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Welcome Back Rheumatology Fans,

Something a bit different this week as I prepare for 2025 and try to adapt, grow and improve. A Vlog of sorts.

So can we prevent Rheumatoid Arthritis? It is early days in this research but it is starting to look positive. I discuss this as well as some tips for implementation to clinical practice.

Further Resources

Hello there Rheumatology Fans,

My first podcast for a while, I have been busy with other projects and they have slipped off the priority list but I couldn’t leave this topic uncovered.

I discuss barriers and facilitators to First Contact Physiotherapists identifying Axial Spondyloarthritis with Carissa Jones whose MSc dissertation was on this exact subject. It is obviously a topic close to my interest as it is a big audience I teach to!

Tons of useful information in this one and I am very grateful to Carissa for giving up her time and expertise to record with me!

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Dr Katherine Jones joins the chaps for this episode. Dr Jones explains the interactions between inflammatory bowel diseases and exercise, does it help?

Spoiler... There are a lot of unanswered questions!

The conversation steers from benefits to barriers, via hernias and finally to advice. Tim lends his experience of the struggles he has had returning to exercise and Rob discusses his return to Iron Man (the absolute nutter).

You can email us now so get in touch! [email protected]

Crohn's Disease and Ulcerative Colitis are conditions that are termed Inflammatory Bowel Diseases. These are auto-inflammatory conditions meaning they are caused by the bodies own immune system mistakenly affecting its own tissues.

Rob Beaven - https://dyerstclinic.com/

Jack March - https://rheumatology.physio

Tim Colledge - https://open.substack.com/pub/timcolledge05

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Previous Episodes…

Ep1 - The Diagnostic Journey

Prelude - Who Are We And Why Are We Here?

This is a public episode. If you’d like to discuss this with other subscribers or get access to bonus episodes, visit rheumatologyphysio.substack.com/subscribe

Dr Mike McFarlane joins the chaps in this episode. He lends his considerable expertise as a Consultant Gastroenterologist as we cover a huge lot of ground from initial symptoms, diagnostic testing, different pathways, what happens after diagnosis and more...!!

Crohn's Disease and Ulcerative Colitis are conditions that are termed Inflammatory Bowel Diseases. These are auto-inflammatory conditions meaning they are caused by the bodies own immune system mistakenly affecting its own tissues.

Rob Beaven - https://dyerstclinic.com/

Jack March - https://rheumatology.physio

Tim Colledge - https://open.substack.com/pub/timcolledge05

Also available in all podcast players:

SPOTIFY

APPLE PODCASTS

This is a public episode. If you’d like to discuss this with other subscribers or get access to bonus episodes, visit rheumatologyphysio.substack.com/subscribe

Jack, Rob, and Tim explain who they are, why they are here, and what this podcast is going to all be about.

Crohn's Disease and Ulcerative Colitis are conditions that are termed Inflammatory Bowel Diseases.

These are auto-inflammatory conditions meaning they are caused by the body’s own immune system mistakenly affecting its own tissues.

Rob Beaven - https://dyerstclinic.com/

Jack March - https://rheumatology.physio

Tim Colledge - https://open.substack.com/pub/timcolledge05

Also available in all podcast players:

SPOTIFY

APPLE PODCASTS

This is a public episode. If you’d like to discuss this with other subscribers or get access to bonus episodes, visit rheumatologyphysio.substack.com/subscribe

Jim was just a little excited to indulge in one of his favourite topics for a full podcast - Osteoarthritis.

Ossur produce a wide range of limb products, of particular interest are their medial offloader braces for knee osteoarthritis. These provide a very real option as part of a management program for this tricky condition and Jim wanted to delve deep into how and why they might work.

A lot of ground covered as he discusses with Giles the construction of the braces, how they work and who they might work for, improving compliance/tolerance and the cost implications.

⁠You can find out more about Ossur here⁠

You can also contact them for more information by email [email protected] or phone 03450 065 065

Don't forget to like and subscribe to the podcast, if you have 10 seconds why not leave a review!

This is a public episode. If you’d like to discuss this with other subscribers or get access to bonus episodes, visit rheumatologyphysio.substack.com/subscribe

Jack March am a big fan of NASS, this isnt news really. What is news though is they have innovated again in the patient self-management and support world. YourSpAce is a sensational resource to signpost patients to. Zoe Clark - Senior Self-management Programme Officer NASS and Allied Health Professional is here to discuss the project.

Your SpAce LinkOrder free promo packs (postcards and A4 posters)

Your SpAce has been supported by funding from Novartis. Novartis had no editorial input.

With thanks to Ben Marlow from Ben&Jack Studio for recording and editing https://benandjackstudio.com

This is a public episode. If you’d like to discuss this with other subscribers or get access to bonus episodes, visit rheumatologyphysio.substack.com/subscribe

We are finishing up this AxSpA series with a bang! I finally managed to get Dr James Noake behind the microphone to talk about AxSpA in Sport and Exercise Medicine. We discuss the patients that attend his clinic, some of his tips, the challenges that this cohort present and the role of SEM Consultants in assessment/management

Find James on twitter HERE

Please provide feedback on this podcast HERE

Thank you to Novartis for sponsoring this Series of 5 podcasts For more resources CLICK HERE

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Psoriasis as we know is a big risk for developing Psoriatic Arthritis. Clinically reasoning who we send to Rheumatology is a little bit of a challenge however. Do you refer a person with Psoriasis and tendon pain? Or do you need more of an inflammatory picture first? 

We don't want to delay diagnosis but we also don't want to over investigate or over medicalise. I discussed one way in a blog about nails. In this video I discuss a paper that looks at Psoriasis, MSK Pain and Ultrasound. We take some useful ideas from it to help with clinical reasoning.

 Unfortunately the paper is not open access but you can find it here. 

 Please consider heading to rheumatology.physio/shop to find more resources and supporting me to continue this hairbrained project!   

As usual, feedback is greatly appreciated and for any further reading for me please send it my way!  

PLEASE REMEMBER – THIS BLOG IS NOT A REPLACEMENT FOR CLINICAL REASONING, IF YOU ARE UNSURE GET ADVICE

This is a public episode. If you’d like to discuss this with other subscribers or get access to bonus episodes, visit rheumatologyphysio.substack.com/subscribe

Full Paper open access here

Please visit the website for more CPD

This is a public episode. If you’d like to discuss this with other subscribers or get access to bonus episodes, visit rheumatologyphysio.substack.com/subscribe