Hi Sione On a pragmatic level is there any barrier to trialling methotrexate course ? You mentioned financial constraints so Im assuming biologics like Humira etc would be too expensive an option anyway? You've already trialled steroids so I dont see ... See more

Good morning Dr Mlawanda Thank you for reaching out and providing us the opportunity to highlight our free CPD activities included in ACRRM membership. Lex has kindly provided links to ACRRM's range of online courses, several new courses were released ... See more

Progress update . Reviewed this pt yesterday . Last SIJ bilateral injection lasted 2.5months ! repeated yesterday discussed options moving forward : RFA sacral nerves , SIJ fusion or new bone graft procedure , switch injectate to hypertonic dextrose ... See more

i am hoping that the registrars get on board with this thread, as we won't have to do cpd for many more years, but they will reap the legacy of whatever becomes of my efforts to improve a dreadful status quo i expect they are far more web-savvy than ... See more

I tick those boxes for most things. Just that I have thought about it pushes the case down the 'ethical' pathway. If the young lady's first language was Français then she is a first nations person from somewhere else (like me). So I am sure you have ... See more