Letters: There's more to arthritis treatment than steroids

A few weeks ago you published a precis from a journal (J Am Acad Orthop Surg 2009; 17: 638-46) saying there was little place for corticosteroids in osteoarthritis, the final sentence of which said: 'This is disappointing, as we have little to offer these patients until they need a knee replacement.' (GP, 6 November).

I would strongly argue that this is misleading, because there is a choice of primary or intermediate care options, namely viscosupplementation and prolotherapy, which are poorly promoted to our colleagues.

Links for prolotherapy in particular, which is extremely cost-effective, can be found at www.bimm.org.uk or by Googling 'prolotherapy'. GP would be doing patients a favour by including an article on it.

Dr Peter Skew, GPSI in musculoskeletal medicine, past president and current honorary treasurer of the British Institute of Musculoskeletal Medicine

Editor's note: Thank you for the feedback. We take on board your comments and will look to commission an article on these therapies for the new year.

Have you registered with us yet?

Register now to enjoy more articles and free email bulletins

Register

Already registered?

Sign in

Follow Us: