Correspondence to Ingvild Kjeken, National Advisory Unit on Rehabilitation in Rheumatology, Department of Rheumatology, Diakonhjemmet Hospital, PO Box 23, Vinderen, Oslo NO-0319, Norway; ...

Background Hand osteoarthritis (OA) with synovitis is a common clinically identifiable phenotype which is associated with pain and disease progression. Methotrexate is a low-cost, well-established and ...