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Cited by 310

The DOI matches its Crossref record; 147 of the 147 references it cites were found in a registry or an index.

Towards a mechanism-based approach to pain management in osteoarthritis

Open access
Malfait, Anne-Marie, Schnitzer, Thomas J.·2013·Nature Reviews Rheumatology

Abstract

Pain is the defining symptom of osteoarthritis (OA), yet available treatment options, of which NSAIDs are the most common, provide inadequate pain relief and are associated with serious health risks when used long term. Chronic pain pathways are subject to complex levels of control and modulation, both in the periphery and in the central nervous system. Ongoing clinical and basic research is uncovering how these pathways operate in OA. Indeed, clinical investigation into the types of pain associated with progressive OA, the presence of central sensitization, the correlation with structural changes in the joint, and the efficacy of novel analgesics affords new insights into the pathophysiology of OA pain. Moreover, studies in disease-specific animal models enable the unravelling of the cellular and molecular pathways involved. We expect that increased understanding of the mechanisms by which chronic OA-associated pain is generated and maintained will offer opportunities for targeting and improving the safety of analgesia. In addition, using clinical and genetic approaches, it might become possible to identify subsets of patients with pain of different pathophysiology, thus enabling a tailored approach to pain management.

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Metadata

Authors
Malfait, A.-M., & Schnitzer, T. J.
Venue
Nature Reviews Rheumatology
Published
2013-09-17
Volume
9
Issue
11
Pages
654-664
ISSN
  • 1759-4790 (ISSN-L)
  • 1759-4804
OpenAlex
W2055167420
Cited by
310
References
147
FWCI
1.98
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: Towards a mechanism-based approach to pain management in osteoarthritis. https://app.cochat.ai/papers/10.1038/nrrheum.2013.138
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Malfait, A.-M., & Schnitzer, T. J. (2013). Towards a mechanism-based approach to pain management in osteoarthritis. Nature Reviews Rheumatology. https://doi.org/10.1038/nrrheum.2013.138

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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