Welcome to the BSUH
Your road to recovery begins today
Welcome to the MSK hub where you will find up to date evidence-based information/resources on how to self manage many common musculoskeletal (MSK) conditions.
For many NHS staff the current Covid-19 pandemic has increased the physical and psychological demands of their work.
If you are experiencing MSK symptoms you now have 24/7 access to a range of resources/information to help you start self managing your symptoms immediately. Just follow the self care guide below and simply click on the link related to the body area you are experiencing issues with.
If you are still experiencing difficulties or are unable to find the right advice for your symptoms then you may wish to consider self-referring to physiotherapy. Further details on how to self refer can be found towards the end of this page.
Whilst most MSK problems will resolve in time it is important to contact your GP urgently if you have any of the following symptoms :
Loss of sensation in both of your legs
Recent onset urinary retention
Loss of sensation in your buttocks,
Perineum or inner surfaces of the thighs.
Recent onset faecal incontinence
History of major trauma
Sudden onset of severe central spinal pain which is relieved by lying down.
Past history of cancer
Fever, chills or unexplained weight loss
Pain that disturbs you at night
History of being immunocompromised
Alternatively NHS 111 can help if you have an urgent medical problem and you’re not sure what to do.
To get help from NHS 111, you can:
go to 111.nhs.uk (for people aged 5 and over only)
NHS 111 is available 24 hours a day, 7 days a week.
MSK Self Care
It's essential that the information you receive gives you the most effective chance of recovery and through the links below, you will find the best advice, guidance and exercises for your pain. Simply click on the relevant body part to be taken to a full list of resources to help you on your way.
These MSK self-management resources are supported by NHS England and NHS Improvement as part of the MSK leadership group which also includes The British Orthopaedic Association (BOA), The British Society for Rheumatology (BSR), The Chartered Society of Physiotherapy (CSP), Versus Arthritis and the Arthritis and Musculoskeletal Alliance (ARMA).
Need further help ?
Consider self-referring to physiotherapy if you require professional advice on how to manage your condition.
If you reside in Brighton & Hove, Crawley, East Grinstead, Horsham or Mid Sussex then you can self-refer to physiotherapy (without having to see your GP) via the Sussex MSK Partnership Central service. They also offer an extensive self care section on a range of MSK conditions.
Alternatively if you are an employee of BSUH NHS trust then you can self refer to the BSUH staff physiotherapy service. Currently the service offers two types of physiotherpay appointment for staff :
Single Session Virtual Appointment - 30-45 minutes
This type of appointment is ideal for those that still wish to self manage their symptoms but may benefit from a more directed approach initially. The assessment will be conducted over the phone or via video and will aim to provide you with a diagnosis and treatment plan to enable you to self manage your condition following the appointment.
Standard Physiotherapy Virtual Appointment - 45 minutes
This type of appointment is ideal for those that may require a little more input from a physiotherapist over a few weeks. The initial assessment will be conducted over the phone or via video and will aim to provide you with a diagnosis and treatment plan. A telephone/video 30 minutes follow-up will usually be arranged 1-2 weeks following the initial assessment to ensure progress is being made. At this point discharge will be considered allowing you to continue to self manage your condition although the option for a face to face appointment will be discussed if deemed appropriate.
How to choose which appointment is best for you
The Keele STarT MSK Tool has been developed to help place patients into the right treatment pathway. Answer the following questions below and then add up your total score (highlighted in pink) to help you decide which appointment might be best for you.
For questions 1-9, think about just the last two weeks:
1) On average, how intense was your pain [where 0 is “no pain” and 10 is “pain as bad as it could be”]?
2) Do you often feel unsure about how to manage your pain condition? Yes (1) No (0)
3) Over the last two weeks, have you been bothered a lot by your pain? Yes (1) No (0)
4) Have you only been able to walk short distances because of your pain? Yes (1) No (0)
5) Have you had troublesome joint or muscle pain in more than one part of your body? Yes (1) No (0)
6) Do you think your condition will last a long time? Yes (1) No (0)
7) Do you have other important health problems? Yes (1) No (0)
8) Has pain made you feel down or depressed in the last two weeks? Yes (1) No (0)
9) Do you feel it is unsafe for a person with a condition like yours to be physically active? Yes (1) No (0)
10) Have you had your current pain problem for 6 months or more? Yes (1) No (0)
If you score 4 or less then a single session virtual appointment is likely to be the best choice for you.
If you score over 5 then please choose a standard physiotherapy virtual appointment.
**We are currently using a third party company to provide online booking services. You can find out further information about this company and their compliance with current GDPR guidelines on their website https://www.appointy.com/gdpr/. If you do not want to submit your information to this third party then please email Carl Smith or call the OH department on 01273 696955 Ext 64011 to book an appointment.
0 1 2 3 4 5 6 7 8 9 10
Score 0 0 0 0 0 1 1 2 2 3 3
Occupational Health Department,
The Art Block,
Royal Sussex County Hospital
01273 696955 ext 64011
Book/Amend your appointment online
**Available to BSUH employees only