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A Quantitative Sensory Testing Paradigm to Obtain Measures of Pain Processing in Patients Undergoing Breast Cancer Surgery
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A Cold World: Pain Outcomes and Patient Experiences Utilizing an Iceless Cold Compression System After Hand Surgery.

Francine Zeng1, Seema M Patel2, Brian Ford1

  • 1University of Connecticut Health Center, Farmington, USA.

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Summary
This summary is machine-generated.

Cold therapy devices (CTDs) significantly improved pain relief and adherence in hand surgery patients compared to ice packs. While opioid use was similar, CTDs show promise for managing postoperative pain.

Keywords:
CMCanatomyarthritisdiagnosisdistal radiusforearmfracture/dislocationhandoutcomesresearch & health outcomestreatment

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Area of Science:

  • Orthopedic Surgery
  • Pain Management
  • Cryotherapy

Background:

  • Cold therapy devices (CTDs) offer analgesia and reduce swelling post-orthopedic surgery.
  • Limited comparative data exists on CTDs versus ice packs for postoperative pain and opioid use.
  • This study assessed patient satisfaction and opioid use with CTDs after carpometacarpal (CMC) arthroplasty and distal radius open reduction internal fixation (ORIF).

Purpose of the Study:

  • To compare the effectiveness of CTDs versus traditional ice packs in managing postoperative pain.
  • To evaluate patient adherence to cryotherapy protocols.
  • To assess opioid consumption in patients undergoing specific hand surgeries.

Main Methods:

  • Prospective analysis of 124 hand surgery patients (92 included) undergoing CMC arthroplasty or distal radius ORIF.
  • Comparison of patient-reported outcomes on pain relief, cryotherapy adherence, and opioid usage between CTD and ice pack groups.
  • Data collected between June 2023 and February 2025.

Main Results:

  • CTD users reported significantly higher pain relief (9.56/10 vs 3.42/10) and adherence (>3 sessions/day) in CMC arthroplasty patients.
  • Higher CTD usage was observed at 3 and 7 days postoperatively in distal radius ORIF patients (96% vs 11% and 88% vs 11%).
  • No significant difference in oxycodone consumption was found between CTD and ice pack groups for either procedure.

Conclusions:

  • CTD use enhances pain relief and cryotherapy adherence after CMC arthroplasty and distal radius ORIF.
  • CTDs may serve as a valuable adjunct for postoperative pain management in hand and wrist surgery.
  • Further research could explore optimal CTD protocols to potentially influence opioid use.