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Synovium front cover

Issue 29 (Spring 2010)

Download this issue (opens in new window)(198.7 KB)


Never has so much information been so accessible to so many. In not much more than the time it takes for you to read this issue of Synovium it is possible (with an Athens password) to scan the contents pages of the latest issues of the leading rheumatology journals, identify the articles of relevance to you as a primary care physician and save them to your own virtual library. Or you can sign up to online newsletters that do this job for you. And if you don’t know what things like low-level lasers are then Wikipedia will oblige. Although we know from the editorial inbox how much Synovium is appreciated there really is far more developing knowledge out there than we have space to include, so don’t wait for the next issue – start surfing yourself!

Adrian Dunbar, Medical Editor

Nobody does it better!

It is generally accepted that specialists in high-volume centres deliver the best care....

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Laser treatment for neck pain

Neck pain is a pain in the neck. It is common, often persistent, and responds poorly to medication. So it is encouraging to read that a relatively novel, non-invasive treatment shows evidence of effectiveness.

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Cancer risk after anti-TNF treatment

There is always the concern with powerful immunosuppressive treatments that the short-term benefit might be at the price of increased long-term risk of malignant disease.

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Intra-articular steroid or hyaluronan injections for OA knee

Given that NICE guidelines have recommended steroid but not hyaluronan injections for knee osteoarthritis, a review of studies comparing these two treatments is timely.

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The cost of osteoarthritis

One of those studies where the figures make the brain dizzy was recently published in Arthritis and Rheumatism. The study uses data from health insurance claims to calculate the medical costs of osteoarthritis (OA) in the United States.

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In praise of... NHS Evidence – musculoskeletal

In the January 2010 newsletter of 'NHS Evidence – musculoskeletal’ there is another and larger review of the evidence for the effectiveness of glucosamine and chondroitin in slowing the progression of osteoarthritis.

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