The rheumatological examination

Musculoskeletal disorders are the most common cause of disability in the UK. They are associated with significant morbidity and polypharmacy, particularly in an ageing population with multiple co-morbidities. Two programmes of examination that have been developed include a screening assessment (Gait, Arms, Legs, Spine (GALS)) and a more in-depth Regional Examination of the Musculoskeletal System (REMS). These programmes provide a structured assessment, which enables competent and confident examination skills, ensuring an accurate diagnosis.