About this event

  • Date and time Tue 14 Dec 2021 from 6:00pm to 8:00pm
  • Location Online
  • Organised by Clinical Neurosciences

Patient complaints of muscle pain and fatigue are hard to analyse and to separate from more general fatigue issues. This webinar will give participants a framework for thinking about peripheral and central fatigue mechanisms and the related issues around overuse, with particular reference to musicians and other performers, for whom these are potential career-ending problems. 

This webinar is one of an upcoming series that highlights difficult musculoskeletal (MSK) symptoms that lie on the fringe of conventional neurology. The purpose of these webinars is to give participants who are not neurologists greater confidence in handling these presentations. 

During this webinar you will learn about: 

  • The mechanisms underlying muscle, or MSK pain
  •  How to sort true neurological presentations from MSK ones, which will assist in making appropriate referrals. 
  • The difficulties of analysing Overuse syndrome and how to be confident in dealing with these patients

CPD learning applied. 

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Key speakers

Mr Mark Phillips

Mr A Mark Phillips

Consultant Hand & Wrist Orthopaedic Surgeon, London Sports Orthopaedics, UK

Speaker's biography

Mr Mark Phillips is a hand and wrist surgeon with a subspecialist interest in treating musicians. Initially, a general Trauma & Orthopaedic Surgeon at King’s, his subspecialisation led him to upper limb, and gradually excluded shoulder work. In the last 6 years he has left the NHS and inhered a busy musicians hand practice which now forms about 70% of his case load.

He is a keen amateur jazz trumpeter, which fits well with his clinical practice.

Anna Kuppuswamy

Dr Anna Kuppuswamy

Principal Research Fellow, University College London, UK

Speaker's biography

Anna Kuppuswamy is a clinical neuroscientist investigating the neural mechanisms of post-stroke fatigue. Her lab uses a multi-pronged approach to understand the behavioural, perceptual, phenomenological and neurophysiological basis of post-stroke fatigue, by combining non-invasive brain stimulation and behavioural techniques.



Anna trained as a physiotherapist in India before moving to the UK to train as a neuroscientist. After completing her PhD at Imperial College London, she moved to the National Institutes of Health in the USA to start her work into fatigue. She then moved back to the UK, and continued her work into post-stroke fatigue at UCL funded by the Stroke Association senior fellowship. She started her lab in 2016 funded by the Wellcome Trust/ Royal Society Sir Henry Dale Fellowship, and is the Principal Investigator of the Effort Lab based at Institute of Neurology at Queen Square.


View the programme here

Welcome and introduction

Dr Alistair Purves, President, Clinical Neurosciences Section, Royal Society of Medicine and Consultant Clinical Neurophysiologist, Kings College Hospital 

How to approach the patient with pain and weakness

Dr Alistair Purves

‘Overuse syndrome’ of the forearm in musicians

Mr Mark Phillips, Consultant Hand and Wrist Orthopaedic Surgeon, London Sports Orthopaedics

Post-stroke fatigue: The what, how and what’s not

Dr Anna Kuppuswamy, Principal Research Fellow, University College London

Questions and answers
Closing remarks and close of meeting



Disclaimer: All views expressed in this webinar are of the speakers themselves and not of the RSM nor the speaker's organisations.

Special rates for difficult times 
The RSM wishes to offer healthcare professionals continued learning opportunities during the coronavirus pandemic. The RSM’s ​weekly COVID-19 Series ​webinars remain free of charge, while there will be small charges to register for other online education. These fees will enable the RSM to continue its programme of activities and will apply during the course of the pandemic.

Registration for this webinar will close 2 hours prior to the start time. You will receive the webinar link 2 hours before the meeting. Late registrations will not be accepted.

This webinar will be available for registered delegates 30 days after on Zoom. The link will be sent 24 hours after the webinar takes place. 

This webinar will be recorded and stored by the Royal Society of Medicine and may be  distributed  in future on various internet channels. 

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