We're 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're agreeing to our use of cookies.

Find out more
For more information, go to


Synovium front page

Issue 39 (Summer 2013)

Download this issue (opens in new window)(70.1 KB)


Guideline season in musculoskeletal medicine is here, with back pain, gout, fibromyalgia and most recently imaging in rheumatoid arthritis appearing on the editorial desktop.

New Canadian fibromyalgia guidelines were published online on 6 May and, with the subsequent online discussion, make interesting reading for GPs. The understanding of fibromyalgia has completely changed from a soft tissue disorder to a neuropathic condition with abnormalities in pain processing. We highlight some of the important points below.

And on the subject of completely new understandings how about antibiotics to treat low back pain! 

Adrian Dunbar, Medical Editor

Fibromyalgia – new guidelines

New Canadian guidelines confirm the clear message that fibromyalgia is a condition that should be diagnosed and treated in primary care....

Find out more

Gout – a bowl of cherries, sir?

The notion that consumption of cherries or cherry extract may help prevent episodes of gout has been around for some time. A recent paper from Boston offers early evidence to support this....

Find out more

Antibiotics to treat low back pain

The media have been buzzing recently following the publication of two studies from Denmark on disc infection with skin bacteria....

Find out more

MRI overuse in low back pain

Following the above revelations a Canadian study on the appropriateness of requests for MRI scanning for low back pain is interesting....

Find out more

We're now

Versus Arthritis.

You're being taken through to our new website in order to finish your donation.

Thank you for your generosity.

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.