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The Veterinary clinics of North America. Equine practice2010; 26(3); 619-642; doi: 10.1016/j.cveq.2010.07.007

Pain in osteoarthritis.

Abstract: This article focuses on pain associated with osteoarthritis (OA). It first describes the basic biology of articular cartilage and other joint structures and the defining features of the osteoarthritic disease process. Subsequently, the possible origins of pain in OA are discussed before embarking on how to manage this clinical entity. The emphasis is on the pharmacologic management of joint pain, and attention is paid to systemic therapeutic strategies as well as to local (intra-articular) treatment modalities. Nonmedical ways of modulating joint pain are briefly mentioned, but not extensively discussed, as these are outside the scope of this article.
Publication Date: 2010-11-09 PubMed ID: 21056303DOI: 10.1016/j.cveq.2010.07.007Google Scholar: Lookup
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Summary

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The research article provides a comprehensive understanding of the pain resulting from osteoarthritis (OA), and discusses the effective pharmacological strategies and local treatment modalities to manage it.

Understanding Osteoarthritis and Associated Pain

The article begins by providing a brief of the essential biology of articular cartilage and other joint structures. The discussion revolves around:

  • The defining factors of the disease process involved in osteoarthritis (OA).
  • The potential sources of pain attributed to OA.
  • The management of OA related pain.

Emphasis on Pharmacological Management

In the quest to control joint pain resulting from OA, immense emphasis has been paid to pharmacological treatment. The research delves into explaining varied systematic therapeutic strategies such as:

  • Use of various drugs and medications, typically administered orally or by injection.
  • These medicines aim to reduce inflammation and pain in the joints affected by OA.

Intra-Articular Treatment Modalities

Along with systematic approaches, the research showcases the effectiveness of local, i.e., intra-articular treatments. Intra-articular treatments directly target the affected joint, reducing pain and improving mobility. This section highlights:

  • The remarkable potential and efficacy of these treatments in managing localized joint pain.
  • Examples of such treatments may include corticosteroid injections into the affected joints.

Consideration of Nonmedical Treatments

While the primary concentration is on pharmacological and intra-articular methods, the study also briefly touches upon nonmedical ways of handling joint pain. However, it’s made clear that an extensive exploration of these methods isn’t within the research’s purview. Some nonmedical methods might involve:

  • Physical therapy or exercises aimed at strengthening the muscles around the affected joint.
  • Usage of assistive devices such as walkers or canes to reduce pressure on the affected joints.
  • Dietary changes or weight management techniques, particularly relevant for knee or hip OA.

Cite This Article

APA
van Weeren PR, de Grauw JC. (2010). Pain in osteoarthritis. Vet Clin North Am Equine Pract, 26(3), 619-642. https://doi.org/10.1016/j.cveq.2010.07.007

Publication

ISSN: 1558-4224
NlmUniqueID: 8511904
Country: United States
Language: English
Volume: 26
Issue: 3
Pages: 619-642

Researcher Affiliations

van Weeren, P René
  • Department of Equine Sciences, Faculty of Veterinary Medicine, Utrecht University, Yalelaan 114, NL-3584 CM, Utrecht, The Netherlands. R.vanWeeren@uu.nl
de Grauw, Janny C

    MeSH Terms

    • Analgesics / administration & dosage
    • Analgesics / therapeutic use
    • Animals
    • Anti-Inflammatory Agents / administration & dosage
    • Anti-Inflammatory Agents / therapeutic use
    • Cartilage, Articular / pathology
    • Horse Diseases / drug therapy
    • Horse Diseases / physiopathology
    • Horses
    • Injections, Intra-Articular / veterinary
    • Joints / pathology
    • Osteoarthritis / drug therapy
    • Osteoarthritis / physiopathology
    • Osteoarthritis / veterinary
    • Pain / drug therapy
    • Pain / physiopathology
    • Pain / veterinary