, Volume 8, Issue 1, pp 42-44
Date: 27 Jan 2012

The Challenge of Pain for Patients with OA

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Introduction

Our current understanding of osteoarthritis (OA) is as an illness (the clinical manifestations of the disease) and a disease (the structural joint changes) [19]. To date, relatively little attention has been paid to understanding the illness relative to the disease. Better characterization of our patients’ symptoms is likely to improve our ability to target the right treatment to the right patient, resulting in improved outcomes.

Patient Perceptions of Pain from OA

Pain has been identified as the top concern for people living with OA; pain drives health care use [18]. The traditional biomedical view of OA pain is as nociceptive, resulting from joint tissue injury [13]. However, this perspective fails to recognize that pain and other OA symptoms may be strongly influenced by psychological and physical health [40, 42], social support [16], gender [43], coping behaviors [27, 30, 36], and self-efficacy [28]. This explains, in part, why people with similar OA severity radiographic ...