I have a bad back or knee. Can you help remotely?
Partly — and it is worth being honest about the limits.
We cannot examine you, and a joint problem often needs hands on it. What we can do is take a proper history, advise, arrange imaging where it is genuinely indicated, and refer.
But before paying for a scan, ask about NHS physiotherapy self-referral. For most back, shoulder and knee pain, physiotherapy does more than a scan does — and a scan frequently shows age-related changes that are present in most people and are not the cause of the pain.
My X-ray said degenerative change. Is my joint worn out?
Usually it describes a joint that has aged, and it appears on most films past middle age.
The link between what an image shows and how much pain someone has is weak. "Bone on bone" is a description of a picture, not a treatment plan — and joint replacement is decided on symptoms and function, not on the film.
Where would I go for a blood test?
Randox Health at Holland & Barrett in Wigan — one of the few places we cover with a collection point in the town itself.
And a scan?
Vista Health's Salford diagnostic centre at West One Retail Park, Eccles.
Ask about the NHS wait first, and about Right to Choose — a different NHS provider with a shorter wait, at no cost.
Do you cover the whole borough?
Yes — Leigh, Ashton-in-Makerfield, Standish, Hindley, Atherton, Tyldesley, Orrell and Golborne.
I work in a warehouse on shifts. Can I be seen around them?
Yes — 6am to 10pm, seven days a week. The distribution corridor along the M6 runs around the clock, and an appointment that fits either end of a shift is usually the only realistic one.
Can I get a sick note?
Yes where clinically justified, and a private fit note is valid.
You do not need one for the first seven days — self-certification covers that, and paying inside it is money wasted.
What can you not do?
Examine you — no blood pressure, no chest, no joints.
And we never prescribe opioids or stimulants remotely, nor benzodiazepines or z-drugs for ongoing use. That matters here: opioids are not an effective long-term treatment for chronic musculoskeletal pain, and a great many people were started on them years ago for exactly that.