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Headache & Migraine Treatment by Specialists, Providing Lasting Relief. Interviews revealed that, on the whole, weight was perceived as a sensitive subject to address Physiotherapy for back pain among patients with hip OA. How it was broached was variable, with physiotherapists either being blunt and direct, sensitive and diplomatic, or light‐hearted.
Samantha is a physiotherapist with just over 20 years of experience She studied at the University College of Salford and obtained her degree, Physiotherapy BSc(Hons), in 1996 In 2016 she won ‘Therapist of the year' at the Blackpool Gazette's Healthcare Awards.



Participants were asked about their attitudes, beliefs and clinical experiences with regard to managing weight loss in overweight and obese patients with hip OA. Open‐ended questions also provided physiotherapists with the opportunity to raise other related issues that they felt were important.
The difference in pain relief between the 2 treatments was statistically significant (P =009).40 Amantadine's place in pain has not be established, but could be an option when other medications have failed or a patient is unable to tolerate AEs from other medications.

I would strongly recommend Paul if you have back pain, he has given me back my life, I have just returned from a short break in Lisbon a city built on hills, I could not have even thought of going six months ago let alone walking up the cobbled streets.
Physiotherapists have an important role in the management of people with hip OA. They are well placed to support condition self‐management as they already provide education and exercise (Holden, Bennell, et al., 2018 ). However, little is known about how physiotherapists address weight within the consultation and whether weight loss support is currently being delivered in ways to optimize clinical outcomes.
As weight can be systematically underestimated (Stommel & Schoenborn, 2009 ), this may lead to missed diagnoses and treatment of patients with hip OA who are overweight or obese, a pattern also seen in general practice more widely (Ossolinski, Jiwa, & McManus, 2015 ). Weight was most commonly addressed by the provision of advice; however, some physiotherapists also referred on to other services or healthcare professionals, including slimming clubs (28%), dieticians (21%) and GPs (8%).
We take patients from any area, and are particularly well located for patients from Leyland, Preston, Chorley, Blackburn, Lytham St Anne's, Ormskirk, Skelmersdale, St Helens, Bootle, Wigan, Leigh, Bury, Walkden, Darwen, Accrington and Clitheroe, all of which are within 20 miles of the practice.

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