Evidence map›Paper›PMID 40164779›Full record

ReviewNature reviews. Rheumatology2025

The causal role of brain circuits in osteoarthritis pain.

Joana Barroso, Paulo Branco, A Vania Apkarian

Abstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Rheumatology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Article
  2. Review
  3. The complexity of pain in osteoarthritis.Nature reviews. Rheumatology · 2026
    Review
  4. Article
  5. Review
  6. Ambient green light reduces knee pain in osteoarthritis patients.Canadian journal of pain = Revue canadienne de la douleur · 2026
    Article
  7. Article
  8. Article
  9. Review
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Joana BarrosoDepartment of Anaesthesiology and Center for Translational Pain Research, Feinberg School of Medicine, Northwestern University, Evanston, IL, USA.
Paulo BrancoDepartment of Anaesthesiology and Center for Translational Pain Research, Feinberg School of Medicine, Northwestern University, Evanston, IL, USA. paulo.branco@northwestern.edu.
A Vania ApkarianDepartment of Anaesthesiology and Center for Translational Pain Research, Feinberg School of Medicine, Northwestern University, Evanston, IL, USA. a-apkarian@northwestern.edu.ORCID http://orcid.org/0000-0002-9788-7458

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Osteoarthritis (OA) is a leading cause of chronic pain worldwide, resulting in substantial disability and placing a substantial burden on patients and society. The hallmark symptom of OA is joint pain. Despite extensive research, new treatments for OA pain remain limited, partly owing to a lack of understanding of underlying pain mechanisms. For a long time, OA pain was seen as a reflection of nociceptive activity at the joint level, and the brain has been viewed as a passive recipient of such information. In this Review, we challenge these concepts and discuss how, over time, the activation of peripheral nociceptors leads to adaptations in the brain that dictate the properties and experience of OA pain. These adaptations are further influenced by the inherent properties of the brain. We review general concepts that distinguish pain from nociception, present evidence on the incongruity between joint injury and experience of OA pain, and review brain circuits that are crucial in the perception of OA pain. Finally, we propose a model that integrates nociception, spinal-cord mechanisms, and central nervous system dynamics, each contributing uniquely to pain perception. This framework has the potential to inform the development of personalized treatment strategies.

Indexed as

ArthralgiaBrainChronic PainOsteoarthritisHumansNociceptionNociceptorsPain Perception

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.