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근골격계 통증 : 시장 인사이트, 역학 및 예측(2036년)

Musculoskeletal Pain - Market Insight, Epidemiology, and Market Forecast - 2036

발행일: | 리서치사: 구분자 DelveInsight | 페이지 정보: 영문 200 Pages | 배송안내 : 2-10일 (영업일 기준)

    
    
    




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근골격계 통증에 대한 인사이트 및 동향

  • 근골격계 통증에는 요통, 목 통증, 퇴행성 관절염, 류마티스 관절염, 섬유근통증후군 등 다양한 질환이 포함되며, 세계 질병 부담(GBD) 연구에서 전 세계 장애의 주요 원인으로 꾸준히 보고되고 있습니다. 이는 주로 장애 조정 생명 연수(YLD)의 가장 큰 요인인 요통에서 기인합니다.
  • 치료 패러다임은 주로 다각적이며 증상에 초점을 맞춘 것으로, 비약물 요법(운동 요법, 물리 요법, 환자 교육, 인지 행동 치료 및 심리사회적 접근법)과 질환의 중증도 및 환자 프로파일에 맞추어 조정된 약물 요법을 병행하고 있습니다.
  • NSAIDs(셀레콕시브 등의 COX-2 선택적 억제제를 포함)는 진통 작용 및 항염증 작용이 입증되었기 때문에 대부분의 근골격계 질환에서 여전히 1차 선택 약물 요법으로 사용되고 있습니다. 한편, 아세트아미노펜은 경미한 통증에 사용되지만, 염증성 질환에 대한 유효성은 제한적입니다.
  • 오피오이드계 진통제는 중증의 급성 통증이나 난치성 사례에 대한 단기적인 관리에 한해 사용됩니다. 이는 임상 지침에서 중독, 과다 복용의 위험, 그리고 만성 근골격계 질환에 대한 장기적인 유익성이 제한적이라는 우려가 일관되게 강조되고 있기 때문입니다.
  • 국소용 NSAID(비스테로이드성 항염증제)는 특히 무릎이나 손의 퇴행성 관절염에서 국소적인 통증에 대한 효능이 경구용 NSAID와 동등하면서도 전신적인 안전성 측면에서도 더 우수하기 때문에 권장되는 사례가 늘어나고 있습니다.
  • 특정 염증성 및 퇴행성 질환의 경우, 관절 내 코르티코스테로이드 주사가 단기적인 증상 완화를 가져오지만, 외과적 시술(예 : 진행성 퇴행성 관절염에 대한 인공관절 치환술, 척추 감압술 등)은 진행된 질환이나 난치성 질환에 한해 시행됩니다.
  • 근골격계 통증 치료의 파이프라인은 비오피오이드계 진통제, 재생의학 및 줄기세포를 이용한 치료, 단일클론 항체, 신규 저분자 화합물 등을 포함하는 퇴행성 관절염의 병태 수정 요법(DMOAD)으로 점차 전환되고 있으나, 그 대부분은 여전히 연구 단계에 머물러 있습니다.
  • 근골격계 통증 시장은 고령화, 퇴행성 관절염 및 만성 통증 질환의 유병률 증가, 장시간 앉아 있는 생활 습관, 비만, 그리고 보다 안전한 장기 비오피오이드 치료에 대한 수요 증가로 인해 꾸준히 성장할 것으로 예상되며, 이러한 요인들은 대증 요법과 질병 수정 요법 모두에서 지속적인 혁신을 촉진하고 있습니다.

본 '근골격계 통증 시장' 보고서에서는 표준 치료, 임상 실무, 진화하는 치료 알고리즘 등 현재의 치료 현황에 대한 종합적인 분석을 제공합니다. 또한, 근골격계 통증 환자의 부담 추이, 수익 및 시장 점유율 추이, 피크 시기의 환자 점유율 및 치료법 보급 현황에 대한 분석을 평가하는 한편, 세계 각 지역 시장 규모에 대한 상세한 평가 및 성장률 전망(과거 데이터 및 2022-2036년 전망)을 제시하고 있습니다. 본 보고서에서는 근골격계 통증 분야에서 주요 미충족 수요 사항을 부각시키고, 경쟁 구도 및 임상 환경을 분석함으로써 고부가가치 비즈니스 기회를 도출하며, 향후 시장 성장 가능성에 대한 명확한 전망을 제시하고 있습니다.

근골격계 통증 시장을 주도하는 주요 요인

세계적으로 증가하는 근골격계 질환의 부담

근골격계 질환은 여전히 전 세계 장애의 주요 원인으로 남아 있으며, 퇴행성 관절염이나 만성 요통(CBLP) 등의 질환이 장애 조정 생명 연수(YLD)에서 상당한 비중을 차지하고 있습니다. 환자 수가 증가함에 따라, 효과적인 장기적인 통증 관리 및 기능 개선 치료에 대한 수요가 계속해서 높아지고 있습니다.

고령화와 퇴행성 관절염 유병률 증가

인구 고령화는 시장 성장 촉진요인입니다. 퇴행성 관절염, 추간판 퇴행증, 그 밖의 만성 근골격계 질환의 발병률은 노화에 따라 현저히 증가하기 때문입니다. 고령 인구 증가로 인해, 대증 요법과 질환 수정 요법 모두에 대한 수요가 지속될 것으로 예측됩니다.

지속적인 질환 수정 요법에 대한 높은 미충족 의료 수요

비스테로이드성 항염증제(NSAIDs), 코르티코스테로이드, 점탄성 보충제 등의 현재 치료법은 주로 증상 완화를 가져다줄 뿐이며, 질환의 진행을 억제하는 데는 효과가 제한적입니다. 지속적인 통증 관리와 구조적 개선을 가져다주는 치료법이 부족한 탓에, 치료법 혁신을 위한 큰 기회가 계속해서 생겨나고 있습니다.

비오피오이드를 이용한 통증 관리로의 전환

오피오이드와 관련된 안전성 위험, 의존성 및 규제상의 제한에 대한 인식이 높아짐에 따라, 비오피오이드 치료 전략의 도입이 가속화되고 있습니다. 이러한 추세는 새로운 진통제, 국소 치료법, 재생 의학 및 그 밖의 보다 안전한 장기 치료 방식의 개발과 보급을 촉진하고 있습니다.

근골격계 통증의 이해와 치료 알고리즘

근골격계 통증의 개요와 진단

근골격계 통증이란 근육, 뼈, 관절, 힘줄, 인대 및 신체의 기타 지지 구조에서 기인하는 통증을 말합니다. 여기에는 퇴행성 관절염, 요통, 목 통증, 류마티스 관절염, 스포츠 부상 등 광범위한 급성 및 만성 질환이 포함됩니다. 근골격계 통증의 중증도와 지속 기간은 다양하며, 종종 관절 가동 범위 감소, 신체 장애, 삶의 질 저하로 이어집니다. 그 원인은 다양하며, 일상생활에 중대한 영향을 미치기 때문에 근골격계 통증은 전 세계적으로 볼 때 임상적 측면과 공중보건적 측면에서 큰 부담이 되고 있습니다.

근골격계 통증의 진단

근골격계 통증의 진단은 임상 평가와 환자의 병력을 바탕으로, 근본적인 원인을 규명하기 위한 표적 검사를 통해 뒷받침됩니다. 상세한 신체 검사에서는 통증 부위, 가동 범위, 압통, 부종 및 기능 장애를 평가합니다. X선, MRI, CT 등의 영상 진단 기술은 구조적, 퇴행성 또는 연조직의 이상을 감지하는 데 사용되며, 연조직이나 신경의 관여 여부에 대해서는 MRI가 우선적으로 활용됩니다.

염증성 또는 자가면역성 질환이 의심되는 경우, 적혈구 침강 속도(ESR), C-반응성 단백질(CRP), 류마티스 인자(RF), 항-사이클릭 시트룰린화 펩티드(항-CCP) 항체 등의 검사가 진단에 도움이 됩니다. 또한, 초음파 검사(에코)를 통해 관절의 염증이나 관절액 저류(관절 내 과도한 체액 축적)를 평가하기도 합니다.

근골격계 통증의 치료

근골격계 통증의 치료는 공개된 임상 지침을 통해 확립되어 있으며, 통증의 중증도와 근본적인 원인에 따라 다각적이고 단계적인 접근법이 채택되고 있습니다. 1차 치료법에는 일반적으로 이부프로펜, 나프록센, 디클로페낙 등의 비스테로이드성 항염증제(NSAIDs)가 포함됩니다. 이들은 사이클로옥시게나제(COX)를 억제함으로써 진통 작용 및 항염증 작용을 발휘합니다. 또한, 특히 NSAIDs가 금기인 경우, 경미한 통증 완화에는 파라세타몰(아세트아미노펜)도 널리 사용되고 있습니다.

보조적인 약물 요법으로는 급성 근골격계 경련에 대한 근이완제나 심한 통증에 대한 단기적인 오피오이드(트라마돌, 모르핀 등)가 있지만, 중독이나 부작용의 위험이 있으므로 그 사용은 일반적으로 제한되고 있습니다. 비약물 요법은 관리의 핵심을 이루며, 물리치료, 체계적인 운동 프로그램, 체중 감량, 수기 요법, 온열·냉열 요법 등이 포함됩니다. 이 모든 것들은 통증 및 기능적 예후의 개선과 관련하여 임상 지침에서 강력히 권장되고 있습니다. 특정 증례에서는 국소적인 통증이나 난치성 통증에 대해 코르티코스테로이드 주사, 신경 차단, 영상 유도 하의 저침습 치료 등의 중재적 치료가 시행됩니다.

근골격계 통증의 역학

근골격계 통증에 대한 역학적 분석 및 예측과 관련된 주요 연구 결과

  • 근골격계 질환은 전 세계적으로 약 17억 명에게 영향을 미치고 있으며, 장기적인 장애의 가장 흔한 원인 중 하나입니다.
  • 근골격계 통증은 일반 인구에서 매우 높은 유병률을 보이고 있습니다. 미국에서는 인구의 약 37%가 이 질환을 앓고 있습니다.
  • 요통은 전 세계적으로 볼 때 장애의 주요 원인이며, 세계 질병 부담(GBD) 조사에서 장애 조정 생명 연수(YLD) 수치 기준으로 꾸준히 가장 높은 순위를 차지하고 있습니다.
  • 근골격계 질환의 부담은 노화에 따라 현저히 증가하며, 퇴행성 변화로 인해 고령층에서는 퇴행성 관절염, 척추 질환, 만성 요통의 유병률이 높아집니다.
  • 근골격계 통증은 기능 장애 및 삶의 질 저하와 밀접한 관련이 있으며, 특히 노동 연령층에서 전 세계적인 결근 및 생산성 저하의 주요 원인이 되고 있습니다.
  • 인구 고령화, 비만, 장시간 앉아 있는 생활 습관 및 직업적 위험 요인으로 인해 근골격계 질환의 유병률이 증가하고 있으며, 이는 전 세계적으로 의료 수요 증가를 초래하고 있습니다.
  • 근골격계 질환은 전 세계 의료 서비스 이용의 상당 부분을 차지하고 있으며, 장기적인 통증 관리나 재활 서비스가 필요한 환자의 비율이 높아지고 있습니다.

근골격계 통증 시장 전망

근골격계 통증 시장은 퇴행성 관절염, 만성 요통(CLBP), 목 통증 및 기타 퇴행성 근골격계 질환의 전 세계 유병률이 높은 데 힘입어 여전히 가장 규모가 크고 확고하게 자리 잡은 치료 분야 중 하나입니다. 현재의 치료 전략은 주로 비스테로이드성 소염진통제(NSAIDs), 코르티코스테로이드 주사, 히알루론산 점탄성 보충제 및 중추성 진통제를 통한 대증 요법에 중점을 두고 있습니다. 이러한 치료법은 널리 사용되고 있지만, 일반적으로 일시적인 증상 관리에 그치며 기저 질환의 진행에 미치는 영향은 제한적이어서, 지속성이 더 높고 질환의 경과를 변화시킬 수 있는 치료 옵션에 대한 큰 미충족 수요가 부각되고 있습니다.

DUROLANE, ZILRETTA 및 Synvisc-One을 포함한 점탄성 보충제 등 승인된 치료법은 여전히 임상 현장에서 중요한 위치를 차지하고 있습니다. 그러나 NSAID의 장기 사용에 따른 위장관, 심혈관, 신장에 대한 독성에 대한 우려와 코르티코스테로이드 및 히알루론산 주사의 효과가 제한적이라는 점 때문에 구조적 질환의 진행을 관리하면서 지속적인 통증 완화를 가져올 수 있는 새로운 치료법의 탐색이 가속화되고 있습니다.

경쟁 구도는 혁신적인 비오피오이드계 진통제, 재생의학, 그리고 질환 수정형 퇴행성 관절염 치료제(DMOAD) 쪽으로 점점 더 이동하고 있습니다. 통증 신호 전달의 조절, 관절 내 치료, 그리고 세포를 이용한 재생의학 접근법 분야의 최근 진전은 질환의 대증적 측면과 구조적 측면 모두를 해결할 가능성을 보여주고 있습니다. 특히, 추간판 퇴행성 질환과 관련된 만성 요통(CLBP)이나 퇴행성 무릎 관절염을 표적으로 하는 치료법은 향후 시장 성장의 주요 원동력으로 부상할 것으로 기대됩니다.

노화에 따른 근골격계 질환의 부담 증가, 비오피오이드계 통증 관리 전략에 대한 수요 증가, 그리고 보다 장기적인 통증 완화와 기능 개선을 가져오도록 설계된 치료법의 지속적인 개발에 힘입어, 시장은 계속해서 확대될 것으로 예측됩니다. 신흥 재생의학 및 질환 수정 접근법은 특히 현재의 치료 선택지가 여전히 주로 대증요법에 그치고 있는 퇴행성 관절염이나 만성 요통(CLBP)의 경우, 치료 패러다임을 대폭 재구성할 가능성이 있습니다.

  • 'ZILRETTA'는 2025년에 1억 1,660만 달러의 매출을 기록했으며, 개발 중인 경쟁 제품이 증가하고 있음에도 불구하고 국소 비오피오이드성 통증 관리에 대한 상업적 수요가 여전히 존재함을 보여주고 있습니다.
  • 투여 횟수가 적고 효과가 장기간 지속되는 제품은 경쟁이 치열해지는 시장에서 경쟁 우위를 확보할 가능성이 있습니다. 바이오벤타스사는 DUROLANE의 1회 주사 투여 방식과 최대 26주간 지속되는 진통 효과가, 여러 번의 주사가 필요한 점탄성 보충 요법 제품과 비교했을 때 경제적 측면 및 환자 편의성 측면에서 우위를 점할 가능성이 있다고 강조하고 있습니다.
  • COX 억제제 : 여기에는 S-플루르비프로펜 등의 NSAID(비스테로이드성 항염증제) 기반 치료법이 포함됩니다. 이 약들은 사이클로옥시게나제 효소를 억제하여 프로스타글란딘의 합성을 감소시킴으로써 염증과 통증을 완화합니다. 이러한 작용기전은 근골격계 증상에 대한 통증 관리에서 여전히 중요한 요소로 남아 있습니다.
  • 글루코코르티코이드 수용체 작용제 : 트리암시놀론 아세토니드 및 TLC599는 글루코코르티코이드 수용체를 활성화하여 염증성 사이토카인 및 하류 염증 신호 전달 경로를 억제합니다. 이러한 치료법은 주로 국소적이고 장기적인 통증 완화에 사용됩니다.

자주 묻는 질문

  • 근골격계 통증의 주요 원인은 무엇인가요?
  • 근골격계 통증 치료에 사용되는 주요 약물은 무엇인가요?
  • 근골격계 통증 시장의 성장 요인은 무엇인가요?
  • 근골격계 통증의 진단 방법은 무엇인가요?
  • 근골격계 통증 시장의 미래 전망은 어떻게 되나요?
  • 근골격계 통증 치료에 대한 미충족 수요는 무엇인가요?
  • 근골격계 통증 시장에서 주요 기업은 어디인가요?

목차

제1장 주요 인사이트

제2장 서론

제3장 근골격계 통증 : 주요 요약

제4장 주요 이벤트

제5장 근골격계 통증 : 역학 및 예측 조사 방법

제6장 근골격계 통증 : 시장 개요

제7장 근골격계 통증 : 질환 배경 및 개요

제8장 근골격계 통증 : 치료

제9장 근골격계 통증 : 역학 및 환자 인구

제10장 근골격계 통증 : 환자 경과

제11장 근골격계 통증 : 시판 치료제

제12장 근골격계 통증 : 신흥 치료법

제13장 근골격계 통증 : 주요 7개국 분석

제14장 근골격계 통증 : 미충족 수요

제15장 근골격계 통증 : SWOT 분석

제16장 근골격계 통증 : KOL(Key Opinion Leader)의 견해

제17장 시장 참여 및 상환

제18장 부록

제19장 DelveInsight의 서비스 내용

제20장 면책사항

KTH

Musculoskeletal Pain Insights and Trends

  • Musculoskeletal Pain includes a broad range of conditions such as low back pain, neck pain, osteoarthritis, rheumatoid arthritis, and fibromyalgia, and is consistently reported in Global Burden of Disease (GBD) studies as the leading cause of disability worldwide, primarily driven by low back pain as the top contributor to years lived with disability (YLDs).
  • The treatment paradigm is largely multimodal and symptom-focused, combining non-pharmacological interventions (exercise therapy, physiotherapy, patient education, cognitive-behavioral and psychosocial approaches) with pharmacological therapies tailored to disease severity and patient profile.
  • NSAIDs (including COX-2 selective inhibitors such as celecoxib) remain the first-line pharmacological therapy for most musculoskeletal conditions due to their proven analgesic and anti-inflammatory effects, while acetaminophen is used in mild pain settings with limited efficacy in inflammatory conditions.
  • Opioid analgesics are reserved for short-term management of severe acute pain or refractory cases, as clinical guidelines consistently highlight concerns regarding dependence, overdose risk, and limited long-term benefit in chronic musculoskeletal conditions.
  • Topical NSAIDs (Nonsteroidal Anti-Inflammatory Drugs) are increasingly recommended, particularly for knee and hand osteoarthritis, due to comparable efficacy in localized pain with a more favorable systemic safety profile compared to oral NSAIDs.
  • In selected inflammatory and degenerative conditions, intra-articular corticosteroid injections provide short-term symptom relief, while surgical interventions (e.g., joint replacement in advanced osteoarthritis, spinal decompression procedures) are reserved for advanced or refractory disease.
  • The musculoskeletal pain pipeline is gradually evolving toward non-opioid analgesics, regenerative medicine, and potential disease-modifying osteoarthritis therapies (DMOADs), including stem cell-based therapies, monoclonal antibodies, and novel small molecules, though most remain investigational.
  • The Musculoskeletal Pain market is expected to grow steadily due to aging populations, rising prevalence of osteoarthritis and chronic pain conditions, sedentary lifestyles, obesity, and increasing demand for safer long-term non-opioid therapies, driving continued innovation in both symptomatic and disease-modifying treatment approaches.

DelveInsight's 'Musculoskeletal Pain - Market Insights, Epidemiology and Market Forecast - 2036' report delivers an in-depth understanding of the musculoskeletal pain, historical and forecasted epidemiology, as well as the musculoskeletal pain market trends in the United States, EU4 (Germany, Spain, Italy, and France), and the United Kingdom, and Japan.

The Musculoskeletal Pain market report delivers a comprehensive analysis of the current treatment landscape, including standards of care, clinical practices, and evolving therapeutic algorithms. It evaluates musculoskeletal pain patient burden trends, revenue & market share dynamics, peak patient share & therapy uptake analysis, and provides an in-depth market size assessment, and growth rate projections (Historical & Forecast 2022-2036) across global regions. The report highlights key unmet medical needs in musculoskeletal pain and maps the competitive and clinical landscape to uncover high-value opportunities, providing a clear outlook on future market growth potential.

Key Factors Driving the Musculoskeletal Pain Market

Rising global burden of musculoskeletal disorders

Musculoskeletal disorders remain the leading contributor to disability worldwide, with conditions such as osteoarthritis and chronic low back pain (CBLP) accounting for a substantial proportion of years lived with disability (YLDs). The growing patient pool continues to drive demand for effective long-term pain management and functional improvement therapies.

Aging population and increasing osteoarthritis prevalence

Population aging is a key market driver, as the incidence of osteoarthritis, degenerative disc disease, and other chronic musculoskeletal conditions increases significantly with age. The expanding elderly population is expected to sustain demand for both symptomatic and disease-modifying treatment options.

High unmet need for durable and disease-modifying therapies

Current treatment options, including nonsteroidal anti-inflammatory drugs (NSAIDs), corticosteroids, and viscosupplements, primarily provide symptomatic relief and have limited effects on disease progression. The lack of therapies capable of delivering sustained pain control and structural improvement continues to create significant opportunities for therapeutic innovation.

Shift towards non-opioid pain management

Growing awareness of opioid-related safety risks, dependence, and regulatory restrictions has accelerated the adoption of non-opioid treatment strategies. This trend is supporting the development and uptake of novel analgesics, localized therapies, regenerative medicines, and other safer long-term treatment approaches.

Musculoskeletal Pain Understanding and Treatment Algorithm

Musculoskeletal Pain Overview and Diagnosis

Musculoskeletal pain refers to pain arising from the muscles, bones, joints, tendons, ligaments, and other supporting structures of the body. It encompasses a wide range of acute and chronic conditions, including osteoarthritis, low back pain, neck pain, rheumatoid arthritis, and sports-related injuries. Musculoskeletal pain can vary in severity and duration, often leading to reduced mobility, physical disability, and impaired quality of life. Owing to its diverse causes and significant impact on daily functioning, musculoskeletal pain represents a major clinical and public health burden worldwide.

Musculoskeletal Pain Diagnosis

Diagnosis of Musculoskeletal Pain is based on clinical evaluation and patient history, supported by targeted investigations to identify the underlying cause. A detailed physical examination assesses pain location, range of motion, tenderness, swelling, and functional impairment. Imaging techniques such as X-ray, MRI, and CT are used to detect structural, degenerative, or soft tissue abnormalities, with MRI preferred for soft tissue and nerve involvement.

In suspected inflammatory or autoimmune conditions, laboratory tests including Erythrocyte Sedimentation Rate (ESR), C-Reactive Protein (CRP), Rheumatoid Factor (RF), and Anti-Cyclic Citrullinated Peptide (anti-CCP) antibodies help support diagnosis. Ultrasonography (Ultrasound) may also be used to evaluate joint inflammation and joint effusion (excess fluid accumulation within a joint).

Musculoskeletal Pain Treatment

The treatment of musculoskeletal pain is well established in published clinical guidelines and follows a multimodal, stepwise approach based on pain severity and underlying cause. First-line therapy typically includes NSAIDs such as ibuprofen, naproxen, and diclofenac, which provide analgesic and anti-inflammatory effects through cyclooxygenase (COX) inhibition. Paracetamol (acetaminophen) is also widely used for mild pain relief, particularly when NSAIDs are contraindicated.

Adjunct pharmacologic options include muscle relaxants for acute musculoskeletal spasm and short-term opioids (e.g., tramadol, morphine) for severe pain, though their use is generally limited due to risks of dependence and adverse effects. Non-pharmacological interventions are central to management and include physiotherapy, structured exercise programs, weight reduction, manual therapy, and heat/cold application, all of which are strongly supported in clinical guidelines for improving pain and functional outcomes. In selected cases, interventional procedures such as corticosteroid injections, nerve blocks, and image-guided minimally invasive techniques are used for localized or refractory pain.

Musculoskeletal Pain Unmet Needs

The section "unmet needs of musculoskeletal pain" outlines the critical gaps between the current state of patient care, diagnosis, and the ideal & effective management of the disease. It highlights the obstacles experienced by patients, clinicians, and researchers and identifies potential solutions for future progress.

1. Lack of disease-modifying or curative therapies

2. High burden of chronic and recurrent pain

3. Limited effectiveness and safety concerns of long-term pharmacotherapy

4. Need for better patient stratification and biomarkers, and others.....

Musculoskeletal Pain Epidemiology

Key Findings from Musculoskeletal Pain Epidemiological Analysis and Forecast

  • Musculoskeletal conditions affect approximately 1.7 billion people globally, making them one of the most prevalent causes of long-term disability.
  • Musculoskeletal Pain is highly prevalent among the general population. In the United States, it affects almost 37% population.
  • Low back pain is the leading cause of disability worldwide, consistently ranking highest in years lived with disability (YLDs) across Global Burden of Disease (GBD) studies.
  • The burden of musculoskeletal disorders increases significantly with age, with higher prevalence of osteoarthritis, spinal disorders, and chronic back pain in older populations due to degenerative changes.
  • Musculoskeletal pain is strongly associated with functional impairment and reduced quality of life, contributing substantially to global work absenteeism and productivity loss, particularly in working-age adults.
  • The prevalence of musculoskeletal conditions is rising due to population aging, obesity, sedentary lifestyles, and occupational risk factors, driving increasing healthcare demand worldwide.
  • Musculoskeletal disorders account for a major share of global healthcare utilization, with a high proportion of patients requiring long-term pain management and rehabilitation services.

Musculoskeletal Pain Drug Analysis & Competitive Landscape

The Musculoskeletal Pain drug chapter provides a detailed, market-focused review of approved therapies and the emerging pipeline across Phase I-III clinical trials. It covers the mechanism of action, clinical trial data, regulatory approvals, patents, collaborations, and strategic partnerships for each therapy, along with their advantages, limitations, and recent developments. This section offers critical insights into the Musculoskeletal Pain treatment landscape, supporting market assessment, competitive analysis, and growth forecasting for the Musculoskeletal Pain therapeutics market.

Approved Therapies for Musculoskeletal Pain

Triamcinolone Acetonide (ZILRETTA/ FX006): Flexion

Triamcinolone Acetonide extended-release is an intra-articular corticosteroid approved for the management of osteoarthritis knee pain. As the first and only extended-release corticosteroid formulation for knee osteoarthritis, it utilizes proprietary poly lactic-co-glycolic acid (PLGA) microsphere technology to enable sustained intra-articular drug release and prolong therapeutic exposure compared with conventional corticosteroid injections. The therapy received the US FDA approval in October 2017 based on results from a pivotal Phase III trial demonstrating statistically significant improvements in knee pain versus comparator groups, with clinical benefits maintained for up to 12 weeks and pain relief extending through Week 16 in some patients. The approval established ZILRETTA as a differentiated treatment option within the corticosteroid segment, addressing the need for more durable symptom control in patients with knee osteoarthritis.

S-Flurbiprofen+ Mentha Oil (LOQOA TAPE): Taisho Pharmaceutical

S-flurbiprofen + mentha oil is a transdermal anti-inflammatory analgesic patch formulation indicated for the treatment of osteoarthritis pain and inflammation. The product was co-developed by Taisho Pharmaceutical and TOKUHON Corporation and is marketed in Japan by Taisho Toyama Pharmaceutical and Teijin Pharma. LOQOA TAPE received manufacturing and marketing approval in Japan on September 2015, and was launched on January 21, 2016. In Phase III clinical studies in patients with osteoarthritis of the knee, LOQOA TAPE demonstrated significant improvement in knee pain compared with a flurbiprofen gel patch control.

Musculoskeletal Pain Pipeline Analysis

Rexlemestrocel-L (MPC-06-ID): Mesoblast

Rexlemestrocel-L is a candidate for treating CLBP caused by disc degeneration. It is being developed for patients who have exhausted conservative treatment options, may have failed epidural steroid injections, and have no further treatment option other than invasive and costly surgical interventions. Mesoblast completed the Phase III trial of rexlemestrocel-L for CLBP.

In April 2026 corporate presentation, Mesoblast outlined key development milestones for its CLBP program, including completion of pivotal trial enrollment by the end of April 2026, top-line primary endpoint data expected in mid-2027, a planned BLA submission in Q3 2027, and potential FDA approval and US launch in Q2 2028.

TLC599: Taiwan Liposome Company

TLC599 is Taiwan Liposome's proprietary BioSeizer formulation of dexamethasone sodium phosphate (DSP) designed to provide sustained pain management for up to 24 weeks. TLC599 has the potential to enable patients to receive both immediate and sustained benefits from the local delivery of a highly potent and clinically validated steroid that typically has a very short half-life. It is the world's first multilamellar and multivesicular lipid formulation of DSP for osteoarthritis and provides fast onset and sustained release of up to 6 months. TLC599 could achieve usage in 26% of all US knee osteoarthritis patients. It is presently being studied in Phase III to treat osteoarthritis.

In April 2026, Taiwan Liposome Company announced the presentation of late-breaking structural benefit data for TLC599 at the OARSI 2026 World Congress, supporting its potential as a disease-modifying therapy for knee osteoarthritis.

Musculoskeletal Pain Key Players, Market Leaders, and Emerging Companies

  • Flexion
  • Taisho Toyama Pharmaceutical
  • Mesoblast
  • Taiwan Liposome Company
  • Centrexion Therapeutics
  • Biosplice, and others

Musculoskeletal Pain Drug Updates

  • In April 2026, Taiwan Liposome Company reported exploratory Phase III data at OARSI 2026 showing that TLC599 may reduce joint structural deterioration, reinforcing its potential as a disease-modifying osteoarthritis therapy.
  • In January 2026, Mesoblast announced receipt of FDA feedback regarding a potential Biologics License Application (BLA) for rexlemestrocel-L in patients with chronic discogenic low back pain (CLBP).
  • In January 2026, Biosplice Therapeutics announced that it has submitted NDA to the FDA for approval of Lorecivivint for the treatment of knee osteoarthritis.

Drug Class Insights

Musculoskeletal Pain Market Outlook

The musculoskeletal pain market remains one of the largest and most established therapeutic areas, driven by the high global prevalence of osteoarthritis, CLBP, neck pain, and other degenerative musculoskeletal disorders. Current treatment strategies are primarily focused on symptomatic pain relief through NSAIDs, corticosteroid injections, hyaluronic acid viscosupplements, and centrally acting analgesics. Despite widespread utilization, these therapies generally provide temporary symptom control and have limited impact on underlying disease progression, highlighting the substantial unmet need for more durable and disease-modifying treatment options.

Approved therapies such as DUROLANE, ZILRETTA, and viscosupplementation products including Synvisc-One continue to maintain a significant presence in the treatment landscape. However, concerns regarding gastrointestinal, cardiovascular, and renal toxicities associated with long-term NSAID use, as well as the limited durability of corticosteroid and hyaluronic acid injections, have intensified the search for novel therapies capable of providing sustained pain relief while addressing structural disease progression.

The competitive landscape is increasingly shifting toward innovative non-opioid analgesics, regenerative therapies, and disease-modifying osteoarthritis drugs (DMOADs). Recent advances in pain signaling modulation, intra-articular therapies, and cell-based regenerative approaches have demonstrated the potential to address both symptomatic and structural aspects of disease. In particular, therapies targeting degenerative disc disease-associated CLBP and knee osteoarthritis are expected to emerge as key drivers of future market growth.

The market is anticipated to experience continued expansion, supported by the growing burden of age-related musculoskeletal disorders, increasing demand for non-opioid pain management strategies, and ongoing development of therapies designed to provide longer-lasting pain relief and functional improvement. Emerging regenerative and disease-modifying approaches may significantly reshape the treatment paradigm, particularly in osteoarthritis and CLBP, where current treatment options remain largely symptomatic.

  • ZILRETTA generated USD 116.6 million in 2025 sales, demonstrating continued commercial demand for localized non-opioid pain management despite increasing pipeline competition.
  • Products offering fewer administrations and longer duration of benefit may gain competitive advantages in an increasingly crowded market. Bioventus highlights that DUROLANE's single-injection regimen and pain relief lasting up to 26 weeks may provide economic and patient-convenience advantages versus multi-injection viscosupplementation products.

Drug Class/Insights into Leading Emerging and Marketed Therapies in Musculoskeletal Pain (2022-2036 Forecast)

The musculoskeletal pain treatment landscape comprises NSAIDs, corticosteroids, viscosupplements, centrally acting analgesics, regenerative therapies, and emerging disease-modifying osteoarthritis therapies (DMOADs), all aimed at reducing pain, improving function, and enhancing quality of life.

  • COX Inhibitors: This include NSAID based therapies such as S-flurbiprofen, which inhibit cyclooxygenase enzymes and reduce prostaglandin synthesis, thereby alleviating inflammation and pain. This mechanism remains a key component of symptomatic musculoskeletal pain management.
  • Glucocorticoid Receptor Agonists: Triamcinolone acetonide and TLC599 activate glucocorticoid receptors to suppress inflammatory cytokines and downstream inflammatory signaling pathways. These therapies are primarily utilized for localized and prolonged pain relief.

Musculoskeletal Pain Drug Uptake

This section focuses on the uptake rate of potential drugs expected to be launched in the market during the forecast period (2026-2036). The analysis covers the Musculoskeletal Pain drug's uptake, performance at peak, factors affecting performance during prime years of growth, patient uptake by therapy, and anticipated sales generated by each drug.

Among approved therapies, triamcinolone acetonide (ZILRETTA) is expected to maintain stable uptake in osteoarthritis related musculoskeletal pain due to its extended release formulation, which provides prolonged pain relief versus conventional corticosteroid injections. DUROLANE is expected to sustain uptake in viscosupplementation, particularly in patients seeking to delay surgery or reduce repeated corticosteroid use, supported by reported double-digit demand growth and continued use in knee osteoarthritis management. S-flurbiprofen (LOQOA TAPE) is expected to maintain uptake in Japan, driven by its transdermal NSAID delivery, enabling localized pain relief with reduced systemic exposure.

Among emerging therapies, Rexlemestrocel-L is expected to have the highest uptake potential due to its MSC-based regenerative mechanism and ability to address the high unmet need in chronic low back pain. If clinical studies confirm durable pain relief and functional improvement after a single administration, it could emerge as a differentiated, disease modifying option versus symptomatic therapies. TLC599 is expected to compete in the long-acting corticosteroid segment, supported by physician familiarity and the potential for prolonged symptom control via sustained release.

Detailed insights of emerging therapies' drug uptake is included in the report.

Market Access and Reimbursement of Musculoskeletal Pain

The report further provides detailed insights on the country-wise accessibility and reimbursement scenarios, cost-effectiveness scenario of approved therapies, programs making accessibility easier and out-of-pocket costs more affordable, insights on patients insured under federal or state government prescription drug programs, etc.

Musculoskeletal Pain Therapies Price Scenario & Trends

Pricing and analogue assessment of Musculoskeletal Pain therapies highlights evolving price dynamics structures. This section summarizes the cost of approved treatments, the closest and most appropriate analogue selection for emerging therapies, and understanding of how pricing influences market access, adherence, and long-term uptake.

Further details are provided in the final report....

Industry Experts and Physician Views for Musculoskeletal Pain

To keep up with Musculoskeletal Pain market trends, we take Key Opinion Leaders (KOLs) and Subject Matter Experts (SMEs) opinions working in the domain through primary research to fill the data gaps and validate our secondary research. Industry experts were contacted for insights on the emerging Musculoskeletal Pain therapies, evolving treatment landscape, patient adherence to conventional therapies, therapy switching trends, drug adoption and uptake, accessibility challenges, and epidemiology and real-world prescription patterns in Musculoskeletal Pain, including MD, PhD, Instructor, Postdoctoral Researcher, Professor, Researcher, and others.

DelveInsight's analysts connected with 10+ KOLs to gather insights at the country level. Centers such as the Mount Sinai School of Medicine, University Hospital Munster, Kyushu University Hospital etc., were contacted. Their opinion helps understand and validate current and emerging musculoskeletal pain therapies, highlight unmet medical needs, provide epidemiological context, and support strategic decisions for market access, therapy adoption, and pipeline prioritization in musculoskeletal pain.

Qualitative Analysis: SWOT and Conjoint Analysis

We perform qualitative and market Intelligence analysis using various approaches, such as SWOT analysis and conjoint analysis. In the SWOT analysis of musculoskeletal pain, strengths, weaknesses, opportunities, and threats in terms of disease diagnosis, patient awareness, patient burden, competitive landscape, cost-effectiveness, and geographical accessibility of therapies are provided.

Conjoint analysis analyzes emerging therapies based on relevant attributes such as safety, efficacy, frequency of administration, route of administration, and order of entry. Scoring is given based on these parameters to analyze the effectiveness of therapy.

The team of analysts analyzes promising emerging therapies based on relevant attributes such as safety, efficacy, frequency of administration, route of administration, and order of entry. In efficacy, the trial's primary and secondary outcome measures are evaluated, whereas the therapies' safety is evaluated, wherein the acceptability, tolerability, and adverse events are majorly observed. In addition, the scoring is also based on the route of administration, order of entry, probability of success, and the addressable patient pool for each therapy. According to these parameters, the final weightage score and the ranking of the emerging therapies are decided.

Scope of the Report:

  • The report covers a segment of key events, an executive summary, a descriptive overview of musculoskeletal pain, explaining their causes, signs and symptoms, pathogenesis, and currently available treatments.
  • Comprehensive insight has been provided into the epidemiology segments and forecasts, the future growth potential of the diagnosis rate, and disease progression along treatment guidelines.
  • Additionally, an all-inclusive account of both the current and emerging treatments, along with the elaborate profiles of late-stage and prominent therapies, will have an impact on the current treatment landscape.
  • A detailed review of the musculoskeletal pain market, historical and forecasted market size, market share by therapies, detailed assumptions, and rationale behind our approach is included in the report, covering the 7MM drug outreach.
  • The report provides an edge while developing business strategies by understanding trends through SWOT analysis and expert insights/KOL views, patient journey, and treatment preferences that help in shaping and driving the 7MM musculoskeletal pain market.

Report Insights

  • Musculoskeletal Pain Patient Population Forecast
  • Musculoskeletal Pain Therapeutics Market Size
  • Musculoskeletal Pain Pipeline Analysis
  • Musculoskeletal Pain Market Size and Trends
  • Musculoskeletal Pain Market Opportunity (Current and Forecasted)

Report Key Strengths

  • Epidemiology-based (Epi-based) Bottom-up Forecasting
  • Artificial Intelligence (AI)-Enabled Market Research Report
  • 11-Year Forecast
  • Musculoskeletal Pain Market Outlook (North America, Europe, Asia-Pacific)
  • Patient Burden Trends (By Geography)
  • Musculoskeletal Pain Treatment Addressable Market (TAM)
  • Musculoskeletal Pain Competitive Landscape
  • Musculoskeletal Pain Major Companies Insights
  • Musculoskeletal Pain Price Trends and Analogue Assessment
  • Musculoskeletal Pain Therapies Drug Adoption/Uptake
  • Musculoskeletal Pain Therapies Peak Patient Share Analysis

Report Assessment

  • Musculoskeletal Pain Current Treatment Practices
  • Musculoskeletal Pain Unmet Needs
  • Musculoskeletal Pain Clinical Development Analysis
  • Musculoskeletal Pain Emerging Drugs Product Profiles
  • Musculoskeletal Pain Market Attractiveness
  • Musculoskeletal Pain Qualitative Analysis (SWOT and Conjoint Analysis)

FAQs:

Market Insights

  • What was the Musculoskeletal Pain market size, the market size by therapies, the market share (%) distribution in 2025, and what would it look like by 2036? What are the contributing factors for this growth?
  • What are the anticipated pricing variations among different geographies for the emerging therapies in the future?
  • What can be the future treatment paradigm of Musculoskeletal Pain?
  • What are the disease risks, burdens, and unmet needs of Musculoskeletal Pain? What will be the growth opportunities across the 7MM concerning the patient population with Musculoskeletal Pain?
  • Who is the major future competitor in the market, and how will the competitors affect their market share?
  • What are the current options for the treatment of Musculoskeletal Pain? What are the current guidelines for treating Musculoskeletal Pain in the US, Europe, and Japan?

Reasons to Buy:

  • The report will help in developing business strategies by understanding the latest trends and changing treatment dynamics driving the Musculoskeletal Pain market.
  • Bottom up forecasting builds from the affected population to product forecasts, delivering a robust, data driven approach ideal for new therapies and novel classes.
  • Insights on patient burden/disease incidence, evolution in diagnosis, and factors contributing to the change in the epidemiology of the disease during the forecast years.
  • Understand the existing market opportunities in varying geographies and the growth potential over the coming years.
  • Identifying strong upcoming players in the market will help devise strategies to help get ahead of competitors.
  • Detailed analysis and ranking of class-wise potential current and emerging therapies under the conjoint analysis section to provide visibility around leading classes.
  • To understand KOLs' perspectives on the accessibility, acceptability, and compliance-related challenges of existing treatment to overcome barriers in the future.
  • Detailed insights into the unmet needs of the existing market so that the upcoming players can strengthen their development and launch strategy.
  • This Artificial Intelligence (AI) enabled report summarizes and simplifies complex datasets within the report into clear, actionable insights for stakeholders, investors, and healthcare providers, enabling faster, data driven decisions.

Table of Contents

1. Key Insights

2. Report Introduction

3. Executive Summary of Musculoskeletal Pain

4. Key Events

  • 4.1. Upcoming Key Catalysts
  • 4.2. Key Conferences And Meetings
  • 4.3. Key Transactions And Collaborations
  • 4.4. News Flow

5. Epidemiology and Market Forecast Methodology of Musculoskeletal Pain

6. Musculoskeletal Pain Market Overview at a Glance

  • 6.1. Market Share (%) Distribution of Musculoskeletal Pain in 2025
  • 6.2. Market Share (%) Distribution of Musculoskeletal Pain in 2036

7. Disease Background and Overview of Musculoskeletal Pain

  • 7.1. Introduction
  • 7.2. Types of Musculoskeletal Pain
  • 7.3. Signs and Symptoms of Musculoskeletal Pain
  • 7.4. Causes of Musculoskeletal Pain
  • 7.5. Pathophysiology of Musculoskeletal Pain
  • 7.6. Diagnosis of Musculoskeletal Pain
  • 7.7. Biomarkers for Musculoskeletal Pain

8. Treatment of Musculoskeletal Pain

  • 8.1. Guidelines for Management for Musculoskeletal pain

9. Epidemiology and Patient Population of Musculoskeletal Pain

  • 9.1. Key Findings
  • 9.2. Assumptions and Rationale: The 7MM
    • 9.2.1. Total Diagnosed Prevalent cases of Musculoskeletal Pain
  • 9.3. The United States
    • 9.3.1. Musculoskeletal Pain Diagnosed Prevalent Cases in the United States
    • 9.3.2. Musculoskeletal Pain Age-specific Cases in the United States
    • 9.3.3. Musculoskeletal Pain Gender-specific Cases in the United States
    • 9.3.4. Musculoskeletal Pain Total Treated Cases in the United States
  • 9.4. EU4 and the UK
    • 9.4.1. Musculoskeletal Pain Diagnosed Prevalent Cases in EU4 and the UK
    • 9.4.2. Musculoskeletal Pain Age-specific Cases in EU4 and the UK
    • 9.4.3. Musculoskeletal Pain Gender-specific Cases in EU4 and the UK
    • 9.4.4. Musculoskeletal Pain Total Treated Cases in EU4 and the UK
  • 9.5. Japan
    • 9.5.1. Musculoskeletal Pain Diagnosed Prevalent Cases in Japan
    • 9.5.2. Musculoskeletal Pain Age-specific Cases in Japan
    • 9.5.3. Musculoskeletal Pain Gender-specific Cases in Japan
    • 9.5.4. Musculoskeletal Pain Total Treated Cases in Japan

10. Patient Journey of Musculoskeletal Pain

11. Marketed Therapies of Musculoskeletal Pain

  • 11.1. Marketed Competitive Landscape of Musculoskeletal Pain
  • 11.2. ZILRETTA: Flexion Therapeutics
    • 11.2.1. Product Description
    • 11.2.2. Regulatory Milestones
    • 11.2.3. Other Development Activities
    • 11.2.4. Summary of Pivotal Trials
    • 11.2.5. Analyst's Views
  • 11.3. LOQOA TAPE: Taisho Pharmaceutical
    • 11.3.1. Product Description
    • 11.3.2. Regulatory Milestones
    • 11.3.3. Other Development Activities
    • 11.3.4. Summary of Pivotal Trials
    • 11.3.5. Analyst's Views

12. Emerging Therapies of Musculoskeletal Pain

  • 12.1. Emerging Competitive Landscape of Musculoskeletal Pain
  • 12.2. Rexlemestrocel-L (MPC-06-ID): Mesoblast
    • 12.2.1. Product Description
    • 12.2.2. Other Developmental Activities
    • 12.2.3. Clinical Development
    • 12.2.4. Safety and Efficacy
    • 12.2.5. Analyst's Views
  • 12.3. TLC599: Taiwan Liposome Company
    • 12.3.1. Product Description
    • 12.3.2. Other Developmental Activities
    • 12.3.3. Clinical Development
    • 12.3.4. Safety and Efficacy
    • 12.3.5. Analyst's Views

13. Musculoskeletal Pain: 7MM Analysis

  • 13.1. Key Findings
  • 13.2. Market Outlook
  • 13.3. Conjoint Analysis
  • 13.4. Key Market Forecast Assumptions
    • 13.4.1. Cost Assumptions and Rebate
    • 13.4.2. Pricing Trends
    • 13.4.3. Analogue Assessment
    • 13.4.4. Launch Year and Therapy Uptake
  • 13.5. Total Market Size of Musculoskeletal Pain in the 7MM
  • 13.6. The United States
    • 13.6.1. Total Market Size of Musculoskeletal Pain in the United States
    • 13.6.2. Market Size of Musculoskeletal Pain by Therapies in the United States
  • 13.7. EU4 and the UK
    • 13.7.1. Total Market Size of Musculoskeletal Pain in EU4 and the UK
    • 13.7.2. Market Size of Musculoskeletal Pain by Therapies in EU4 and the UK
  • 13.8. Japan
    • 13.8.1. Total Market Size of Musculoskeletal Pain in Japan
    • 13.8.2. Market Size of Musculoskeletal Pain by Therapies in Japan

14. Unmet Needs of Musculoskeletal Pain

15. SWOT Analysis of Musculoskeletal Pain

16. KOL Views of Musculoskeletal Pain

17. Market Access and Reimbursement

  • 17.1. United States
    • 17.1.1. Centre for Medicare & Medicaid Services (CMS)
  • 17.2. EU4 and the UK
    • 17.2.1. Germany
    • 17.2.2. France
    • 17.2.3. Italy
    • 17.2.4. Spain
    • 17.2.5. United Kingdom
  • 17.3. Japan
  • 17.4. Summary and Comparison of Market Access and Pricing Policy Developments in 2025
  • 17.5. Musculoskeletal Pain: Market Access and Reimbursement

18. Appendix

  • 18.1. Bibliography
  • 18.2. Report Methodology

19. DelveInsight Capabilities

20. Disclaimer

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