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front of Synovium No. 35

Issue 35 (Spring 2012)

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We have argued before that treatments for the pain of osteoarthritis of the knee should be simple, effective, safe, cheap and ideally self-administered without the need for the involvement of expensive healthcare professionals, given the rapidly increasing incidence of OA knee as the population ages and becomes more obese and less active. These are also risk factors for back pain and the same logic applies to back pain treatments. It is therefore gratifying to report two studies of treatments that fit these 'Synovium criteria': the first concerns footwear for OA knee, and the second, yoga classes for back pain.

Adrian Dunbar, Medical Editor

Happy feet – happy knees?

Reduction of loading on the arthritic knee joint is one of the key interventions that is often under-utilised in primary care.

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Yoga classes for the management of back pain

In this Arthritis Research UK-funded trial 313 patients with chronic or recurrent low back pain were randomised to either a 12-week programme of yoga exercises specially designed to improve back function or 'usual GP care'.

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Treating Achilles tendinopathy

Three years ago we reported a randomised controlled trial that cast doubt on the value of platelet-rich plasma (PRP) for the treatment of Achilles tendinopathy. A recent meta-analysis of trials of PRP in bone and soft tissue disorders increases this doubt...

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Fit notes for patients with chronic pain

A study published in the December 2011 British Journal of General Practice is the first of a (blockbusting?) trilogy examining attitudes to certification of sickness (or fitness to work) in patients with chronic pain. The first study examines GPs' attitudes...

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