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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

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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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Although people typically associate the month of October with spooky season and the beginning of fall foliage, the month is also known as Breast Cancer Awareness Month. Breast Cancer Awareness Month dates back to 1985, when the American Cancer Society picked one week in October and teamed up with the pharmaceutical division of Imperial Chemical Industries – now part of AstraZeneca, which has worked to develop medicines for breast cancer treatment. The initial goal for the week-long event was to raise awareness towards breast cancer screenings and mammograms. First Lady Betty Ford was diagnosed with breast cancer when her husband, former US president Gerald Ford, was in office. As a breast cancer survivor, she initially helped bring attention to the disease during the week-long event. Over the years, the original week transformed into a month-long event. The goals for Breast Cancer Awareness Month have also evolved over time, such as supporting people diagnosed with breast cancer and metastatic breast cancer, educating people about breast cancer risk factors, stressing the importance of regular screening starting at age 40, and fundraising for breast cancer research. However, the well-known pink ribbon associated with Breast Cancer Awareness Month wasn’t introduced until the 1990s. The inspiration for the ribbon dates all the way back to 1979, when the wife of a hostage who had been taken in Iran tied yellow ribbons around the trees in her front yard as a symbol of her desire to see her husband return home safely. Ribbons were also used years later during the AIDS epidemic, when activists made bright red ribbons to represent those affected by AIDS. The AIDS ribbon was made mainstream after the 1991 Tony Awards, when actor Jeremy Irons was the first to publicly wear the pinned ribbon with a singular loop while hosting the awards show. A woman named Charlotte Haley is attributed with the creation of the Breast Cancer Awareness ribbon, as she was the granddaughter, sister, and mother of women who have all battled breast cancer. Initially, she designed the breast cancer ribbon to be peach-coloured instead of pink. With each ribbon, she passed out a card that read: “The National Cancer Institute annual budget is $1.8 billion, only five per cent goes for cancer prevention. Help us wake up our legislators and America by wearing this ribbon.” Because of her success in passing out thousands of ribbons, many corporations and news outlets reached out to Haley asking to showcase her ribbons and the message she was promoting. She declined each offer as she believed they were “too corporate”, but Self magazine was increasingly persistent. The magazine’s lawyer insisted they change the symbol’s colour, and the pink ribbon was born. In October 1992, the pink ribbon first spread across the nation after Estée Lauder displayed the symbol on its cosmetic counters throughout the country. While the iconic shade of pink is normally associated with Breast Cancer Awareness Month, other colours have been introduced, including hot pink for inflammatory breast cancer; teal and pink for hereditary and gynecologic cancers; pink and blue for male breast cancer; and teal, pink, and green for metastatic breast cancer. According to the American Cancer Society, breast cancer is the second most common cancer in women after skin cancer. There is a 13 per cent chance, or one in eight chance, that a woman will develop breast cancer at some point in her lifetime. Although breast cancer is more typically associated with women, it can also occur in men. In 2021, President Joe Biden designated 17 October to 23 October as Men’s Breast Cancer Awareness Week. While Friday the 13th may be a spooky-themed day, don’t forget that it’s also Metastatic Breast Cancer Awareness Day. Read More Elizabeth Hurley issues reminder to women about getting mammograms as she raises awareness about breast cancer Amy Dowden delights Strictly Come Dancing fans in surprise appearance amid breast cancer treatment Jill Biden urges women to get mammograms or other cancer exams during Breast Cancer Awareness Month Elizabeth Hurley issues reminder to women about getting mammograms Sharon and Ozzy Osbourne ‘plan to be euthanised’ if they lose mental abilities Billy Connolly says reports of his ‘demise have been greatly exaggerated’

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