University of Wisconsin–Madison Medical College of Wisconsin

Should We Consider the Use of Buprenorphine for Pain Management in Nonsurgical Candidates With End-stage Osteoarthritis? A Case Report

Thomas Licata, DO; Adam Clements, DO

WMJ. 2026;125(2):320-322. Published June 2, 2026.

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ABSTRACT

Introduction: Buprenorphine is a partial μ-opioid receptor agonist, an antagonist at the κ-opioid receptor, and a partial agonist at the δ-opioid receptor.

Case Presentation: This case report highlights the successful management of patient with advanced osteoarthritis who was not a surgical candidate, using transdermal buprenorphine, which provided significant improvement in quality of life and functional status.

Discussion: This case report describes the use of buprenorphine as a potentially safer analgesic option and aims to reduce stigma associated with its use in both medical and nonmedical communities.


Author affiliations: Aspirus Wausau Hospital, Wausau, Wisconsin (Licata, Clements); Medical College of Wisconsin-Central Wisconsin, Wausau, Wisconsin (Clements).
Corresponding author:
Thomas Licata, DO, Hospital Medicine-Aspirus Wausau Hospital, 333 Pine Ridge Dr, Wausau, WI 54401; email Thomas.Licata@Aspirus.org; ORCID ID 0000-0001-6029-757X
Financial disclosures: None declared.
Funding/support:
None declared.
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