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시장보고서
상품코드
2082987
근골격계 통증 : 시장 인사이트, 역학 및 예측(2036년)Musculoskeletal Pain - Market Insight, Epidemiology, and Market Forecast - 2036 |
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DelveInsight
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.
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 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 통증에 대한 역학적 분석 및 예측과 관련된 주요 연구 결과
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.
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 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.
Key Findings from Musculoskeletal Pain Epidemiological Analysis and Forecast
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
Musculoskeletal Pain Drug Updates
Drug Class Insights
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.
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.
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.
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