Arthritis is inflammation of the joints in one or more parts of the body.
There are more than 100 different types of arthritis, and they all have different causes and treatment methods.
The symptoms of arthritis usually appear gradually but they can also happen suddenly. Arthritis is most commonly seen in adults over 65 but it can develop at any age.
The NHS website provides an overview of osteoarthritis, including living with and managing the condition.
It also has information about specific treatment, from lifestyle change to surgery, and gives links to more information on other websites.
Patient Decision Aids
Patient Decision Aids are specially designed information resources that help people make decisions about difficult healthcare options. They help you to think about why one option is better for you than another. Understanding what is important to you about your decision will help you choose the option that is best for you.
Versus Arthritis (Formerly Arthritis Research UK)
Versus Arthritis is a leading organisation involved in research about prevention and the treatment of arthritis in the UK. It provides information and free resources on many conditions. The most relevant for lower limb conditions are:
Rheumatoid arthritis is a long-term condition that causes pain, swelling and stiffness in the joints, most commonly in the hands, feet and wrists, but it can also cause problems in other parts of the body.
Simple daily tasks can become difficult or take longer, and you may have to change the way you carry them out.
Information on NHS Choices
The National Rheumatoid Arthritis Society (NRAS) runs self-management courses to help you manage arthritis. Sometimes, meeting with other people who have the condition can be really helpful, and NRAS have information about local courses.
Asthma is a common long-term condition that can cause coughing, wheezing, chest tightness and breathlessness. It is characterised by intermittent symptoms and is often due to an underlying allergy (for example, to domestic pets) but can sometimes occur after respiratory infection or exposure to allergens in the workplace, or it can occur with hayfever.
Asthma usually starts during childhood but can begin at any age. Many children grow out of asthma in their teens but the condition may become long-term, particularly when it comes on in adulthood. Some people experience seasonal symptoms and only need treatment at certain times of the year.
Information on the NHS website
Other useful Information
Help to stop smoking
Giving up smoking has huge health benefits. It is never too late to give up. Just because you’ve tried to give up before and not succeeded, does not mean you can’t do it. Many people make several attempts before they succeed. Find out more.
Feeling and being in control of your asthma is very important, The key to good asthma control is being clear about what asthma means, how and why asthma is treated and ensuring you have a personalised asthma action plan – such as a plan that makes it clear what your day to day treatment should be, what seems to trigger your asthma, how to recognise deterioration and what to do if your asthma is playing up.
It is also very important to stop smoking because asthma inhalers do not work nearly as well if you smoke.
You can find the most comprehensive information about self-care, asthma action plans and living with asthma at Asthma UK. Asthma UK also provides useful advice, publications and forums.
It is very important that, if you or your child have asthma, the condition and treatment is reviewed at least once a year. An asthma action plan should come out of this review. The review is usually done by your doctor or practice nurse, but referral to a hospital specialist (paediatrician or adult chest doctor) is necessary for patients who have had a hospital admission, whose condition is unstable or needs a lot of treatment, or if the diagnosis needs to be clarified.
The Taunton Breathe Easy Support Group meets every month to provide support and information for people living with a lung condition, and for the people who look after them. It is run by members, with help and support from the British Lung Foundation.
Autism is a lifelong developmental condition, it affects the way a person communicates and how they experience the world around them.
Autism is described as a spectrum condition. This means that while people with autism, including Asperger Syndrome, share certain characteristics, they will be highly individual in their needs and preferences.
Some people with autism can live relatively independent lives but others may face additional challenges, including learning disabilities. People with autism may also experience over- or under-sensitivity to sounds, touch, tastes, smells, light or colours.
Increasing awareness is vital to making sure that people with autism or Asperger Syndrome receive the right support and understanding throughout their lives.
For a formal diagnosis you should visit your doctor to discuss your concerns. Your doctor should refer you for a specialist assessment, which can help identify and diagnose autism.
Most people with autism receive a diagnosis in childhood, but some adults may not have been diagnosed because the condition was not as widely recognised and understood when they were children.
Back, or spinal, pain is one of the most common medical problems. It affects 8 out of 10 people at some point during their lives. Episodes of back pain may be acute, sub-acute, or chronic depending on how long they go on for.
The pain may be felt as a dull ache, shooting or piercing pain, or a burning sensation. It may radiate into the arms and hands as well as the legs or feet, and may include tingling, weakness or numbness in the legs and arms. The most common area of pain is the lower back, or lumbar area.
Low back pain videos by Dr Mike Evans
Cancer is a common condition and there are over 200 different types. In the UK the four most common ones are:
- Breast Cancer
- Bowel Cancer
- Prostate Cancer
- Lung Cancer
There are many services in Somerset to support people who have cancer and their family members.
If you have any unexplained symptoms visit your doctor to discuss these. Most unexplained symptoms are nothing to worry about however seeking advice early is really important as it can help to rule out cancer or ensure you start on a treatment as soon as possible.
Somerset has a relatively high incidence rate of malignant melanoma (skin cancer). The most common sign of melanoma is a change to a mole or a new mole. The best way to prevent all types of skin cancer is to avoid overexposure to the sun.
Reducing the risk of cancer
Leading a healthy lifestyle can help lower your risk of developing certain cancers. You can do this by:
- eating a healthy balanced diet
- maintaining a healthy weight
- drinking less alcohol
- stopping smoking
- protecting your skin from sun damage
Information about Cancer on the NHS website
- Types of Cancer, including signs and symptoms
- Free screening programmes are available to pick up any problems early
- Information about Cancer Medications
- Information on living with cancer on the NHS website
- Maggies Centres
- MacMillan Cancer Support provide information and advice and local services
- Information on the Cancer Research UK website
- www.positiveactiononcancer.co.uk provide counselling and online counselling services to anyone affected or bereaved by cancer or other life threatening illness.
The Beacon Centre in Musgrove Park Hospital provides a range of services including a Macmillan Citizens Advice service.
For a list of support groups in your area please use our community directory.
Cardiovascular disease (CVD) is a general term for a disease of the heart or blood vessels. The main types of cardiovascular disease are:
Chest pain can be caused by anything from muscle pain to a heart attack and should never be ignored. Phone 999 and ask for an ambulance immediately if you develop sudden severe chest pain.
For more information about chest pain visit the NHS website
Living with a heart condition
There is information about living with a heart condition and caring for someone with a heart condition on the British Heart Foundation website. This includes information about returning to work, rehabilitation, holiday and travels and more.
Cardiac Rehabilitation Courses
If you have a heart condition you may benefit from a Cardiac Rehabilitation Course.
Preventing heart disease
Leading a healthy lifestyle will help keep your heart healthy. For more information please visit our Keeping healthy page.
An NHS health check can help to identify your potential future risks of developing heart disease or other health conditions.
Find out your heart age
Complete this simple quiz on the NHS website to see how your heart age compares to your age.
Other useful links
- Living with heart failure – NHS
- For more information about services in Somerset, please search our Community Directory
- The British Heart Foundation has local groups in Somerset.
For a detailed list of support groups in your area please use our directory of local support groups.
Chronic kidney disease
Chronic kidney disease (CKD) is a long-term condition where the kidneys do not work effectively. It is common and mainly associated with ageing.
By leading a healthy lifestyle and following your doctor’s advice it is possible to live without symptoms or further deterioration of your kidney function.
Keep your kidneys healthy
Leading a healthy lifestyle, including not smoking and maintaining a healthy blood pressure, can help to keep your kidneys healthy.
More information about keeping healthy
NHS health checks can help to identify potential future risk of developing kidney disease and other health conditions
Medicine sick day rules
These apply if you are unwell with vomiting, diarrhoea, fevers, sweats or shaking. For more information contact your pharmacist, doctor or nurse.
Transport to dialysis
For advice about patient transport services to dialysis, contact the Patient Transport Advice Centre on 01278 727444.
For more information about services in Somerset please use the directory of services and support groups.
COPD stands for chronic obstructive pulmonary disease. This is the name for a collection of lung conditions, including chronic bronchitis, emphysema and chronic obstructive airways disease. People with COPD have difficulties breathing, often because their airways have narrowed and become restricted.
Information on NHS Choices
Some patients with COPD need to see a lung specialist. Your doctor will advise whether this is necessary for you. There are lung specialists in Taunton, Yeovil and Weston-super-Mare hospitals, with more clinics running at various community hospitals in Somerset.
Somerset’s BOC Community Respiratory Service provides Home Oxygen Assessments and Reviews (HOS-AR) and rehabilitation classes for patients with lung conditions.
Patients are referred to the service by their doctor and are given the tools to manage their condition themselves and stay in the best health possible. BOC has a webpage for patients and carers which explains local services and links to other information and support.
Help to stop smoking
The main cause of COPD is smoking. It is very common, and one in fifty patients in Somerset is thought to have the condition. It is very important that COPD is diagnosed at an early stage. Treatments can be very helpful, but the most important thing is to receive support to stop smoking. It is never too late to give up. Just because you’ve tried to give up before and not succeeded, does not mean you can’t do it. Many people make several attempts to stop smoking before they succeed.
Caring for someone with COPD
If you care for someone with COPD you can find information to help you on the Support for you and your carer page of the British Lung Foundation website.
The Taunton Breathe Easy Support Group meets every month to provide support and information for people living with a lung condition, and for the people who look after them.
Diabetes is a long-term condition that affects your body’s ability to process glucose, the main sugar in your body. There are two types of diabetes, type 1 diabetes and type 2 diabetes, and they can have serious health consequences. But, by carefully managing the condition, people with diabetes can still lead full, healthy and active lives.
Type 2 diabetes is linked to being overweight. Having a healthy diet and lifestyle can help manage the diabetes and reduce your risk of developing it.
Having type 2 prediabetes, often called borderline diabetes, means that you have blood sugar levels that are higher than normal but not yet high enough to be classed as diabetes. If it is undiagnosed or untreated, you may develop type 2 diabetes. The good news is that by making small changes to your lifestyle, type 2 diabetes can be prevented, and the effects of prediabetes can be reversed.
Information on the NHS website
Things you can do
- Be active. Aim to do 30 minutes of activity at least 5 days a week. Start with 20 minutes on 3 days each week in the first month. Do something you enjoy!
- Eat healthily. Replace fat (especially saturated fat) with healthier options. Build up to 5 portions of vegetables and fruit over a few months.
- Stop smoking. Get professional help to quit, because smoking can lead to the development of other conditions.
- Reduce your alcohol consumption. Everything can be enjoyed in moderation!
More information on the NHS website
- Healthy living with diabetes
- Travelling and holidays
- Diabetes and your child
- Diabetes and pregnancy
- Looking after your feet
- Looking after your eyes
Other services in Somerset
Digestive complaints such as constipation, heartburn and bloating are very common, and can usually be fixed with lifestyle changes and pharmacy remedies. There is more information about digestive health on the NHS website
Coeliac disease is a common digestive condition where a person has an adverse reaction to gluten.
Crohns disease is a long-term condition that causes inflammation of the lining of the digestive system. It can affect any part of the digestive system, but most commonly occurs in the last section of the small intestine (ileum) or the large intestine (colon).
Irritable Bowel Syndrome (IBS)
Gastro-oesophageal reflux disease (GORD) is a common condition where acid from the stomach leaks out of the stomach and up into the oesophagus (gullet).
Hip, leg and foot problems
In a busy day our lower limbs take the brunt of the impact when we stand, walk and run. Because of this load-bearing joints are vulnerable to injury and overload.
- Knee pain – the NHS website provides an overview of knee pain and information about many of the conditions that can cause this problem. There are links to treatment information and a guide for when to seek medical attention.
- Knee pain and other running injuries – information about knee, shin, achilles and heel pain, and muscle injuries. It provides treatment advice and links to more information about treatment and prevention of injuries, and tips on running programmes and technique.
- Knee replacement surgery – an explanation of the procedure. It also details the indications, alternatives, time to recover, and risks and benefits.
- Knee ligament (ACL) surgery – an explanation of the operation, including why it would be carried out, the alternatives, the recovery time, and risks and benefits.
- Hips – an explanation of hip replacement surgery. It details why the operation would be carried out, the alternatives, the recovery time and risks and benefits.
- Bunions – information which explains the condition and gives information about surgical and non-surgical options. The treatment options page and the bunion decision aid give information about surgical options and risks and benefits.
- Flat feet – information and some simple self-management advice, exercises and guidance about when to seek medical attention.
Straight leg drop
Bent knee drop
More explanation and load progression
HIV and AIDS
There are services in Somerset to help and provide care for people living with HIV and AIDS. We will provide appropriate care to people living with HIV and AIDS once you have been assessed by a social worker or an occupational therapist.
Adult Social Care locality officers will be able to respond to specific needs and signpost on to the appropriate local agency. A support worker from the Eddystone Trust (formerly PASW) will be able to advise on a range of local and national services and will support you as appropriate.
You can find more information on the websites below.
Continence problems affect about 1 in 3 women and 1 in 5 men. You don’t have to put up with this. We tend not to talk to the doctor because we are embarrassed. The good news is that for 70% of people the symptoms can be improved and even cured.
Going to the toilet four to seven times a day, and passing between half a pint and a pint of urine each time.
What’s not normal?
If you have pain in your bladder, blood in your urine or difficulty passing urine, then you should see your doctor. You should also see your doctor if you have a change in bowel habit, blood or mucus in your faeces, have stomach pain or unintentional weight loss.
If you have to go to the toilet urgently, frequently or have urinary incontinence or bowel incontinence then support and advice is available.
What can you do?
- Make changes to your lifestyle, such as losing weight, not going ‘just in case’, avoid caffeine
- Pelvic floor muscle training (exercising your pelvic floor muscles by squeezing them)
- Bladder training, so that you can wait longer
- Keep hydrated, drink more water, add liquid food to your diet such as soups
Your doctor or the Somerset Continence Service can tell you what type of bladder or bowel problem you have, give general advice about controlling symptoms, give information about pelvic floor exercises and bladder training and give treatment with prescribed medicines.
You can contact the Continence Service on 01935 848247 or find more information on the AgeUK Incontinence website.
You can find information about the different types of incontinence on the NHS Choices website.
The liver is the second largest organ in the body. It works hard, performing hundreds of complex functions. In the UK, liver disease is on the increase. Three of the main causes of liver disease in this country are:
There are more than 100 different types of liver disease. The links below give you information on the three main types. There is more information about the liver and liver disease on the NHS website and the website of the British Liver Trust.
Alcohol Related Liver Disease (ARLD) refers to liver damage caused by alcohol misuse. It covers a range of conditions and associated symptoms. More information
Non-alcoholic Fatty Liver Disease (NAFLD) is the term for a wide range of conditions caused by a build-up of fat within the liver cells. It is usually seen in people who are overweight or obese. More information
A gradual weight loss programme along with regular exercise, will help to reduce the amount of fat in your liver.
Hepatitis can occur as the result of a viral infection or because the liver is exposed to harmful substances such as alcohol.
Local support groups
Many people who have a liver disorder find it useful to meet with other people who also have a liver disorder. For details of local support groups see our support group directory or visit the British Liver Trust website
Useful information on NHS Choices
Other useful information
Nerve and brain conditions
Nerve and brain (neurological) conditions is a general term that covers a range of conditions which affect the brain, spinal column or nerves through illness or injury. There are around 600 different neurological conditions.
The NHS Choices A-Z of conditions provides helpful information.
Neurological conditions tend to either be from a sudden onset, needing urgent medical care, or a slower onset with a gradual deterioration. Some of the most common conditions are listed below with links to useful information about them.
Often, people who have had a neurological condition have problems with a number of other areas, such as sensory loss, communication, thinking, fatigue, movement.
You can find more support and help for everyday living, such as equipment, care and support and information about sensory loss in other parts of this website.
Many people with a neurological condition find it helpful to meet with other people with the same condition. You can find information in our Community Directory and by following the useful links below.
Brain injury and concussion
Guillan Barre Syndrome
Spinal cord injury
Motor Neurone Disease
Multiple Sclerosis (MS)
Other Long-term neurological conditions
For some people, neurological problems can be a result of other long-term conditions, or, is something that is not changing and they have had throughout their life.
Chronic Fatigue Syndrome/ME
- NHS website
- Action for M.E.
- The ME Association
- Somerset Partnership Chronic Fatigue Syndrome/ME Service
A stroke is a serious, life-threatening medical condition that happens when the blood supply to part of the brain is cut off.
If you suspect that you or someone else is having a stroke, phone 999 immediately and ask for an ambulance.
The main stroke symptoms can be remembered with the word FAST:
Face – Arms – Speech – Time.
- Face – the face may have dropped on one side, the person may not be able to smile or their mouth or eye may have drooped.
- Arms – the person may not be able to lift both arms and keep them there because of arm weakness or numbness in one arm.
- Speech – their speech may be slurred or garbled, or they may not be able to talk at all despite appearing to be awake.
- Time – it is time to dial 999 immediately if you notice any of these signs or symptoms.
Leading a healthy lifestyle can help to reduce the risk of a stroke. There is more information on the NHS website
A TIA (transient ischaemic attack), is where the supply of blood to the brain is temporarily interrupted and causes symptoms similar to a stroke.
It is sometimes called a mini stroke, and the symptoms often only last between 30 minutes and a few hours. TIAs should be treated seriously because they are often a warning sign that you are at risk of having a full stroke in the near future.
You can find more information on the on the NHS website.
Leading a healthy lifestyle can help to reduce the risk of stroke. More information is available on NHS website.