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Synovium 40 front

Issue 40 (Spring 2014)

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It has been some time since Synovium 39 fell through your letter box and this will be my final issue as editor. It has been a privilege and pleasure to work on this small publication, which so many primary care clinicians tell us they find really useful. I must thank the excellent Frances Mawer for her help and support as project editor over the last 10 years. Frances has also made the decision to retire from her work with Arthritis Research UK and I wish her the very best for her retirement. I would also like to thank Dr Michael Horsfield for his help in producing this issue.

There continues to be an abundance of interesting studies of relevance to managing musculoskeletal disorders in primary care and my successor will not need to work too hard in finding suitable material. Selection may be more difficult. In this issue we could not ignore the revelations on gout that featured in the national press. The prevalence of gout is on the rise, presumably related to adverse lifestyle factors. It was particularly disappointing to read how poorly we manage this curable disease in primary care when other chronic diseases are well managed. Another study suggests that primary care clinicians really struggle to manage chronic pain conditions. We have also found that red flags in patients with back pain are not as red as we thought. Finally, we applaud an initiative from the United States which must surely benefit patients with many disorders including the area of chronic pain we highlight.

Adrian Dunbar, Medical Editor

Gout on the front pages

Gout is on the rise in the UK but continues to be managed as a series of acute attacks rather than as a curable metabolic condition...

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Managing chronic pain in primary care

Recent Canadian guidelines suggest that fibromyalgia is a condition which should be managed in primary care. Yet primary care physicians in Europe report finding chronic pain challenging to treat...

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Red flags in back pain

A recent systematic review suggests it may be time to re-think guidelines on 'red flag' symptoms in back pain...

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Weight loss really is beneficial in knee osteoarthritis

New evidence supports the advice that losing weight can help ease the symptoms of osteoarthritis of the knee...

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