Rheumatoid arthritis

Assessment of Pain Types in Recently Diagnosed Patients With Inflammatory Arthritis

Arthritis Care Res (Hoboken)Published Cross-sectional study

Authors' conclusion

This study provides evidence of centrally mediated pain at the time of diagnosis, challenging the notion that, even at the early stage of disease, pain is driven only by peripheral mechanisms.

Study context

Population
Recently diagnosed patients with inflammatory arthritis (IA) with pain NRS scores of ≥357% female, 62% with RA
Participants
61 participants
Outcome
Sensory profiles / pain characteristics
Follow-up
At diagnosis

Main finding

As reported in the abstract

Peripheral joint inflammation
97%
DAS28 score, mean ± SD
3.8 ± 1
Met fibromyalgia criteria
21%
painDETECT score ≥19
25%
Tender minus swollen joint count ≥7 (significantly correlated with DAS28, MSK-HQ and PHQ-ADS scores)
20%
QST: facilitated temporal pain summation
18%
QST: deficient pain modulation
61%

Observational data: associations, not effects.

Original publication

Assessment of Pain Types in Recently Diagnosed Patients With Inflammatory Arthritis. Arthritis Care Res (Hoboken). Published 7 October 2025. doi:10.1002/acr.25651

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