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Synovium 34 cover image

Issue 34 (Autumn 2011)

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This issue of Synovium is packed with practical advice, derived from research evidence, for the primary care clinician. We also feature two studies on novel treatments for fibromyalgia so that colleagues are forewarned when patients attend with their latest internet downloads. At Synovium we are constantly intrigued by the eclectic range of treatments trialled for fibromyalgia (FMS). Regular readers may recall a previous report on mudbaths! You may also spot a familiar name as co-author on our final offering. This interesting piece of research, undertaken by a former GP trainee, grew out of a slightly heated discussion with a patient about whether an x-ray was a good idea in simple mechanical back pain. We think it needs wider readership.

Adrian Dunbar, Medical Editor

Referral of patients with osteoarthritis for consideration for joint replacement surgery

With osteaorthritis (OA) being one of the most common musculoskeletal conditions, and with the ageing and increasingly sedentary population, referral of patients whose joint symptoms are difficult to manage is increasing in primary care.

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Starting treatment for polymyalgia rheumatica

Polymyalgia rheumatica (PMR) is one of the commonest inflammatory rheumatic disorders and is usually completely managed in primary care with oral prednisolone. Guidelines suggest a starting dose of prednisolone of between 15 mg and 20 mg daily...

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New treatments for fibromyalgia syndrome

Two studies catching the editorial eye recently in connection with fibromyalgia syndrome (FMS) were 'hypnosis with guided imagery' and implantation of a vagus nerve stimulator.

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How to consult with a patient with simple back pain

A study published in International Musculoskeletal Medicine reported some really interesting findings that we (humbly) suggest every clinician who consults with patients complaining of back pain will find helpful.

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