This guideline covers recognition, referral, investigation and management of spinal metastases and metastatic spinal cord compression (MSCC). It is also relevant for direct malignant infiltration of the spine and associated cord compression. It aims to improve early diagnosis and treatment to prevent neu...
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...
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...
This guideline covers the circumstances for inducing labour, methods of induction, assessment,
monitoring, pain relief and managing complications. It aims to improve advice and care for pregnant
women who are thinking about or having induction of labour.
In this guideline we use the terms 'woman' and 'wo...
This guideline covers when to offer caesarean birth, discussion of caesarean birth, procedural aspects of the operation, and care after caesarean birth. It aims to improve the consistency and quality of care for women who are thinking about having a caesarean birth or have had a previous caesarean birth ...
This guideline covers managing acute and chronic pancreatitis in children, young people and adults.
It aims to improve quality of life by ensuring that people have the right treatment and follow-up,
and get timely information and support after diagnosis.
In December 2020, we highlighted the importance of...
This guideline covers assessing and managing osteoarthritis in adults. It covers both pharmacological and non-pharmacological treatments. It promotes effective treatment options to control joint pain and improve function in people with osteoarthritis. In December 2020 we reviewed our guidance on opioids ...
This guideline covers assessing and managing low back pain and sciatica in people aged 16 and over.
It outlines physical, psychological, pharmacological and surgical treatments to help people manage
their low back pain and sciatica in their daily life. The guideline aims to improve people's quality of
li...
This guideline covers managing neuropathic pain (nerve pain) with pharmacological treatments (drugs) in adults in non-specialist settings. It aims to improve quality of life for people with conditions such as neuralgia, shingles and diabetic neuropathy by reducing pain and promoting increased participati...
This guideline covers care for adults (aged 18 and over) having elective or emergency surgery, including dental surgery. It covers all phases of perioperative care, from the time people are booked for surgery until they are discharged afterward. The guideline includes recommendations on preparing for sur...
