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EULAR evidence based recommendations for the management of hand osteoarthritis: Report of a Task Force of the EULAR Standing Committee for International Clinical Studies Including Therapeutics (ESCISIT)
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    About the fourth EULAR recommendation for hand osteoarthritis.

    Dear Editor, W Zhang and al. in their fourth recommendation for hand osteoarthritis consider that their proposition is based on expert opinion alone. In France, and probably other European country, spa therapy (with hot mud, water or cloud) is often used for treating hand osteoarthritis. A French spa centre supported two randomised clinical trial: One showed positive and equivalent effect between two different types of mud...

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    Conflict of Interest:
    None declared.