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Journal of Bone and Joint Surgery - British Volume, Vol 90-B, Issue 3, 280-287.
doi: 10.1302/0301-620X.90B3.20167  
Copyright © 2008 by British Editorial Society of Bone and Joint Surgery
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Understanding pain in osteoarthritis

S. E. Gwilym, BSc(Hons), MRCS, ARC Clinical Research Fellow & Girdlestone Memorial Scholar1; T. C. B. Pollard, BSc(Hons), MRCS, Specialist Registrar & Botnar Surgical Research Fellow1; and A. J. Carr, ChM, FRCS, Nuffield Professor of Orthopaedic Surgery1

1 Nuffield Department of Orthopaedic Surgery, University of Oxford, Nuffield Orthopaedic Centre, Windmill Road, Headington, Oxford OX3 7LD, UK.

Correspondence should be sent to Mr S. E. Gwilym; e-mail: s_gwilym{at}doctors.org.uk

The majority of patients with osteoarthritis present to orthopaedic surgeons seeking relief of pain and associated restoration of function. Although our understanding of the physiology of pain has improved greatly over the last 25 years there remain a number of unexplained pain-related observations in patients with osteoarthritis. The understanding of pain in osteoarthritis, its modulation and treatment is central to orthopaedic clinical practice and in this annotation we explore some of the current concepts applicable. We also introduce the concept of the ‘phantom joint’ as a cause for persistent pain after joint replacement.




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Understanding pain in osteoarthritis
Michael Wroblewski
J Bone Joint Surg Br Online, 9 May 2008 [Full text]

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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General