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Synovium front cover

Issue 27 (Summer 2009)

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In this issue of Synovium we feature the 'headline-grabbing' new guidance on low back pain from NICE and more studies exploring whether patients are better served by steroids injected under image guidance (which most primary care clinicians will not be able to perform), or whether the steroids can still be safely and effectively injected 'blind', guided by surface anatomical features (as many GPs currently do).

And with a nod to the editor of The Guardian we launch an occasional feature, 'In praise of...'. We have in the past hinted that finding really useful articles on musculoskeletal topics to draw to colleagues' attention can be something of a challenge. Perhaps no longer. The British Journal of Sports Medicine has come to our aid magnificently.

Adrian Dunbar, Medical Editor

NICE guidelines for the management of non-specific low back pain

The publication of NICE guidelines for the early management of persistent low back pain made the national press recently. Unfortunately, as is often the case with material that makes a good story, the reporting was not always without some inaccuracy...

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Image-guided steroid injections

Another study to disappoint the proponents of image-guided injections has appeared in BMJ...

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Lateral hip pain

Pain in the region of the greater trochanter of the hip is a common presentation in primary care. The term 'trochanteric bursitis' is often used to label the problem...

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In praise of... the British Journal of Sports Medicine

The themed April issue of the British Journal of Sports Medicine provides more insight on the nature and management of painful tendons, notably the rotator cuff, the lateral elbow and the Achilles.

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