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For more information, go to www.arthritisresearchuk.org

Synovium

Synovium front cover

Issue 25 (Autumn 2008)

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Editorial

If Synovium had a mission statement it would be something along the lines of providing information that contributed to patients receiving appropriate and effective interventions at the earliest opportunity and preventing patients from receiving ineffective and harmful treatments. With this issue we hope to contribute to the early recognition of back pain of inflammatory origin, leading to earlier referral, and to improve the selection of treatments for chronic low back pain.

Adrian Dunbar, Medical Editor

Ankylosing spondylitis – are you spotting it early enough?

Treatment of ankylosing spondylitis is most effective if given in the first 10 years of the disease. Unfortunately the average duration of symptoms at diagnosis is around 7 years – reducing the opportunity for early treatment significantly.

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Glucosamine move over – here comes chondroitin

Glucosamine has been a 'frequent flyer' in Synovium columns. To date evidence on chondroitin sulphate (CS) – a related sulphated glycosaminoglycan - has lagged behind....

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Alexander technique for chronic low back pain

Back pain treatments once again featured on the cover of the BMJ in August this year. The high profile was attributable to a large randomised controlled trial of lessons in the Alexander technique (AT), exercise and massgae in patients with chronic low back pain.

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Antidepressants for treating pain in rheumatological conditions

A systematic review has been carried out of papers published between 1966 and 2007 on the use of antidepressants in rheumatological conditions. From the 78 clinical studies and 12 meta-analyses selected, the strongest evidence for the analgesic effect of antidepressants was obtained for fibromyalgia.

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Trigger finger

A randomised controlled trial of steroid injections for trigger finger found that one or two injections of triamcinolone was effective in reducing pain and triggering for up to 12 months....

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For more information, go to www.arthritisresearchuk.org.
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