Pain in systemic inflammatory rheumatic diseases

Atzeni, Fabiola; Masala, Ignazio Francesco; Salaffi, Fausto; Di Franco, Manuela; Casale, Roberto; Sarzi-Puttini, Piercarlo

doi:10.1016/j.berh.2015.04.016

Cited by 46Rheumatoid Arthritis Research and TherapiesPain Mechanisms and TreatmentsMusculoskeletal pain and rehabilitation

Pain in systemic inflammatory rheumatic diseases

Atzeni, Fabiola, Masala, Ignazio Francesco, Salaffi, Fausto, Di Franco, Manuela, Casale, Roberto, Sarzi-Puttini, Piercarlo·2015·Best Practice & Research Clinical Rheumatology

DOI 10.1016/j.berh.2015.04.016

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Abstract

The sometimes intense, persistent and disabling pain associated with rheumatoid arthritis (RA) and spondyloarthritis frequently has a multifactorial, simultaneously central and peripheral origin, and it may be due to currently active inflammation or joint damage and tissue destruction caused by a previous inflammatory condition. The symptoms of inflammatory pain symptoms can be partially relieved by non-steroidal anti-inflammatory drugs, but many patients continue to experience moderate pain due to alterations in central pain regulation mechanisms, as in the case of the chronic widespread pain (CWP) characterising fibromyalgia. The importance of distinguishing CWP from inflammatory pain is underlined by the fact that drugs such as tumour necrosis factor inhibitors are expensive, and direct costs are higher in patients with concomitant CWP than in those without. The management of pain requires a combination approach that includes pharmacological analgesia, and biological and non-biological treatments because, although joint replacement surgery can significantly improve RA-related pain, it may only be available to patients with the most severe advanced disease.

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The presence of chronic pain is considered one of the main mechanisms contributing to the onset of psychiatric disorders in association with rheumatic conditions.
“Specifically, the presence of chronic pain is considered one of the main mechanisms contributing to the onset of psychiatric disorders in association with rheumatic conditions [7,8].”
From A Single-Session Process-Based Cognitive-Behavioral Intervention Combined with Multimodal Rehabilitation Treatment for Chronic Pain Associated with Emotional Disorders (2024) · cites this paper as [7]

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Additional file 2 of A study protocol for a randomized controlled trial of an anti-inflammatory nutritional intervention in patients with fibromyalgia
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Additional file 4 of A study protocol for a randomized controlled trial of an anti-inflammatory nutritional intervention in patients with fibromyalgia
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Additional file 3 of A study protocol for a randomized controlled trial of an anti-inflammatory nutritional intervention in patients with fibromyalgia
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Additional file 1 of Protocol for the development of a tool to map systemic sclerosis pain sources, patterns, and management experiences: a Scleroderma Patient-centered Intervention Network patient-researcher partnership
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Additional file 1 of A study protocol for a randomized controlled trial of an anti-inflammatory nutritional intervention in patients with fibromyalgia
Silva, A. R., Bernardo, A., de Mesquita, M. F., Patto, J. V., Moreira, P., Silva, M. L., & Padrão, P. (2021) · Figshare · doi:10.6084/m9.figshare.14190356
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Authors: Atzeni, F., Masala, I. F., Salaffi, F., Di Franco, M., Casale, R., & Sarzi-Puttini, P.
Affiliations: IRCCS Ospedale Galeazzi - Sant'Ambrogio (IT)
Santissima Trinità (IT)
Marche Polytechnic University (IT)
Fondazione Salvatore Maugeri (IT)
Corresponding author: Atzeni, Fabiola
ORCID: Atzeni, Fabiola
Masala, Ignazio Francesco
Salaffi, Fausto
Casale, Roberto
Venue: Best Practice & Research Clinical Rheumatology
Publisher: Elsevier BV
Published: 2015-02
Volume: 29
Issue: 1
Pages: 42-52
ISSN: 1521-6942 (ISSN-L)
DOI: 10.1016/j.berh.2015.04.016
OpenAlex: W2162590264
Cited by: 46
References: 114
Citations by year: 2026: 2 · 2025: 3 · 2024: 7 · 2023: 1 · 2022: 2 · 2021: 7 · 2020: 2 · 2019: 10 · 2018: 4 · 2017: 5 · 2016: 3
FWCI: 0.62
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Best Practice & Research Clinical Rheumatology (publishedVersion)
PubMed (publishedVersion)
IRIS Research product catalog (Sapienza University of Rome) (submittedVersion)
Università Politecnica delle Marche (Università Politecnica delle Marche) (submittedVersion)
Topics: Health Sciences › Medicine › Rheumatology › Rheumatoid Arthritis Research and Therapies
Health Sciences › Medicine › Physiology › Pain Mechanisms and Treatments
Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
Keywords: pain, rheumatoid arthritis, spondyloarthritis, chronic widespread pain, fibromyalgia, central sensitization, inflammatory pain, tumor necrosis factor inhibitors, nonsteroidal anti-inflammatory drugs, analgesia, joint replacement, treatment costs
MeSH terms: Anti-Inflammatory Agents, Non-Steroidal, Arthritis, Rheumatoid, Humans, Inflammation, Spondylarthritis, Chronic Pain, Pain Management

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Pain in systemic inflammatory rheumatic diseases

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