Axial Spondyloarthritis Refresher – 18 Mar

Axial Spondyloarthritis Refresher for Manual Therapists with Zoë Clark

Wednesday 18 March, 19.00 – 20.30

Cost: £20. Places are limited, so please book in advance.

Book here:

For enquiries please contact Zoë: 07543 557 746 / /

Why is this update important?

– 1 in 200 adults in the UK live with Axial Spondyloarthritis (including Ankylosing Spondylitis)
– As prevalent as MS and Parkinson’s combined, but lower awareness of it
– Equal prevalence on men and women have AxSpA
– Average age of onset is 24 years of age
– Average delay to diagnosis is currently 8.5-years
– Following a NASS survey, 60% of people with AxSpA reported seeing an osteopath prior to their diagnosis and 68% saw a chiropractor before their diagnosis
– Standard MRI cannot detect inflammation – STIR MRI of full spine and pelvis is needed to screen for AxSpA. A negative STIR MRI still doesn’t rule out AxSpA
– You can have AxSpA while being HLA-B27 negative
– 40% of people with AxSpA never have raised inflammatory markers

All manual therapists need to be confident with the latest updates in AxSpA research, recognising AxSpA as a spectrum of disease including Ankylosing Spondylitis. We need to be vigilant for the symptoms of AxSpA and refer patients for the right investigations quickly. Manual therapists are well placed to help people manage their AxSpA as part of a multi-disciplinary care team.

(References for above statistics can be sent on request, although most are available at

This talk will:

– Revise the spectrum of Axial Spondyloarthritis (including Ankylosing Spondylitis)
– Myth-bust the common misconceptions of AxSpA
– Review the latest research into and treatments for AxSpA
– Explain how to effectively and regularly screen for inflammatory back pain
– Revise the extra-articular manifestations of AxSpA that can aid clinical reasoning
– Demonstrate the new RCGP-validated referral template letter for referring patients to their GP for AxSpA screening/diagnosis
– Discuss the role manual therapists can play in helping patients effectively manage their AxSpA symptoms, as part of multi-disciplinary care
– Review the NICE Guidelines for management of AxSpA
– Review appropriate hands-on techniques for patients with AxSpA
– Discuss case histories to develop clinical reasoning when considering AxSpA

Handouts, CPD certifcates for 1.5 hours and refreshments will be provided.

About the speaker: Zoë Clark, M.Ost ND DO, Educate and Advocate Training.

Zoë Clark is an osteopath and speaker, with a special interest in Axial Spondyloarthritis and Ehlers-Danlos Syndrome. Zoe has worked with the National Axial Spondyloarthritis Society, Institute of Osteopathy and Royal College of Chiropractors on the NASS Allies Programme: creating a presentation for the NASS Allies seminars, conducting a research survey of osteopath and chiropractor knowledge of AxSpA published in Rheumatology Advances in Clinical Practice and creating an RCGP-validated referral tool for manual therapists.

For more information about Zoë and E&A Training, please visit

Click here to read more about Zoë