The various locomotor conditions are responsible for a great deal of disability and this continues not to be fully recognised in many LMICS.
For instance, as Michele says, in much of the world, little teaching of medical students, of young doctors and of phsysiotherapists is given about these conditions. We have done this is Madagascar and the local Association Of Physical and Rehabilitation Medicine of Madagascar is now much more able to teach on this with our support and that of others.
The treatment of arthritis in the main is not costly but for children with juvenile arthritis and those with severe forms of disease the drugs needed are rarely available because of costs. Needless disability ensues with consequent loss of livelihood.
HIFA profile: Anne Chamberlain is professor of rehabilitation medicine at Leeds University, UK. She is also director of the Opt In management group, a charitable initiative which has co-ordinated overseas development visits in Bangladesh (spinal surgery techniques; therapy for children with cerebral palsy); Uganda (ultrasound training); Swaziland (community management of epilepsy); and Madagascar (ophthalmology). M.A.Chamberlain AT leeds.ac.uk