{"id":7960,"date":"2022-07-15T11:27:04","date_gmt":"2022-07-15T10:27:04","guid":{"rendered":"https:\/\/apps.nhslothian.scot\/refhelp\/?page_id=7960"},"modified":"2025-04-22T09:10:35","modified_gmt":"2025-04-22T08:10:35","slug":"chronic-msk-pain-local-services","status":"publish","type":"page","link":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/musculoskeletalphysiotherapy\/chronic-msk-pain-local-services\/","title":{"rendered":"Chronic MSK Pain (Local Services)"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><strong>Physiotherapy Led Chronic Pain Management Service<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Services<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The service provides a biopsychosocial approach to Persistent Pain, delivered by a team of physiotherapists across Lothian who have had training in pain management.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Their aim is to encourage exploration into the different methods of self management to ultimately allow the individual to cope better with their pain.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Each patient will be assessed and offered individualised pain management through a combination of group sessions and \/ or one to one sessions.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Group sessions provide an opportunity to learn, understand and reflect on all aspects of pain management and how pain personally affects each individual. The classes are delivered over 6 weeks. Patients learn and consolidate their self-management strategies by attending group learning in: Understanding Pain, Pacing, Relaxation, Activity Management, Managing Thoughts and Flare up planning.<\/p>\n\n\n\n<div class=\"wp-block-getwid-tabs\" data-active-tab=\"0\"><ul class=\"wp-block-getwid-tabs__nav-links\"><\/ul>\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Referral Guidelines<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<h4 class=\"wp-block-heading\"><strong>Who to refer:<\/strong><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Are aged 16 or over<\/li>\n\n\n\n<li>Chronic musculoskeletal pain &gt; 6 months<\/li>\n\n\n\n<li>Exhibit mild to moderate psychological or emotional distress regarding their pain. Please see \u201c<strong>who not to refer<\/strong>\u201d for further information<\/li>\n\n\n\n<li>The person is open to self-management and able to make a commitment to the methods and goals of treatment.<\/li>\n\n\n\n<li>No planned referral to another specialty for diagnosis or treatment of pain.<\/li>\n\n\n\n<li>All relevant investigations have been completed<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">Who not to refer:<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Age &lt;16yrs<\/li>\n\n\n\n<li>Unresolved abuse, post traumatic stress, eating disorders, severe anxiety, anger management issues, obsessive compulsive disorder require disorder specific services.&nbsp; <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/mentalhealthadult\/\" target=\"_blank\" rel=\"noreferrer noopener\">Mental Health (Adult) \u2013 RefHelp<\/a><\/li>\n\n\n\n<li><strong>Patients who require prior treatment\/assessment of interdependent conditions:<\/strong>  \n<ul class=\"wp-block-list\">\n<li><strong>High levels of psychological or emotional distress<\/strong>: If caused by factors not related to pain eg severe depression, severe anxiety, psychosis and high risk of suicide or self-harm are best managed by Mental Health Services.<\/li>\n\n\n\n<li>Patients with severe psychological distress <strong>due to their pain<\/strong> are likely to require Pain Psychology. In this circumstance please consider referral to the Lothian Chronic Pain Service at the Astley Ainslie Hospital:<a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/chronicpain\/\">&nbsp;<\/a><a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/chronicpain\/\" data-type=\"page\" data-id=\"3793\" target=\"_blank\" rel=\"noreferrer noopener\">Chronic Pain \u2013 RefHelp&nbsp;<\/a><\/li>\n\n\n\n<li>Patients with substance use issues which interfere with their ability to function are most likely to benefit from addressing these issues <strong>prior<\/strong> to referral <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/alcoholanddruguse\/\" target=\"_blank\" rel=\"noreferrer noopener\">Alcohol and Drug Use \u2013 RefHelp<\/a><\/li>\n\n\n\n<li>For support in managing pain and substance use consider referral to the <strong>Pain and Dependency Clinic<\/strong> at Leith Community Treatment Centre <a href=\"https:\/\/services.nhslothian.scot\/lcps\/pain-clinic\/\" target=\"_blank\" rel=\"noreferrer noopener\">Pain Clinic \u2013 Lothian Chronic Pain Service<\/a><\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><a href=\"\/files\/sites\/2\/Spinal-Red-Flags-Page-from-Old-RefHelp-Pain-Mgt.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Spinal Red Flags<\/a>:&nbsp;if you suspect fracture, cord compression, cauda equina, infection or malignancy please investigate and\/or refer to appropriate&nbsp;specialty&nbsp;with&nbsp;appropriate&nbsp;degree&nbsp;of&nbsp;urgency&nbsp; <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/musculoskeletalphysiotherapy\/\" target=\"_blank\" rel=\"noreferrer noopener\">Musculoskeletal (Physiotherapy) \u2013 RefHelp (nhslothian.scot)<\/a><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Pain Discussion<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">It is important that prior to referral there has been discussion with the patient about their readiness to<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Change and&nbsp;move away from the acute medical model<\/li>\n\n\n\n<li>No longer seek a cure and more investigations<\/li>\n\n\n\n<li>Accept new ways of coping and managing their pain<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">How to refer:<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">Via SCI gateway. Mark the referral for the attention of <strong>Physiotherapy Pain Management<\/strong>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Please include as much relevant information as possible including the patient\u2019s physical limitations and issues affecting progress.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">For more complex pain presentations and high levels of psychological and emotional distress, consider referral to the Lothian Chronic Pain Service at the Astley Ainslie Hospital:&nbsp; <a href=\"https:\/\/services.nhslothian.scot\/lcps\/pain-clinic\/\" target=\"_blank\" rel=\"noreferrer noopener\">Pain Clinic \u2013 Lothian Chronic Pain Service<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Via SCI gateway. Mark the referral for the attention of&nbsp;<strong>Physiotherapy Pain Management<\/strong>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Edinburgh patients: <\/strong>Currently under review as of 25-02-25<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>East Lothian patients<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Please make an electronic referral via SCI Gateway by selecting:<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">AHP \u2013 Physiotherapy<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">&gt; East Lothian \u2013 East Lothian Rehabilitation Service<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">&gt; LI Physiotherapy.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">&nbsp;Please specify \u2018<strong>Physio-led chronic musculoskeletal pain management<\/strong>\u2019 in the drop-down box.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>West Lothian patients<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Introductory class: patients self-refer by telephoning the physiotherapy department (0131) 536 1060 (Option 3) to book themselves into their preferred class or can \u201cdrop in\u201d to their preferred class.&nbsp; All GP practices have the updated class days\/times leaflets with the contact number to self-refer.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">1:1 MSK physiotherapy pain management: please make an electronic referral via SCI Gateway by selecting:<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"> AHP \u2013 Physiotherapy &gt; West Lothian St Johns Hospital &gt; LI Physiotherapy WL.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Please mark the referral for the attention of <strong>Physiotherapy Pain Management.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Midlothian patients<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">MSK Physiotherapy level 2 or 3 pain trained Physiotherapist (Mid Lothian Physiotherapy Led Pain Management is currently under review as of 25-02-25)<\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Primary Care Management<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p class=\"wp-block-paragraph\"><\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Resources and Links<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p class=\"wp-block-paragraph\"><strong>For Patients&nbsp;(also useful for individual professional learning)<\/strong><\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>Understanding Pain<\/strong><\/h4>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Lothian Chronic Pain Service<\/strong>: <a href=\"https:\/\/services.nhslothian.scot\/lcps\/\" data-type=\"URL\" data-id=\"https:\/\/services.nhslothian.scot\/lcps\/\" target=\"_blank\" rel=\"noreferrer noopener\"> https:\/\/services.nhslothian.scot\/lcps\/<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Flippinpain<\/strong>: <a href=\"https:\/\/www.flippinpain.co.uk\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/www.flippinpain.co.uk<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A selection of resources created by people living with chronic pain, healthcare professionals and pain scientists. It aims to help patients understand their pain and give patients the knowledge and skills to manage their pain.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Retrain Pain <\/strong>: <a href=\"https:\/\/www.retrainpain.org\/\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/www.retrainpain.org\/<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Reconnect2Life<\/strong>: <a href=\"https:\/\/www.torbayandsouthdevon.nhs.uk\/services\/pain-service\/reconnect2life\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/www.torbayandsouthdevon.nhs.uk\/services\/pain-service\/reconnect2life<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">An interactive programme to help you look at your pain and how it affects you. It consists of a number of different modules which can be completed. It provides helpful resources on self-management strategies.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Pain Toolkit<\/strong>: <strong><a href=\"http:\/\/www.paintoolkit.org\" target=\"_blank\" rel=\"noreferrer noopener\">www.paintoolkit.org<\/a><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Website includes videos on understanding pain and takes a \u2018twelve tools\u2019 approach. These tools are a series of twelve videos designed to help you learn and understand self-management. It aims to help patients understand chronic pain, accept it and find ways in which they can self-manage their pain.&nbsp;Video links provide help to set goals\/relax and exercise guidance is provided. Patients can track their progress and&nbsp;plan when they have a setback in their daily plans due to pain.&nbsp;There&nbsp;are&nbsp;regular webinars that patients can book&nbsp;online. This is an interactive way&nbsp;to link&nbsp;up for professional&nbsp;advice and&nbsp;have their questions answered. There is an extensive resource section that includes podcasts and&nbsp;free courses.&nbsp;&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Live well with pain<\/strong>: <a href=\"https:\/\/my.livewellwithpain.co.uk\/\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/my.livewellwithpain.co.uk\/<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Provides resources, videos and guides on how to live well with pain.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Understanding pain in 5 minutes<\/strong>: <a href=\"https:\/\/www.youtube.com\/watch?v=C_3phB93rvI\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/www.youtube.com\/watch?v=C_3phB93rvI<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Pain Concern<\/strong>: <a href=\"https:\/\/painconcern.org.uk\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/painconcern.org.uk<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">This is a&nbsp;UK wide charity&nbsp;organisation&nbsp;with&nbsp;empathic&nbsp;volunteers available on a&nbsp;helpline&nbsp;who&nbsp;provide a safe space to talk about pain,&nbsp;provide with information about pain and&nbsp;self-management.&nbsp;They can guide patients in self-management and resources about pain.&nbsp;They have an online support network where members share their experiences. They have a self- management&nbsp;navigator&nbsp;tool&nbsp;which is designed to improve communication between patient and healthcare professionals which guides in&nbsp;self-management and helps patients to make most out of their appointments.&nbsp;There is no medical advice&nbsp;available.&nbsp;Using the telephone service is chargeable.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>NHS Inform<\/strong>: <strong><a href=\"https:\/\/www.nhsinform.scot\/illnesses-and-conditions\/brain-nerves-and-spinal-cord\/chronic-pain\/\" target=\"_blank\" rel=\"noreferrer noopener\">Chronic pain | NHS inform<\/a><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">This website offers simple advice about pain and&nbsp;self-management. It provides links for buying TENS machines\/relaxation&nbsp;techniques\/managing&nbsp;mental&nbsp;health.&nbsp;There is a very useful&nbsp;guide&nbsp;that uses CBT&nbsp;technique&nbsp;to help patient live with chronic pain. On this website there is a video link using British Sign&nbsp;Language explaining about chronic pain, how it\u2019s treated and self-management.&nbsp;&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Pain Association Scotland<\/strong>: <strong><a href=\"http:\/\/www.painassociation.com\" target=\"_blank\" rel=\"noreferrer noopener\">www.painassociation.com<\/a><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A charity&nbsp;organisation&nbsp;that has pioneered the development and delivery of self- management training to patients&nbsp;and&nbsp;carers.&nbsp;There are some good inspirational&nbsp;stories and&nbsp;videos to help stress management\/sleep\/relaxation\/flare ups\/diet\/acceptance\/social interaction\/self-image and pacing advice.&nbsp;&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Living Life to the full<\/strong>: <a href=\"https:\/\/llttf.com\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/llttf.com<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">This website is a mix of free and&nbsp;\u2018to buy\u2019 courses for&nbsp;mental&nbsp;well-being in patients with&nbsp;chronic pain. Patients need to register on this website to gain access to some&nbsp;free&nbsp;resources.&nbsp;It&nbsp;provides&nbsp;CBT&nbsp;online.&nbsp;&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201cFree online courses covering low mood, stress and resilience. Work out why you feel as you do, how to tackle problems, build confidence, get going again, feel happier, stay calm, tackle upsetting thinking and more. Our courses are free for individuals using them in their own lives.\u201d<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Tame the Beast Website and Resources<\/strong>: <a href=\"https:\/\/www.tamethebeast.org\/#questions\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/www.tamethebeast.org\/#questions<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A website that provides online&nbsp;pain recovery&nbsp;coaching&nbsp;delivered by registered health professionals.&nbsp;&nbsp;The site offers free online and internet-delivered pain management programs which are designed to provide information&nbsp;about chronic pain and to teach practical skills&nbsp;for managing the impact of pain on day-to-day activities and emotional well-being.&nbsp;The courses&nbsp;run 4-5 times a year.&nbsp;<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Condition specific resources<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Fibromyalgia Association:&nbsp;<\/strong><a href=\"https:\/\/fibromyalgia-associationuk.org\/\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/fibromyalgia-associationuk.org\/<\/a><strong><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>University of Mitchigan Fibromyalgia Self Help Guide:<\/strong>&nbsp;&nbsp;<a href=\"https:\/\/fibroguide.med.umich.edu\/pain-care\/self-care\/\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/fibroguide.med.umich.edu\/pain-care\/self-care\/<\/a>&nbsp;An online symptom management program for people with fibromyalgia.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Reconnect2life Fibromyalgia<\/strong><strong><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.torbayandsouthdevon.nhs.uk\/uploads\/what-is-fibromyalgia.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">What is Fibromyalgia?<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Versus Arthritis<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.versusarthritis.org\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/www.versusarthritis.org<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A UK charity supporting people with arthritis.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Audio Resources:<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.paintoolkit.org\/what-is-pain\" target=\"_blank\" rel=\"noreferrer noopener\">What is Persistent Pain? &#8211; Pain Toolkit<\/a> &nbsp;-tools :&nbsp; Look at the \u201cWhat Pete says\u201d section<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.youtube.com\/watch?v=ikUzvSph7Z4\" target=\"_blank\" rel=\"noreferrer noopener\">Tame The Beast \u2014&nbsp;It&#8217;s time to rethink persistent pain<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.youtube.com\/watch?v=5KrUL8tOaQs\" target=\"_blank\" rel=\"noreferrer noopener\">Understanding Pain in less than five minutes<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Feeling good APP:&nbsp; <a href=\"https:\/\/www.sortedmentalhealth.app\/\" target=\"_blank\" rel=\"noreferrer noopener\">Sorted Mental Health<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Username &#8211; lothianwidef1 and password positive<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong><em>Pain Medications<\/em><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Livewell with pain<\/strong>: <a href=\"https:\/\/livewellwithpain.co.uk\/explore-our-resources\/popular-self-management-skills\/pain-medicines\/\" target=\"_blank\" rel=\"noreferrer noopener\">Pain medicines &#8211; Live Well with Pain<\/a><\/p>\n\n\n\n<h4 class=\"wp-block-heading\">For Professionals<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">Q<strong>uality Prescribing in Chronic Pain, Scottish Government<\/strong>:<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong><a href=\"https:\/\/www.therapeutics.scot.nhs.uk\/wp-content\/uploads\/2018\/03\/Strategy-Chronic-Pain-Quality-Prescribing-for-Chronic-Pain-2018.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Strategy-Chronic-Pain-Quality-Prescribing-for-Chronic-Pain-2018.pdf<\/a><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>SIGN Guidelines Management of Chronic Pain:<\/strong>&nbsp;&nbsp;<a href=\"https:\/\/www.guidelines.co.uk\/pain\/sign-chronic-pain-guideline\/454994.article\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>https:\/\/www.guidelines.co.uk\/pain\/sign-chronic-pain-guideline\/454994.article<\/strong><\/a><strong> <\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>NICE Guidelines Management of Chronic Pain: <\/strong><a href=\"https:\/\/www.nice.org.uk\/guidance\/NG193\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>https:\/\/www.nice.org.uk\/guidance\/NG193<\/strong><\/a><strong> <\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Lothian Joint Formulary<\/strong>: <a href=\"https:\/\/formulary.nhs.scot\/east\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/formulary.nhs.scot\/east<\/a><\/p>\n<\/div><\/div>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Physiotherapy Led Chronic Pain Management Service Services The service provides a biopsychosocial approach to Persistent Pain, delivered by a team of physiotherapists across Lothian who have had training in pain management.&nbsp; Their aim is to encourage exploration into the different methods of self management to ultimately allow the individual to cope better with their pain.<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":4160,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_searchwp_excluded":"","footnotes":""},"categories":[701],"class_list":["post-7960","page","type-page","status-publish","hentry","category-chronic-msk-pain"],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"NHS Lothian","author_link":"https:\/\/apps.nhslothian.scot\/refhelp\/author\/nhs-lothian\/"},"rttpg_comment":0,"rttpg_category":" <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/category\/musculoskeletal-physiotherapy\/chronic-msk-pain\/\" rel=\"tag\">Chronic MSK Pain<\/a>","rttpg_excerpt":"Physiotherapy Led Chronic Pain Management Service Services The service provides a biopsychosocial approach to Persistent Pain, delivered by a team of physiotherapists across Lothian who have had training in pain management.&nbsp; Their aim is to encourage exploration into the different methods of self management to ultimately allow the individual to cope better with their pain.","_links":{"self":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/7960","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/comments?post=7960"}],"version-history":[{"count":34,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/7960\/revisions"}],"predecessor-version":[{"id":23791,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/7960\/revisions\/23791"}],"up":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4160"}],"wp:attachment":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/media?parent=7960"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/categories?post=7960"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}