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Online apps have been recommended to help people with lower back pain in a bid to tackle NHS waiting lists. Seven platforms have been given the green light for people over the age of 16 to manage their condition in early value assessment guidance published by the National Institute for Health and Care Excellence (Nice). According to the NHS Long Term Plan, lower back pain is the biggest cause of disability and is thought to account for about 30% of GP consultations every year. England affected by long-term back pain" data-source="UKHSA"> UK Health Security Agency (UKHSA) figures show there are 9.11 million people living with long-term back pain in England. Nice said it hopes its guidance will work towards reducing inequalities in care for musculoskeletal conditions. It also hopes the move could reduce NHS waiting lists, as well as bringing down the number for people using medication or waiting for GP or physiotherapy appointments. On Thursday, it emerged that a record 7.75 million people in England were waiting to start NHS treatment at the end of August. The digital platforms our committee has recommended could provide the NHS with extra capacity to get those effected off waiting lists, which vary in length across the country, and into treatment Mark Chapman, Nice Mark Chapman, interim director of medical technology and digital evaluation at Nice, said: “More than two million people suffer from low back pain each year and there are considerable pressures on NHS services to provide the treatment and care to those needing support with this debilitating condition. “The digital platforms our committee has recommended could provide the NHS with extra capacity to get those effected off waiting lists, which vary in length across the country, and into treatment. “We believe these technologies have the potential to offer value for money for the taxpayer, while offering people with low back pain quicker access to get the care they need at a time and place of their choosing.” The platforms recommended for NHS use are ACT for PAIN, getUBetter, Hinge Health, Kaia, Pathway through Pain, selfBACK and SupportBack. Some of the apps are designed for people with new back pain, while others are aimed at those with chronic back pain. These apps are yet another example of how technology can be used help patients get the care they need, when they need it Health minister Will Quince The platforms offer access to multi-disciplinary teams, along with guided exercise videos, and reminder functions for patients to do tasks such as filling in questionnaires. Health minister Will Quince added: “These apps are yet another example of how technology can be used help patients get the care they need, when they need it. “They offer a range of services which will allow patients to manage lower back pain from the comfort of their homes by improving access to musculoskeletal services – which will form a key part of our Major Conditions Strategy. “This will help to reduce pressures on the NHS and can help to cut waiting lists – one of the government’s top priorities – and will help people to live happier, healthier lives.” The technologies recommended in the guidance can be used once they have appropriate regulatory approval and meet the standards within NHS England’s Digital Technology Assessment Criteria, Nice said. The watchdog also recommends lower back pain self-management, exercise, manual therapies, psychological therapy, and combined physical and psychological programmes as well as return to work programmes. Denice Logan Rose, executive director of BackCare (National Back Pain Association), said: “Very many people living with non-specific low back pain feel that they have nowhere to turn for help, they are desperate and are at a complete loss about what they can do to help themselves. “Apps form a significant part of the technology-driven world we live in and if they can be used to help people living with back pain to lead more pain-free and active lives, this is a huge step forward.” Read More From choppy bobs to fox red, 5 celebrity-approved hair trends for autumn The UK’s first dedicated male breast cancer organisation has launched – here’s why it matters How Taylor Swift’s style has evolved over the years Model Emily Ratajkowski unveils latest fashion campaign 10 ways to cosy-up your home for an autumnal vibe 5 must-have bag trends for autumn

A change in seasons is the best opportunity to shake up your beauty look. Whether you want to go for a chop or style your locks in a different way, there are plenty of celeb-approved hair trends on the rise. These are the looks hair experts predict will be big this autumn… 1. Undone updos Undone updos are the perfect autumnal look for anyone who isn’t too bothered with precision. “Say goodbye to rigid, over-the-top updos and welcome a style that harmoniously combines comfort with couture,” says Gennaro Dell’Aquila, creative director of GA Salons. “Imagine French twists with artfully stray wisps or messy buns so masterfully executed they are nothing short of a work of art.” Model Kendall Jenner and Killing Eve actor Sandra Oh are just some of the celebrity fans of this look. If you want to recreate it at home, Dell’Aquila first recommends applying a small amount of texture product “to add volume and grip”, then: “Secure your hair into a low, loose ponytail, leaving a few strands out for a more relaxed look.” Finally, he says: “Gently twist the ponytail and secure it with bobby pins, allowing some ends to stick out for an undone appearance” – and finish with hairspray. 2. Glass hair On the opposite end of the spectrum is the growing trend for ‘glass hair’ – locks so straight and shiny, they seem to reflect light – seen on everyone from Demi Moore to new Big Brother presenter AJ Odudu. “This isn’t a style for everyone — it’s for those who wish to redefine perfection,” warns Dell’Aquila. If you want to try the look at home, Dell’Aquila recommends washing your hair with a smoothing shampoo and conditioner (“This will help in achieving the sleek and shiny look characteristic of glass hair”), before applying heat protectant and drying it. “For a sleek finish, blow-dry your hair using a round brush, ensuring all strands are perfectly straight and smooth,” Dell’Aquila says. “To achieve that glass-like shine, straighten small sections of your hair at a time. [Then] apply a lightweight shine serum or spray to enhance the glossy appearance.” 3. Curly fringes “A face-framing curly fringe will be all the rage this season,” predicts Jennie Roberts, Afro hair expert at SheaMoisture UK. “As more women transition to their natural hair texture, the curly fringe will allow them to take their Afro to the next level. The fringe should slightly curve towards the sides of your face for a seamless blend, which can be completed with a freehand cutting technique.” Look to celebrities like Grown-ish star Yara Shahidi, Pattern Beauty founder Tracee Ellis Ross and Barbie actor Issa Rae for curly bang inspiration. If you want to get the look, Roberts advises going to a natural hair specialist, “As they’ll be able to ensure the look is completed perfectly for your hair texture.” And to keep it fresh, she says you’ll need to get regular trims, use a diffuser (“to help set the curls in your fringe”) and products that keep your curls “councy and defined”. 4. Fox reds “Copper-coloured hair and autumn are a perfect match,” notes Roberts – and ‘fox red’ is set to be the overwhelming autumn trend for 2023, as seen on Daisy Jones And The Six star Riley Keough. “Fox red is a deep copper shade that has a more muted and brunette base as opposed to more vibrant coppers previously trending. It uses more red-based tones rather than orange, making it a more neutral and less fiery look,” explains Tyler Moore, expert hairstylist at Live True London. While it can be adjusted for most skin tones, Moore suggests it suits people with “pink-red and other cool undertones” best, “As shades in this range can help draw attention away from any red pigmentation”. If you have Afro hair, Roberts adds: “Be mindful because maintaining copper-coloured hair requires a lot of time and effort,” and it’s important to keep your locks well moisturised. 5. Choppy bobs “The choppy bob bridges the gap between a blunt bob and something super layered – it helps give hair texture and movement, creating that perfect rolled-out-of-bed look that’s super chic,” says Moore, who calls it “the cut of the autumn”. In fact, Pinterest searches for ‘choppy bob haircuts’ – perhaps inspired by Wednesday star Jenna Ortega’s ‘do – soared by four times in the three months preceding the end of August, showing just how popular the style is becoming. Moore adds: “If you’re a low maintenance hair lover, this look is perfect for you. It requires limited styling – just some dry shampoo or texturising spray. It can also add some volume for fine strands, and can help lift up weighed down curls.” The best thing about this look? “It’s super easy to style at home – you can make what you want of it,” Moore says. “If you want to add some waves with a curling iron or just roll out of bed with a brush and some texturising spray, this look can be as low or as high maintenance as you need.” Roberts is also a big fan of bobs for autumn. “Think Nineties Whitney Houston vibes,” she says. “The best part about the style is that it can be tailored to your specific curl pattern, which allows you to embrace and enhance your natural hair texture.” Read More The UK’s first dedicated male breast cancer organisation has launched – here’s why it matters How Taylor Swift’s style has evolved over the years Model Emily Ratajkowski unveils latest fashion campaign 10 ways to cosy-up your home for an autumnal vibe 5 must-have bag trends for autumn Dawn O’Porter: ‘I fantasise about the other side of menopause’

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Lorraine regular Dr Amir Khan and This Morning’s Dr Zoe Williams have joined forces to support the launch of the UK’s first ever dedicated male breast cancer organisation. Called Moobs, the organisation was founded by James Richards, 37, who is currently undergoing treatment for the disease after being diagnosed in February, aged 36. Moobs’ main mission is to raise awareness of breast cancer amongst men, and provide a helpful resource for men who get diagnosed. The organisation also runs a monthly support group via Zoom, to ‘help reduce the isolation’ for men affected. “As a male, I’ve always been aware of the risks of prostate and testicular cancer, but I had no idea men were able to get breast cancer – you just don’t hear of it,” said Richards. “In the days following my diagnosis, I was surprised by the lack of tailored support and information readily available around the disease, and much of my treatment plan was based on what was offered to women. “There are differences, but with so few cases and a lack of funding for male breast cancer, we are in danger of isolating those that need support the most.” Around 55,000 women are diagnosed with breast cancer each year, making it the most common form of cancer in the UK. There are also around 400 new diagnoses a year in men – yet awareness of the condition in males is much lower. It’s believed this is contributing to men being less likely to see their doctor when early signs arise, and a 2019 US study found male breast cancer patients have a 19% higher mortality rate than women. As with women, male breast cancer tends to mostly affect older men, aged 60-70. However, it can potentially occur in younger men too, so being aware of the symptoms is important for everyone. Checking for signs When it comes to checking for warning signs, Dr Amir Khan said it’s “very similar” for both men and women. “I always say to women, be ‘breast aware’ – so that’s knowing what’s normal for you, and then being aware of any changes and getting them checked, and it’s exactly the same for men,” Khan told the PA news agency. “[Often] men don’t know that they’ve got breast tissue – but all men have breast tissue, and that means they’re at risk of getting breast cancer. It is a much lower risk than in women, but the risk is still there. “So what I would say to men is, just as often as you check your balls for any lumps, you should be checking your breasts as well. Do them both – balls and breasts – in the shower, once a month.” Khan explained that the “majority of the breast tissue in men is located around the nipple area -so that is the part you need to be hyper vigilant about” when checking for changes. “But saying that, you should be checking the whole of your chest area, right up to the collarbone and under your arm. “As well as that, nipple changes are really important too – so if one nipple has suddenly changed, if it’s pointing inward instead of outward, or if there’s any skin dimpling, any new unexplained rashes around the breast area, or even unexplained persistent breast pain or chest pain, get that checked out.” See your GP While these things don’t mean you definitely have cancer, it’s always best to get things checked with your GP quickly. “We will be able to either reassure you, or make that onward referral. And it is incredibly rare – we’re talking 400 or so men each year diagnosed with breast cancer,” Khan added. “But it’s always better to be safe than sorry, and the longer you leave it [if it is cancer], sadly, the worse the outcome is likely to be. So as soon as you pick anything up, go and see someone.” For more information, visit moobs.uk Read More How Taylor Swift’s style has evolved over the years Model Emily Ratajkowski unveils latest fashion campaign 10 ways to cosy-up your home for an autumnal vibe 5 must-have bag trends for autumn Dawn O’Porter: ‘I fantasise about the other side of menopause’ Everything you need to know about bedbugs as increase in numbers is predicted

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