Evidence map›Paper›PMID 33737965›Full record

ReviewTherapeutic advances in musculoskeletal disease2021

Pathophysiology of musculoskeletal pain: a narrative review.

Filomena Puntillo, Mariateresa Giglio, Antonella Paladini, Gaetano Perchiazzi, Omar Viswanath, Ivan Urits, Carlo Sabbà, Giustino Varrassi, Nicola Brienza

Abstract readReview
In one paragraph

Review in Therapeutic advances in musculoskeletal disease, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed, 2 pooled it
–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

55 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

9 authors.

Filomena PuntilloDepartment of Interdisciplinary Medicine, 'Aldo Moro' University of Bari, Piazza G. Cesare 11, Bari 70124, Italy.
Mariateresa GiglioAnesthesia, Intensive Care and Pain Unit, Policlinico Hospital, Bari, Italy.
Antonella PaladiniDepartment of MESVA, University of L'Aquila, L'Aquila, Italy.
Gaetano PerchiazziDepartment of Surgical Science, Hedenstierna Laboratory, Uppsala University, Uppsala, Sweden.
Omar ViswanathDepartment of Anesthesiology, Creighton University School of Medicine, Omaha, NE, USA.
Ivan UritsDepartment of Anesthesia, Beth Israel Deaconess Med Center, Harvard Medical School, Boston, MA, USA.ORCID https://orcid.org/0000-0002-3652-6085
Carlo SabbàDepartment of Interdisciplinary Medicine, 'Aldo Moro' University of Bari, Bari, Italy.
Giustino VarrassiPaolo Procacci Foundation, Roma, Italy.ORCID https://orcid.org/0000-0002-3822-2923
Nicola BrienzaDepartment of Interdisciplinary Medicine, 'Aldo Moro' University of Bari, Bari, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Musculoskeletal pain (excluding bone cancer pain) affects more than 30% of the global population and imposes an enormous burden on patients, families, and caregivers related to functional limitation, emotional distress, effects on mood, loss of independence, and reduced quality of life. The pathogenic mechanisms of musculoskeletal pain relate to the differential sensory innervation of bones, joints, and muscles as opposed to skin and involve a number of peripheral and central nervous system cells and mediators. The interplay of neurons and non-neural cells (e.g. glial, mesenchymal, and immune cells) amplifies and sensitizes pain signals in a manner that leads to cortical remodeling. Moreover, sex, age, mood, and social factors, together with beliefs, thoughts, and pain behaviors influence the way in which musculoskeletal pain manifests and is understood and assessed. The aim of this narrative review is to summarize the different pathogenic mechanisms underlying musculoskeletal pain and how these mechanisms interact to promote the transition from acute to chronic pain.

Indexed as

arthralgiamusculoskeletal painmyalgianeurogliaphysiology

Identifiers

PMID33737965
PMCPMC7934019

What Socratic holds

Textmetadata
LicenceCC BY-NC
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 Socratic graph.