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Related Concept Videos

Analgesia and Pain Management01:25

Analgesia and Pain Management

Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
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Related Experiment Video

Updated: Jun 4, 2026

Fu's Subcutaneous Needling for Knee Osteoarthritis Pain
07:19

Fu's Subcutaneous Needling for Knee Osteoarthritis Pain

Published on: March 24, 2023

Optimising pain control in osteoarthritis.

Claire Y J Wenham1, Philip G Conaghan

  • 1Section of Musculoskeletal Disease, University of Leeds & NIHR Leeds Musculoskeletal Biomedical Research Unit.

The Practitioner
|February 11, 2011
PubMed
Summary

Osteoarthritis significantly impacts daily life, causing pain and limiting activities. Effective management involves addressing joint inflammation, pain, and associated psychological distress for improved quality of life.

Area of Science:

  • Rheumatology
  • Pain Management
  • Medical Imaging

Background:

  • Osteoarthritis (OA) severely affects quality of life, with 81% experiencing constant pain or functional limitations.
  • Joint pain, stiffness, and reduced activity are hallmark symptoms, often accompanied by anxiety and depression.
  • The OA process involves synovial lining and subchondral bone changes, impacting joint function.

Purpose of the Study:

  • To review current understanding and management strategies for osteoarthritis pain.
  • To highlight the role of synovitis and subchondral bone changes in OA pain.
  • To discuss pharmacological and interventional treatment options for OA.

Main Methods:

  • Literature review of osteoarthritis management, including pharmacological and interventional therapies.

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  • Discussion of diagnostic imaging findings such as MRI and ultrasound in OA.
  • Analysis of treatment efficacy and safety profiles for various OA interventions.
  • Main Results:

    • Synovitis is nearly universal in painful knee OA and present in 45% of hand OA cases, suggesting it's a key target for treatments like NSAIDs.
    • Subchondral bone changes are common and linked to pain; topical NSAIDs offer short-term relief without systemic toxicity.
    • Oral NSAIDs, COX-2 inhibitors (with PPIs), opioids, and intra-articular corticosteroids are treatment options for moderate to severe pain.

    Conclusions:

    • Optimal OA pain management requires a multimodal approach, considering joint pathology and patient-specific factors.
    • Early identification and treatment of psychological comorbidities like anxiety and depression are crucial.
    • Strategic timing of analgesia, including long-acting preparations, can enhance exercise adherence and daily function.