Recent Pain Management Strategies May Be Key to Knee Replacement Recovery

Friday April 01, 2016
Although total knee replacement (TKR) is frequently performed to treat knee arthritis, the procedure is often associated with a number of adverse events, including postoperative pain and impaired mobility. However, team-based approaches that use newer pain management strategies could contribute to improved outcomes among patients who undergo TKR, according to a recent study.
 
The study, which was published in the Journal of the American Academy of Orthopaedic Surgeons, compared traditional post-TKR pain management approaches with recently-developed multimodal protocols that included the use of a combination of pain medications both before and after surgery, regional anesthesia with preoperative nerve blocks, and intraoperative pain injections within the knee.
 
The researchers found that patients who were treated with the newer strategies reported lower pain severity ratings in the first few days following surgery, fewer adverse events, and greater satisfaction with their postoperative pain control than those who were treated with the more traditional methods. Additionally, the use of multimodal protocols succeeded at reducing the amount of narcotic drugs needed to manage pain while better enabling patients to participate in early physical therapy.
 
The study authors advised providers to avoid prescribing long-term chronic narcotics to their patients prior to surgery, as the use of these drugs can lower their patients’ pain threshold and lead to greater levels of postoperative pain. The researchers also noted that patients should not stop taking their oral medications abruptly, as doing so may increase their risk of experiencing rebound pain or developing chronic pain. Finally, the authors emphasized the importance of a strong support system of family and friends in helping patients recover quickly.


Current Issue

The Educated Patient

Bethany Rettberg, NPC
Practitioners should get a detailed medical history and conduct a thorough physical to treat sinus infections.
Jennifer L. Hofmann, MS, PA-C
Providing them with advice can improve control of the disease and reduce hospitalizations, morbidity, and unscheduled health care visits.
Emily C. Hayes, PharmD Candidate
Colds, coughs, and a relentless influx of sick patients in retail health clinics keep the health care providers who work there very busy.
Kristen Marjama, DNP, APRN-BC
Although the rate of foot and leg amputation has greatly declined over the past 2 decades, increasing awareness for macrovascular and microvascular complications of diabetes is essential because diabetes is the leading cause of lower-limb amputations in the United States.
$vacMongoViewPlus$ $vAR$
Contemporary Clinic
MJH Associates
American Journal of Managed Care
Cure
MD Magazine
ONCLive
OTCGuide
Pharmacy Times
Specialty Pharmacy Times
Targeted Oncology
About Us
Advertise
Careers
Contact Us
Feedback
Privacy
Terms & Conditions
Pharmacy Healthcare & Communications, LLC
2 Clarke Drive
Suite 100
Cranbury, NJ 08512
P: 609-716-7777
F: 609-257-0701

Copyright Contemporary Clinic 2019
Pharmacy Healthcare & Communications, LLC. All Rights Reserved.