Seminars in Arthritis and Rheumatism
Volume 41, Issue 3 , Pages 319-334, December 2011

New Concepts in Pain Research and Pain Management of the Rheumatic Diseases

  • Don L. Goldenberg, MD

      Affiliations

    • Professor of Medicine, Tufts University School of Medicine, Chief of Rheumatology, Newton-Wellesley Hospital, Newton, MA
    • Corresponding Author InformationAddress reprint request to Don L. Goldenberg, MD, Chief of Rheumatology, Newton-Wellesley Hospital, 2000 Washington St., Newton, MA 02462
    • ,
  • Daniel J. Clauw, MD

      Affiliations

    • Professor of Anesthesiology and Medicine (Rheumatology), University of Michigan Medical School
    • ,
  • Mary-Ann Fitzcharles, MD

      Affiliations

    • Professor of Medicine, McGill University

published online 13 June 2011.

Objectives

To provide an update on advances in pain research and practical guidelines for pain management in the rheumatic diseases.

Methods

A selected literature review and authors' conference consensus.

Results

There is emerging evidence that augmented pain regulation, as found in fibromyalgia, is important in rheumatoid arthritis and osteoarthritis. These findings are applicable to optimal management paradigms in the rheumatic diseases.

Conclusions

Fibromyalgia and other forms of chronic widespread pain have taught us important lessons about pain epidemiology and pain pathways.

Keywords: pain, chronic widespread pain, fibromyalgia, rheumatoid arthritis, osteoarthritis, treatment

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 The authors have no conflicts of interest to disclose.

PII: S0049-0172(11)00094-1

doi:10.1016/j.semarthrit.2011.04.005

Seminars in Arthritis and Rheumatism
Volume 41, Issue 3 , Pages 319-334, December 2011

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