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Pain Management Strategies To Reduce Opioid Use Following Total Knee Arthroplasty
Michael J Derogatis1, Nipun Sodhi1, Hiba K Anis2
1Department of Orthopaedic Surgery, Lenox Hill Hospital, Northwell Health, New York, New York.
Surgical Technology International
|June 26, 2019
Summary
Non-narcotic pain management after total knee arthroplasty (TKA) is crucial. While many options show mixed results or side effects, knee braces offer a safe and effective solution for TKA pain relief.
Area of Science:
- Orthopedics
- Pain Management
- Pharmacology
Background:
- Rising concerns over opioid use necessitate alternatives for total knee arthroplasty (TKA) pain.
- Non-narcotic pain control is increasingly important in TKA recovery.
Purpose of the Study:
- To review non-narcotic treatments for managing pain following total knee arthroplasty (TKA).
- Evaluate the efficacy and safety of various alternative pain management strategies.
Main Methods:
- A comprehensive literature search was conducted on PubMed and EBSCOhost (1998-2018).
- Keywords included TKA, various analgesics, nerve blocks, TENS, and pain management outcomes.
- 58 studies were selected after analyzing 273 reports.
Main Results:
- Acetaminophen and gabapentinoids show conflicting evidence regarding opioid reduction.
- COX-2 inhibitors and dexmedetomidine may reduce opioid use but have side effects.
- Knee braces demonstrated significant pain reduction and are safe and effective for TKA patients.
Conclusions:
- Optimal TKA pain management remains undetermined, with many options having limitations.
- Knee braces are identified as a safe, effective, and widely recommendable option for TKA pain.
- Non-pharmacologic approaches like knee bracing offer a promising avenue for TKA pain management.
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