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Arthritis Research UK Pain Centre
“Persistent pain destroys the quality of life for millions of people with arthritis” Professor Alan Silman, Medical Director for Arthritis Research UK
Researchers at The University of Nottingham are combining their expertise across disciplines to realise the ambitions of the Arthritis Research UK Pain Centre.
Over the next five years experts from five departments across four Schools will undertake innovative research to achieve a greater understanding of pain and come up with more effective ways of dealing with it.
“Arthritis is a worldwide phenomenon. We are looking at really changing treatments that will benefit people with arthritis pain. Understanding the mechanisms behind arthritis pain may give insights into other kinds of pain, as well as the ways that physical health problems affect people and what we can do to try and help them with that,” says Dr David Walsh, Director of the Arthritis Research UK Pain Centre
A lot is already known about the interplay of various factors that cause pain, however, the understanding of how all those factors contribute to the final experience of pain is incomplete. Researchers at the Centre are studying evidence from imaging techniques, such as MRI, to find out how an individual’s way of processing pain signals may explain why their experience of pain may not necessarily match the severity of their joint damage seen on x-rays.
Using osteoarthritis of the knee as their model, they plan to: look at the social context of pain by finding out their patients’ understanding of their pain and what they expect from treatment; investigate the role of peripheral pain and central pain and try to produce new compounds to target pain pathways; run clinical trials aimed at improving the use of existing drug therapies; and test new painkillers which may be produced over the next five years.
The research team is led by Dr David Walsh, Associate Professor (Clinical Reader) in Academic Rheumatology and Honorary Consultant with Sherwood Forest Hospitals NHS Foundation Trust, and Deputy Director Professor Victoria Chapman, and includes Professor Nadia Lincoln, Professor Dorothee Auer, Dr Sara Kelly, Professor Brigitte Scammell, Professor Mike Doherty and Dr Weiya Zhang.
Their combined expertise incorporates the fields of rheumatology, neuro-imaging, psychology, neuropharmacology, neurosciences and orthopaedic surgery. This unique approach will provide vital solutions leading to improving treatment of the chronic pain experienced by sufferers of osteoarthritis
Pain is different things to different people. For people with arthritis pain it is not a single pain, but ongoing, and can be very debilitating. Pain is not just what you feel, but how you interpret it. Pain-relieving drugs such as ibuprofen, paracetamol, anti-inflammatories and opiates all have a part to play in managing the devastating effects of chronic pain from arthritis, but none are ideal, either lacking effectiveness or having the risk of side-effects.
The work done at the Arthritis Research UK Pain Centre will have a better understanding of the mechanisms behind pain and have piloted trials to discover how better to target existing drugs to individuals with arthritis, playing a big part in the development of new pain killing medicines
Over five years Dr Walsh’s team of eight academic staff and three research staff will examine pain mechanisms, pain assessment and the evaluation of new analgesics along with the psychological aspects of pain and the peripheral, spinal and brain mechanisms contributing to osteoarthritic pain. For more information, see the Arthritis Research UK Pain Centre web pages.
£2.5m from Arthritis Research UK and £3m from The University of Nottingham
Dr Huw Jones Jenkins, Business Development Executive
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