Musculoskeletal Problems

What is it- This is a broad term which describes pain in a single or multiple joints.

Causes- Osteoarthritis This is a degenerative condition that affects the smooth cartilage that lines the joints. It usually develops in people in their mid 40’s and causes joint pains and stiffness that can get worse over time. It can be a result of injury or age related and usually affects knees hips and hands. , Rheumatoid aThis is an autoimmune condition that the body directly attacks its own joints resulting in pain and stiffness by attacking the synovium which is a layer that lines the joints. It also can affect other parts of the body. It usually affects joints symmetrically. arthritis, Gout, Psoriatic arthritis This is an inflammatory joint condition that usually affects people who suffer with psoriasis. .

Symptoms– These are generic and include pain swelling and stiffness in a joint or multiple joints.  However please attend your nearest Accident and Emergency if you have any of the following symptoms –

  1. Severe sudden onset of joint pain 
  2. Reduced range of movement 
  3. Hot Swollen Red Joint 
  4. Fever 
  5.  General malaise or feeling unwell  

Treatment- This depends on the type of arthritis that is causing the pain and this will be tailored with you and your GP at the time of consultation.

For further information see below the following links 

Septic arthritis – NHS (www.nhs.uk)

Arthritis | Patient

Psoriatic arthritis – NHS (www.nhs.uk)

Gout – NHS (www.nhs.uk)

Rheumatoid arthritis – NHS (www.nhs.uk)

Osteoarthritis – NHS (www.nhs.uk)

What is it- This is a very common condition that usually gets better over time, so over the counter medications and a local pharmacist will be all that is required.

Causes- Non specific causes such as lifestyle or mechanical like a strain (pulled muscle)  or sprain (pulled ligament), or  a slipped disc (sciatica This is a symptom which is caused by the sciatic nerve that runs from the lower back to the foot gets compressed and or irritated. It is usually caused by a prolapsed disc which lies between the two small bones that make up the spine. This disc can protrude for a number of reasons such as heavy lifting or manual labour. It usually gets better within a few weeks with symptoms of the pain getting worse with movement sneezing or coughing. ).  However there are certain medical conditions that can cause back pain such as rheumatological problems such as ankylosing spondylitisThis is a type of inflammatory arthritis which results in the spine fusing together resulting in limited movement and pain and is a chronic long term condition. This usually requires a referral to a specialist rheumatologist. , osteoporosisThis is a condition that results in thinning of the bones and can result in weakness resulting in fractures and this can lead to severe pain., and osteoporotic  fractures.  Haematological causes which are disorders of the blood can also trigger back pain.  Example includes diseases like multiple myelomaThis is a disorder of the bone marrow resulting in problems with blood cell production. It affects the spine ribs skull and the pelvis. It can result in persistent pain as well as other problems such as kidney problems, raised calcium, increased thirst, blurred vision, headaches, dizziness, unusual bleeding from the nose or gums, and weight loss. For more information please see following link for Myeloma UK .  Inaddition other causes include prostatic cancer, infection Any infection that affects the bone or cartilage can result in sever back pain and symptoms such as a fever, night sweats and pain. Infection is usually classified into 2 causes such as osteomyelitis- infection in the bone itself or discitis which is infection in the cartilage in between the bones of the spine (vertebrae). This is the cause of back pain in patients on long term steroids or drugs that affect the immune system or in drug users, or if there is a recent history of infection or sepsis.   or kidney problems such as Pyelonephritis This is back pain as a result of infection in the kidneys. It can result in fever shivery vomiting and symptoms of a UTI. , or kidney stones. stones can be found in the kidneys and ureters and can travel down to the bladder and can cause severe back pain which usually spreads to the abdomen and into the groin. The pain usually comes in waves and can result in vomiting and nausea and symptoms of a UTI.

Symptoms- Non specific / Mechanical back pain usually involves back pain getting better or worse depending on position with the pain sometimes going into the legs (sciatica). However symptoms will depend on the cause of the problem.

Treatment- The main stay of treatment involves treating the underlying cause of the pain.  However most cases are caused by nonspecific problems and usually get better over the next few weeks with gentle exercises, stretching exercises, keeping active as well as possible  input from other health care professionals such as a physiotherapist, osteopath or chiropractor as well as over the counter pain killers – oral and topical.

Book online now to discuss pain management, further investigations  or simply your concerns.  The team at MyDoc can help.

For further information regarding back pain and its management go to the following links 

Sciatica – NHS (www.nhs.uk)

Kidney Stones (Causes, Symptoms, and Treatment) | Patient

Kidney stones – NHS (www.nhs.uk)

Back pain – NHS (www.nhs.uk)

Lower Back Pain | Types, Causes, Treatment & Living With Back Pain | Patient

What is it- This is a type of arthritis which causes sudden pain and swelling usually in one joint, It is caused by the build up of uric acid crystals within the joint.

Symptoms- Swollen joint, red hot joint, pain with walking or moving the joint,  severe joint pain with tenderness and sensitivity to touching it.

IF YOU HAVE SEVERE JOINT PAIN WITH A FEVER PLEASE CALL 111 OR ATTEND YOIUR NEAREST AE DEPARTMENT.

Sites affected- Most commonly the big toe but ankles writs, knees and hands can all get affected by gout.

Causes- Most common causes are to much rich foods such as red meat and excess alcohol and can be linked to heart disease and high blood pressure.  Sometimes gout can be caused by underlying medical conditions such as leukaemia, kidney problems, to many red blood cells (polycythaemia).  Other causes include medications such as diuretics (water tablets) beta blockers, and ACE inhibitors (treatment of high blood pressure).

Treatment– Usually gout can be treated by changing lifestyle and diet.   However it may be that our GPs may need to refer you to a private specialist to investigate the cause.  However, if our doctor feels this is gout related to lifestyle and alcohol then simple pain killers such as ibuprofen and paracetamol and sometimes stronger medications such as steroids can be used to treat gout.

See below for more information 

Gout – NHS (www.nhs.uk)

Gout | Causes and Treatment | Patient

This can be caused by many different things.  Click the link below that will take you to MyDoc’s very own Youtube channel to watch interviews with the UK leading consultants discussing hip pain and its causes and how it can be managed at home and when further medical input by one of our GPs is needed. 

Alternatively book online and make an appointment to discuss any concerns you have regarding your hip pain or even go to MyConsult and get a referral letter to see a specialist which can be emailed the same day.

For causes of hip pain visit the following links 

Hip pain in adults – NHS (www.nhs.uk)

Hip Problems | Patient

Again, there are many causes of knee pain.  Click the link below that will take you to MyDoc’s very own Youtube channel where our very own Dr Elizabeth talks to the UK leading consultants regarding the causes of knee pain and what you can do to manage this at home. 

You can also find common causes of knee pain at the following the link below

Knee pain – NHS (www.nhs.uk)

Knee Pain (Causes, Types and Assessment) | Patient

 

 

This can be caused by many different things.  Click the link below that will take you to Mydoc’s very own Youtube channel to watch interviews with the UK leading consultants discussing shoulder  pain and its causes and how it can be managed at home and when further medical input by one of our GPs is needed. 

Alternatively book online and make an appointment to discuss any concerns you have regarding shoulder pain or even go to MyConsult and get a referral letter to see a specialist emailed the same day.

For further information on the causes of shoulder pain see the following links below 

Shoulder Pain | Causes & Treatment | Patient

Shoulder pain – NHS (www.nhs.uk)

 

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If you are experiencing the following symptoms

  • PINS AND NEEEDLES IN BOTH LEGS
  • LEG WEAKNESS
  • CHANGES IN SENSTAION AROUND YOUR GENITALS OR BUTTOCK AREA
  • CHANGES in urination such as cannot urinate, difficult to urinate or inability to control urination.
  • CHANGES IN YOUR ABILITY TO BE ABLE TO PASS STOOL OR FEEL THE NEED TO PASS STOOL

THEN YOU MUST CALL 999 OR ATTEND YOUR NEAREST AE DEPARTMENT

At Mydoc you can see a GP at any time as well as be referred to private physiotherapists within the local state of the art private hospitals.  You can call us 7 days a week to discuss your back pain.  Our highly trained GP’s will be able to diagnose the problem and be able to offer a management plan tailored to your own needs.

***Please be aware that our doctors do not prescribe controlled drugs such as tramadol, diazepam or any benzodiazepines***

 

How can we help?

Mydoc offers virtual consultations online and via a smartphone and this can be same day or at a day and time that is convenient to our client.

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