New EULAR recommendations on pain management in arthritis


  • Mary Corcoran
  • International Medical News
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The European League Against Rheumatism (EULAR) has published new recommendations designed to help health professionals implement approaches to pain management in inflammatory arthritis (IA) and osteoarthritis (OA) patients. 

The recommendations were developed by a multidisciplinary task force which included 18 members from 12 countries, who conducted a systematic literature review to evaluate evidence on the efficacy of multiple treatment modalities. From 2,914 studies initially identified, 186 met inclusion criteria.

EULAR has made eight recommendations based on the literature review including guidance that patients should also receive sleep interventions, orthotics, weight management support, and pharmacological and joint-specific pain treatment, if indicated.

Two additional recommendations based on expert opinion address the aspects to consider when assessing a patient and provision of a personalised management plan for patients.

The guidance also emphasises the importance of adopting a patient-centred framework within a biopsychosocial perspective, to have sufficient knowledge of IA and OA pathogenesis, and to be able to differentiate localised and generalised pain.

The recommendations are published in The Annals of Rheumatic Diseases.