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Osteoarthritis: the genesis of pain.

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TLDR
A better understanding of these multifactorial components of OA pain will lead to the development of more effective and safer pain treatments, making targeted therapy problematic.
Abstract
OA is a painful joint disease that predominantly affects the elderly. Pain is the primary symptom of OA, and it can present as either intermittent or constant. OA pain mechanisms are complex and have only recently been determined. Both peripheral and central processes are involved in creating the OA pain experience, making targeted therapy problematic. Nociceptive, inflammatory and neuropathic pains are all known to occur in OA, but to varying degrees in a patient- and time-specific manner. A better understanding of these multifactorial components of OA pain will lead to the development of more effective and safer pain treatments.

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Citations
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Journal ArticleDOI

The PI3K/AKT/mTOR signaling pathway in osteoarthritis: a narrative review.

TL;DR: The role of PI3K/AKT/mTOR signaling in cartilage degradation, subchondral bone dysfunction, and synovial inflammation is highlighted, and how this signaling pathway affects development of the disease is discussed.
Journal ArticleDOI

Deciphering osteoarthritis genetics across 826,690 individuals from 9 populations

Cindy G. Boer, +62 more
- 02 Sep 2021 - 
TL;DR: A genome-wide association study meta-analysis across 826,690 individuals and identifies 100 independently associated risk variants across 11 osteoarthritis phenotypes, 52 of which have not been associated with the disease before.
Journal ArticleDOI

Recent advances in the treatment of osteoarthritis.

TL;DR: The recent advances in phenotype-specific treatment options are discussed and their applicability for use in personalized OA therapy is evaluated.
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Intra-articular drug delivery systems for joint diseases

TL;DR: This review highlights recent developments in IA therapy, with a special emphasis on current and emerging therapeutic carriers and their potential to deliver disease‐modifying treatment modalities for arthritis.
References
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Journal ArticleDOI

Burden of major musculoskeletal conditions

TL;DR: The burden of four major musculoskeletal conditions: osteoarthritis, rheumatoid arthritis, osteoporosis, and low back pain, which affects nearly everyone at some point in time and about 4-33% of the population at any given point is described.
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Central Sensitization: A Generator of Pain Hypersensitivity by Central Neural Plasticity

TL;DR: The major triggers that initiate and maintain central sensitization in healthy individuals in response to nociceptor input and in patients with inflammatory and neuropathic pain are reviewed, emphasizing the fundamental contribution and multiple mechanisms of synaptic plasticity caused by changes in the density, nature, and properties of ionotropic and metabotropic glutamate receptors.
Journal ArticleDOI

Osteoarthritis: an update with relevance for clinical practice

TL;DR: In the coming years, a better definition of osteoarthritis is expected by delineating different phenotypes of the disease, and treatment targeted more specifically at these phenotypes might lead to improved outcomes.
Journal ArticleDOI

The epidemiology of osteoarthritis

TL;DR: The purpose of this review is to illustrate how each of these factors interact together to instigate incident OA as well as to outline the need for ongoing epidemiologic studies for the future prevention of both incident and progressive OA.
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