The epidemiology and impact of pain in osteoarthritis
Open accessAbstract
Osteoarthritis (OA) is the most common form of arthritis and a leading cause of disability worldwide, largely due to pain, the primary symptom of the disease. The pain experience in knee OA in particular is well-recognized as typically transitioning from intermittent weight-bearing pain to a more persistent, chronic pain. Methods to validly assess pain in OA studies have been developed to address the complex nature of the pain experience. The etiology of pain in OA is recognized to be multifactorial, with both intra-articular and extra-articular risk factors. Nonetheless, greater insights are needed into pain mechanisms in OA to enable rational mechanism-based management of pain. Consequences of pain related to OA contribute to a substantial socioeconomic burden.
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Understanding knee OA as a problem of chronic pain involving broader psychosocial factors and as a condition that affects multiple joint structures and therefore not requiring imaging for diagnosis is likely to require a substantial shift in long-held beliefs and habits for many GPs.
“Understanding knee OA as a problem of chronic pain involving broader psychosocial factors and as a condition that affects multiple joint structures [32] and therefore not requiring imaging for diagnosis [29], is likely to require a substantial shift in long-held beliefs and habits for many GPs.”
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- Authors
- Neogi, T.
- Affiliations
- Boston University (US)
- Corresponding author
- Neogi, T.
- ORCID
- Neogi, T.
- Venue
- Osteoarthritis and Cartilage
- Publisher
- Elsevier BV
- Published
- 2013-09
- Volume
- 21
- Issue
- 9
- Pages
- 1145-1153
- ISSN
- 1063-4584 (ISSN-L)
- PMC
- PMC3753584
- OpenAlex
- W2113670619
- Cited by
- 1,730
- References
- 125
- Citations by year
- 2026: 118 · 2025: 164 · 2024: 191 · 2023: 185 · 2022: 206 · 2021: 237 · 2020: 226 · 2019: 125 · 2018: 107 · 2017: 71 · 2016: 37 · 2015: 35 · 2014: 22 · 2013: 5 · 2012: 1
- FWCI
- 27.07
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Osteoarthritis and Cartilage (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Arthritis and Musculoskeletal and Skin Diseases (P60 AR 47785, R01AR062506, K23AR055127, P60AR047785)
- Topics
- Health Sciences › Medicine › Rheumatology › Osteoarthritis Treatment and Mechanisms
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Physiology › Pain Mechanisms and Treatments
- Keywords
- osteoarthritis, knee osteoarthritis, chronic pain, pain mechanisms, pain assessment, socioeconomic burden, disability
- MeSH terms
- Adult, Aged, Disability Evaluation, Humans, Osteoarthritis, Risk Factors, Socioeconomic Factors, Global Health, Prevalence, Arthralgia, Chronic Pain, Pain Management
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