Peter Ivan Manuel

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Objectives. Despite increased awareness of the high prevalence and significance of foot and ankle problems in rheumatoid arthritis (RA), feet remain neglected. Reasons may include the perception that feet are difficult to assess, they are not included in the DAS28, and lack of freely available foot screening tools specific for RA. Methods. The Swindon Foot(More)
Total thyroid hormone concentrations have been measured in the course of a large scale community survey to determine the distribution of these variables in the normal population and to assess the effect of age, sex, previously undectected thyroid disease and medication upon these parameters. 2779 subjects were studied. Serum T4 concentrations were normally(More)
Findings The patient ruptured the Achilles tendon working as a nurse and underwent an orthopaedic surgery primary repair. At 6 months post operatively the patient had developed chronic tendinopathy affecting over 80% of the Achilles tendon. The patient was referred for opinion and had been off work for over 6 months with limitation in activities of daily(More)
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