Latest Advice
The most common symptoms of coronavirus (COVID-19) are recent onset of:
  • New continuous cough and/or
  • High temperature
  • loss or change to your sense of smell or taste  

For most people, coronavirus (COVID-19) will be a mild illness If you have coronavirus symptoms:
  • Do not go to a GP surgery, pharmacy or hospital
  • You do not need to contact 111 to tell them you're staying at home
  • Testing for coronavirus is not needed if you're staying at home
  • Plan ahead and ask others for help to ensure that you can successfully stay at home and consider what can be done for vulnerable people in the household
  • Ask your employer, friends and family to help you to get the things you need to stay at home
  • Wash your hands regularly for 20 seconds, each time using soap and water, or use hand sanitiser
  • If you feel you cannot cope with your symptoms at home, or your condition gets worse, or your symptoms do not get better after 7 days, then use the NHS 111 online coronavirus service. If you do not have internet access, call NHS 111. For a medical emergency dial 999
  • Visit NHS 111 Online for more information

Stay at Home
  • If you live alone and you have symptoms of coronavirus illness (COVID-19), however mild, stay at home for 7 days from when your symptoms started. (See ending isolation section below for more information)
  • If you live with others and you or one of them have symptoms of coronavirus, then all household members must stay at home and not leave the house for 14 days. The 14-day period starts from the day when the first person in the house became ill
  • It is likely that people living within a household will infect each other or be infected already. Staying at home for 14 days will greatly reduce the overall amount of infection the household could pass on to others in the community
  • For anyone in the household who starts displaying symptoms, they need to stay at home for 7 days from when the symptoms appeared, regardless of what day they are on in the original 14 day isolation period. (See ending isolation section below for more information
  • If you can, move any vulnerable individuals (such as the elderly and those with underlying health conditions) out of your home, to stay with friends or family for the duration of the home isolation period
  • If you cannot move vulnerable people out of your home, stay away from them as much as possible
Find out more about UK Gov Coronavirus Response
Don't show this again
Shopping Cart
In Store
Total Excl VAT
Open Hours
What we have to say about your health and well being
Oct 2016
Osteoarthritis by Imtayaz Ahmed

The most common form of arthritis is osteoarthritis (OA), the technical term is osteoarthrosis.

The characteristics include: the joint space reducing due to thinning of the cartilage, osteophytes (bony outgrowths), sclerosis (hardening of the bone next to the joint) and inflammation.

  • OA is the biggest cause of anti-inflammatory use.
  • Larger joints such as the knee and hip are mostly affected however smaller joints e.g. fingers can also be affected.
  • Swelling is caused by osteophytes and the thickening synovial fluid.
  • The condition is localised to the affected joint not widespread.

Risk factors as follows:

  1. Age - isn't a normal feature of the aging process however in the over 50s it is common. This may be due to the prolonged exposure to other risk factors over a lifespan.
  2. Weight bearing - "wear and tear” a continuous use of a joint can exacerbate OA for example lifting heavy loads can damage the knee and back joint and can increase the risk of OA by fivefold.
  3. Joint Surgery - it is thought that disruption of the joint capsule predisposes the treated joint to OA.
  4. Body Weight - this is thought to be a common risk factor but there isn't the direct link between obesity and OA as the ankle joint isn't affected in these patients however it is only logical to assume the risk factor to the knee joint increase as body weight increases.
  5. Genetics - there are familial tendencies, about half of OA patients have inherited this condition.

The main symptoms are pain, stiffness and joint swelling. In early OA the pain is only there when use of joint. There is a gradual progression from the pain being there at rest to at night, however this is a gradual process that can take decades.

The stiffness can be severe after a period of rest. "Morning stiffness" lasts for about 15 mins this symptom isn't to be confused with rheumatoid arthritis where it is more prolonged.

The swelling of the joint is both hard and soft, osteophytes are the cause of the hard swelling and increased synovial fluid in the joint capsule is the cause of the soft swelling.

After diagnosis and x-ray the aims of managing OA are firstly to relieve pain, secondly to maintain function of the affected joint and lastly to prevent further damage.

As mentioned earlier anti-inflammatories play a key role in the management of this condition, however they have to be used with caution. Side effects can include gastro-intestinal irritation and with prolonged use they can damage the kidneys.

This damage can lead to blood pressure issues and therefore an increased risk of stroke. Use of anti-inflammatory must be done with supervision of a medical practitioner where blood monitoring can occur. Simple steps can be taken to mitigate the gastroenteritis by taking the tablet with food.

Painkillers can be used for “breakthrough pain” and range in potency starting with paracetamol increasing to co-codamol, then co-dydrymol and then dihydyocodeine aside from paracetamol all of these can cause a patient to develop tolerance and dependency so often patients have to escalate their therapy to stronger opioid medicines e.g. morphine.

Lastly if there is severe deterioration then surgery can be effective.

119 Lee Lane,Horwich
Greater Manchester
01204 697390
Contact Head Office
Company Registration
Premises GPhC Number
See branch list
Asif Adam (2052062)
Hootons Pharmacy
Whittlebrook Pharmacy (Whittle)
Ribbleton Pharmacy
Smiths Pharmacy
Ladybridge Pharmacy
Smithsons Pharmacy
See All Branches
Cookie Policy
Privacy Policy
Terms And Conditions
Copyright 2019