We are using cookies to give you the best experience on our site. Cookies are files stored in your browser and are used by most websites to help personalise your web experience.

By continuing to use our website without changing the settings, you are agreeing to our use of cookies.

Find out more
For more information, go to


Synovium front cover

Issue 30 (Summer 2010)

Download this issue (opens in new window)(232.5 KB)


Many pharmacological treatments have had to be withdrawn or their use completely rethought due to unforeseen toxicity. 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. We would argue the same for the treatment of other common painful conditions, such as back pain and gout. In this issue we report on two treatments which are not new – both based on herbal remedies. Why is it that there is something very satisfying about the effectiveness and safety of one of Mother Nature’s remedies being demonstrated in randomised controlled trials? Used as described in the trials both might well have all five of our essential attributes.

Adrian Dunbar, Medical Editor

Treating acute gout

The treatment of acute gout has always been something of a challenge with the potential for unpleasant side-effects, adverse drug interactions and exacerbation of comorbidities with conventional treatments.

Find out more

Treating pain in fibromyalgia

Although cognitive behavioural therapy (CBT) has been shown to be effective in treating patients with chronic pain syndromes, often it can be difficult for patients to engage in psychological treatments.

Find out more

Treating Achilles tendinopathy

Injection of platelet-rich plasma (PRP) is a novel treatment for painful degenerative tendons that is becoming increasingly popular among sport and musculoskeletal physicians.

Find out more

Treating acute back pain with ointment of comfrey root extract

Comfrey is a perennial plant native to Europe. The old country name for comfrey is knitbone, which nicely illustrates potential therapeutic value.

Find out more

For more information, go to
Arthritis Research UK fund research into the cause, treatment and cure of arthritis. You can support Arthritis Research UK by volunteering, donating or visiting our shops.