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Spinal Cord Stimulation for Post Total Knee Replacement Pain: A Case Series
Justin Gillis1, Warren A Southerland1, Alan D Kaye2
1Department of Anesthesia, Critical Care, and Pain Medicine, Beth Israel Deaconess Medical Center.
Orthopedic Reviews
|August 8, 2022
Summary
Spinal cord stimulation (SCS) effectively manages chronic pain after total knee replacement (TKR) in patients unresponsive to standard treatments. This case series highlights SCS as a viable option for challenging post-TKR pain management.
Area of Science:
- Orthopedics
- Pain Management
- Neurosurgery
Background:
- Postoperative pain is common after total knee replacement (TKR).
- Current treatments include oral medications, nerve blocks, and injections for multimodal analgesia.
- Spinal cord stimulation (SCS) is an option for refractory pain but is understudied in TKR patients.
Observation:
- Three cases of patients with chronic pain post-TKR were evaluated.
- These patients had not responded adequately to conservative pain management strategies.
Findings:
- Spinal cord stimulation (SCS) demonstrated significant pain reduction in all three cases.
- Patients experienced improved quality of life and reduced reliance on opioids.
Implications:
- SCS may be an effective treatment for chronic pain following total knee replacement (TKR).
- Further research is warranted to establish SCS protocols for this patient group.
- This approach offers a potential solution for patients with refractory post-TKR pain.
