Intra-articular injections are sometimes used to relieve pain for people with osteoarthritis. These include injections with corticosteroids, hyaluronan and stem cells. Corticosteroid injections are undertaken to deliver this high dose anti-inflammatory agent within the joint to reduce inflammation of the...
Electrotherapy can be used to provide pain relief in a range of conditions including osteoarthritis. Although Transcutaneous Electrical Nerve Stimulation (TENS) was recommended as an intervention to consider in NICE Osteoarthritis guideline CG177 it is not thought to be widely used within the NHS. TENS i...
In the absence of red flag signs or symptoms, the diagnosis of osteoarthritis can be achieved through clinical assessment (history taking and examination). Imaging findings do not always correlate well with the patient’s symptoms, particularly in the early stages of osteoarthritis, and management is no...
Knowing when to refer a person with osteoarthritis for consideration for a joint replacement is a challenge for healthcare professionals working in primary care. There are few contraindications to surgery now that it can be performed without a general anaesthetic. Joint replacement can have significant b...
People with osteoarthritis may have ongoing issues that are not completely managed by the interventions prescribed. While there are times where imaging is clearly indicated (e.g. with a history or worsening symptoms triggered by trauma) it is not apparent whether it provides any benefit using it more wid...
This guideline covers advice on the diagnosis and management of tension-type headache, migraine
(including migraine with aura and menstrual-related migraine), cluster headache and medication
overuse headache in young people (aged 12 years and older) and adults. It aims to improve the
recognition and mana...
This guideline covers the diagnosis and management of prostate cancer in secondary care,
including information on the best way to diagnose and identify different stages of the disease, and
how to manage adverse effects of treatment. It also includes recommendations on follow up in
primary care for people...
This guideline covers managing colorectal (bowel) cancer in people aged 18 and over. It aims to
improve quality of life and survival for adults with colorectal cancer through management of local
disease and secondary tumours (metastatic disease).
The recommendations in this guideline were developed befor...
This guideline covers identifying children, young people and adults with symptoms that could be
caused by cancer. It outlines appropriate investigations in primary care, and selection of people to
refer for a specialist opinion. It aims to help people understand what to expect if they have
symptoms that ...
This guideline covers the prevention, assessment and non-surgical management of pelvic floor
dysfunction in women aged 12 and over. It aims to raise awareness and help women to reduce their
risk of pelvic floor dysfunction. For women who have pelvic floor dysfunction, the guideline
recommends interventio...
