Abbreviations; Introduction; 1. Approach to the patient with new onset painful joints; 2. Why did I get RA? A consideration of environmental and genetic factors; 3. Investigating RA - the role of laboratory and imaging; 4. The single hot joint - the history and examination on the path to diagnosis; 5. Evaluating the multidimensional response to treatment in patients with inflammatory polyarthritis; 6. Managing Rheumatoid arthritis at the onset; 7. Risk assessment prior to biological therapy targeting TNF and interleukin-1; 8. Breastfeeding and Pregnancy. What anti-rheumatic medications are safe and what to do about the rest?; 9. Should I change my diet? The evidence for pro-inflammatory and anti-inflammatory diets; 10. Inflammation - your stomach and heart. Does inflammation cause GI or CV disease and does its treatment pose new risks?; 11. Preventing osteoarthritis. How can we manipulate or modify the known risk factors for OA?; 12. Joint replacement surgery. When and why replace a knee or hip?; 13. Analgesia vs anti-inflammatory, cartilage protection and repair; 14. Should you treat asymptomatic hyperuricemia?; 15. Pseudogout and its investigation.; 16. Gout and its investigation.; 17. Acute crystal arthritis. The management of acute gout and pseudogout; 18. Dietary advice in the treatment of gout; 19. When and How to initiate Urate lowering treatment?; 20. Rotator cuff and frozen shoulder. A clinical approach to the diagnosis and management of shoulder pain.; 21. Managing acute low back pain.; 22. Chronic low back pain. Investigation and strategies for the successful management of back pain.; 23. What is fibromyalgia?; 24. Carpal tunnel syndrome; 25. Tennis elbow and plantar fasciitis, diagnosing and managing common soft tissue complaints; 26. What to do with a positive ANA result?; 27. Risk factors for lupus; 28. Investigating Raynauds phenomenon as a marker for future connective tissue disease.; 29. Monitoring for complications in SLE; 30. Treatment of SLE; 31. Treatment of Raynauds; 32. I have SLE, can I get pregnant? The impact of disease on pregnancy and vice-versa; 33. Clues to a vasculitic disease and its investigation; 34. Polymyalgia and Temporal Arteritis - Investigation and management?; 35. Preventing osteoporosis in patients with and without fractures; 36. Investigating the causes of osteoporosis in men and women; 37. Vitamins, calcium, and exercise in the management of osteoporosis; 38. Treating women with osteoporosis - what and when; 39. Treating male osteoporosis; 40. Treatment of steroid induced osteoporosis; 41. Back pain - mechanical or inflammatory?; 42. Separating the spondyloarthropathies; 43. Ankylosing spondylitis - treating spinal disease and peripheral disease; 44. Psoriatic arthritis and reactive arthritis - the role of antibiotics, anti-inflammatories and immunosuppressive agents.; 45. Childhood arthritis. An approach to the arthritis in a child.; 46. Dryness of eyes and mouth is not only Sjogrens syndrome.; 47. Articular manifestations of endocrine disorders.; 48. Articular manifestations of renal disorders and renal transplantation.; 49. Antiphospholipid syndromes and its investigation and management.; 50. Managing bone and joint infections.; 51. Musculoskeletal tumours and the impact of malignancy on the musculoskeletal system.; General index.