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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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A woman who says skin cancer treatment has left her looking like Freddy Krueger is urging others to respect the sun. Melissa Lewis, 48, has been living with skin cancer for more than a decade. She has annual treatment which gives her skin a pockmarked look, which she has compared to that of Krueger, a fictional killer. Melissa, from Sydney, Australia, hopes the yearly procedure will keep her cancer at bay. But she wants to speak out to warn others of the harm sun exposure can do, before it’s too late. The mum-of-four, a former nurse, said: “When they said I have Bowen’s disease I thought that was it. “When I looked it up I was like, ‘Oh my god, I am never going to be free’. It is something I have to keep on top of. “I have treatment once a year. I hate it, it is really stressful as I know my skin will hurt. “I will have up to 14 days looking like Freddy Krueger, I can’t go out in public. “I look at my own kids when I have had the treatment and they find it hard to look at me. “I tell them that this is why you put sunscreen on, this is why you are careful.” Melissa first spotted a basal cell carcinoma - a sign of skin cancer - on her leg in 2011. She has since found them on her forehead, nose, chest and back and has lost count of how many have been removed. But in 2018, Melissa discovered what looked like a group of freckles lumped together in front of her ear. Thinking it was best to get it checked out, she paid a visit to her dermatologist. Melissa was then referred her to the Melanoma Institute in June 2018 - which confirmed she had a melanoma. “I was very lucky to have caught it when I did,” she said. “It did make me think that, ‘This is it’. The dread I experienced when I heard that word was really intense. “Having four kids thinking I am not going to be there with them was so overwhelming. “You automatically fast forward to the worst-case scenario.” A month after her diagnosis, Melissa had her melanoma removed. And, two months after her surgery, a biopsy revealed Melissa had Bowen’s disease - an early form of skin cancer. Melissa said: “I am never going to be free from this. “Basically if I don’t have my cancers removed, it can become a more serious invasive cancer.” Since she was diagnosed with Bowen’s syndrome, Melissa undergoes a yearly none-surgical cancer treatment - Photodynamic therapy. Photodynamic therapy is a treatment that involves light-sensitive medicine and a light source to destroy abnormal cells. Melissa said: “I hate it, I get really anxious before I know I am coming up for treatment. “It is really stressful as I know how much it hurts. “My future will be to repeat expensive Photodynamic therapy with CO2 laser every year and always six monthly full skin checks. “It will be the only way to prevent further surgery and keep non-melanoma skin cancers from becoming invasive cancer.” Read More Four bowel cancer symptoms that can show two years before diagnosis Mum put on life support after infected finger led to ‘devastating’ diagnosis 6 mouth cancer symptoms everyone should know Mother left ‘looking like Freddy Krueger’ reveals first skin cancer warning sign Mum put on life support after infected finger led to ‘devastating’ diagnosis 6 mouth cancer symptoms everyone should know

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