the results are seen very quickly Steroids can affect bone density, muscle bulk and your lymphatic system Measures to protect bone density need to be put in place and loading can be an effective approach BEST MOMENTS ‘It’s about understanding the individual in front of you’ ‘People need to understand what they are doing and why they are doing it’ ‘A healthy diet, and exercise can help improve the symptoms’ RESOURCES FOR THIS EPISODE www.rheumatology.physio THE BACK PAIN PODCAST PROVIDER MAP - FINDING SOMEONE TO HELP YOU WITH YOUR BACK PAIN https://thebackpainpodcast.com/index.php/members-map/ VALUABLE RESOURCES The Back Pain Podcast The Back Pain Podcast website The Back Pain Podcast recommended products affiliate link Our Rode Mixer https://amzn.to/3waU8bx Our Microphones https://amzn.to/3rzSZ9Z Second Microphone https://amzn.to/2ObKMeA XLR Cable https://amzn.to/3rBL8ZB Studio Headphones https://amzn.to/3u082LE Laptophttps://amzn.to/3dhfafT Our webcam https://amzn.to/31uUefQ  ABOUT THE HOSTS Dave Elliott Dave is the owner of Advanced Chiropractic, a chain of Chiropractic and massage therapy clinics in Essex, UK. Dave still sees patients during the week but has been working hard to talk to as many experts in the field of back pain as possible to help distil all the information and bring it to you in this awesome podcast. You can find Dave on any of the Advanced Chiropractic social media platforms, or you can contact him at [email protected]   if you have any questions for him. -Instagram  Rob Beaven Rob owns and runs a multidisciplinary clinic, The Dyer St Clinic in Cirencester Gloucestershire. His team of Chiropractors, Physiotherapists, Osteopaths, Doctors, and podiatrists all collaborate on thousands of back pain patients every year. Alongside Dave, he has worked hard to bring to the table experts across all industries to give you the low down on back pain, with steps you can implement today to start feeling better. -Instagram -Twitter SOCIAL MEDIA LINKS Instagram Twitter FacebookSupport the show: https://thebackpainpodcast.com