Physio Charlie

I have a new website!!

http://physiocharlie.vpweb.co.uk

I had a patient today with psoratic arthritis.  I needed to recap my knowledge on this:

http://www.arc.org.uk/arthinfo/patpubs/6029/6029.asp

http://www.psoriasis-association.org.uk/arthritis.html

http://www.psoriasis-association.org.uk/PsA4.pdf

Psoriatic arthritis is an inflammatory joint disease associated with psoriasis. Like all arthritis, psoriatic arthritis can cause stiffness, pain and lack of movement in affected areas. It most commonly affects the joints in the hands and feet, but can also cause inflammation, swelling and pain in larger joints, including the knees, elbows, hips and the spine. The inflammation in psoriatic arthritis can also affect the tendons (the fibrous tissue that attaches the muscle to the bone).

http://en.wikipedia.org/wiki/Conversion_disorder

Conversion disorder is a condition where patients present with neurological symptoms such as numbness, paralysis, or fits, but where no neurological explanation can be found. It is thought that these problems arise in response to difficulties in the patient's life, and conversion is considered a psychiatric disorder in the International Statistical Classification of Diseases and Related Health Problems (ICD-10)

Conversion disorder: the modern hysteria, Owens and Dein Advances in Psychiatric Treatment 12 (2): 152. (2006)

http://apt.rcpsych.org/cgi/reprint/12/2/152

See presentation on the iCSP:

http://www.interactivecsp.org.uk/network/viewArticle.cfm?...

I had a patient today who was taking daily injections of Forsteo for his osteoporosis.  I hadn't heard of this so I looked it up:

http://www.netdoctor.co.uk/medicines/100004979.html

"Forsteo injection contains the active ingredient teriparatide, which is a type of medicine called a bone formation agent.

Teriparatide is a synthetic version of human parathyroid hormone, which is produced by the parathyroid glands. This hormone is involved in the metabolism of calcium and phosphorous. Teriparatide mimics the effects of the natural human hormone and is used to increase bone formation".

Exercise for treating Fibromyalgia syndrome is evidence based, see:  http://www.mrw.interscience.wiley.com/cochrane/clsysrev/a...

FMS in other languages;  http://www.iasp-pain.org/AM/Template.cfm?Section=Fact_She...