iMSK

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Physiotherapists are helping local people to manage their musculoskeletal conditions

Ruth Marrison is one of 11 physiotherapists across Morecambe Bay who have trained to lead an exercise programme to help empower patients to self-manage osteoarthritis (chronic joint pain) of the knee and hip. 

Since July 2019, Ruth, along with her colleague Kayleigh Webster (both members of the Furness Community MSK Physiotherapy team) has provided 25 people from the Barrow area with the tools and techniques to self-manage their symptoms; focusing on exercise plus exploring the physical and psychosocial aspects of managing persistent joint pain. 

The Enabling Self-Management and Coping with Arthritic Pain using Exercise (ESCAPE-pain) programme is aimed at people over 45 years old with a diagnosis of osteoarthritis of the hip and/or knee and who are capable of independent exercise. 

Ruth Marrison, Specialist MSK Physiotherapist, said: “I think it’s a great evidence-based programme in a group setting which helps to empower people with knee and hip osteoarthritis to be able to self-manage their symptoms.  

“Many people assume once they have osteoarthritis that it’s a downward spiral and that there is little that can be done to help with their symptoms and that ultimately they will end up requiring a joint replacement. A lot of the people who come through ESCAPE-Pain haven’t exercised for a long time due to fear of exacerbating their symptoms and ‘doing harm’. We explain that not only is a graded exercise programme safe, it’s actually beneficial and what’s more, it’s often very enjoyable.” 

People attend 12 one-hour sessions, twice a week, over a six week period. The sessions involve a 15-minute talk which includes educational self-management and coping strategies, followed by a 45-minute exercise programme individualised for each person. 

Long-term benefits of the programme include: 

  • Patients growing in confidence to self-manage their condition, which can reduce future contacts with the GP or physiotherapist
  • Self–management can help delay or reduce the need for surgery or repeat prescriptions
  •  Exercise can help to manage other co-morbidities such as diabetes.

Currently, GPs and other Healthcare Professionals refer people to the physiotherapy service for assessment and the physiotherapist identifies appropriate people to refer onto for the ESCAPE-pain programme. In the future, the programme will be extended across community venues to include other therapists and fitness instructors. A self-referral option for people with hip or knee arthritis will also be in available. 

Patient feedback has included: 

“The programme has helped me to understand pain. To have confidence in managing the pain.” 

“Good, clear instruction on managing my pain with exercise.” 

 “Everything was explained very well and I feel confident to carry on with the exercises and diet control.” 

 “My care was very good. I was reassured that I can manage my arthritis without being afraid of further damage.” 

 “Time to discuss issues with physio. Very positive. Information about management of pain, medication, exercise, diet. Very good.” 

This new way of working is another example of Bay Health and Care Partners working together more effectively to provide better care in the community, which will keep people across Morecambe Bay healthier and at home for longer without having to come into hospital.

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People from the Barrow area have more confidence to manage their musculoskeletal conditions thanks to exercise programme

Twelve people from Barrow, Millom and Dalton, have been attending an exercise programme at the gym at Hoops Basketball Centre, Barrow, to help them cope with osteoarthritis (chronic joint pain) of the knee and hip, and initial feedback has been

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2 responses to “People from the Barrow area have more confidence to manage their musculoskeletal conditions thanks to exercise programme”

  1. Pat Allison says:

    Are there any plans to do this in other areas. I have psoriatic & chronic osteoarthritis and live in Silverdale, any chance of something similar at WGH.

    Retired Nurse

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Specialist clinics for those with musculo-skeletal conditions in South Cumbria becomes permanent

A new service for patients referred to the orthopaedic service – where they see a physiotherapist in special clinics rather than a consultant surgeon – has become permanent after an eight month trial period. In the integrated musculo-skeletal (iMSK) service

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6 responses to “Specialist clinics for those with musculo-skeletal conditions in South Cumbria becomes permanent”

  1. Ann Allison says:

    Hi,

    I have severe arthritis, can my GP refer me ? or through a consultant, I am a patient of Dr F.Wood,Consultant Rheumatologist.

    Many thanks,

    Ann Allison

  2. Ann Allison says:

    Good morning, please moderate my reply and answer my question.

    Thank you.

  3. Why was my reply not added after moderation.? With brittle asthma type 2 & bronchiectasis, plus chronic osteoarthritis I need to know about this. If no one has the time, let me know where the Heysham Unit is situated and there is a a similar service at WGH ?

    Jim Allison
    retired Welfare Rights Lawyer.

    • Ailsa Martin says:

      Hi Jim, I have passed your details onto Barry Rigg, our Community Engagement Manager, who will contact you as soon as possible about volunteering with us. The Trust does not operate a Heysham Unit, if you contact our WGH switchboard on 01539 732288 they will be able to put you through to the most relevant unit in the hospital. Hope this helps.

  4. Thank you so much for your reply. I think this service is remarkable, saving appointments for Orthopaedic Surgeons such as Mr Radcliffe and Mr Stuart for those who need surgery.

    Pleased to hear the trial went well, and this initiative is now permanent through UHMBT.

    Dr Jim

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New ways to treat those with musculo-skeletal conditions in South Cumbria

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A new service for patients referred to the orthopaedic service in south Cumbria – where they see a physiotherapist in newly-designed clinics rather than a consultant surgeon – is being hailed a success. In the integrated musculo-skeletal (iMSK) service, which

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2 responses to “New ways to treat those with musculo-skeletal conditions in South Cumbria”

  1. Andrew Ward says:

    Hi, I had an Imsk appointment 11 weeks ago and gave had no feedback or contact whatsoever. How is this an improvement?

    • Ailsa Martin says:

      Hi Andrew, if you would like to share a comment, compliment or complaint, just contact our Patient Relations team on 01539 716621. Many Thanks.

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