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Intra-articular tenoxicam relieves post-arthroscopy pain
1Department of Anaesthesia, Faculty of Medicine, Ain-Shams University, Cairo, Egypt.
Acta Anaesthesiologica Scandinavica
|November 1, 1996
Summary
Intra-articular tenoxicam injection offers superior pain relief after arthroscopy compared to intravenous administration. This method also reduces the need for additional opioid analgesics, improving patient recovery.
Area of Science:
- Orthopedics
- Pharmacology
- Pain Management
Background:
- Nonsteroidal anti-inflammatory drugs (NSAIDs) are effective for postoperative pain.
- Arthroscopy is a common surgical procedure.
- Effective pain management is crucial for patient recovery after arthroscopy.
Purpose of the Study:
- To compare the analgesic efficacy of intra-articular versus intravenous tenoxicam.
- To evaluate pain levels and analgesic requirements post-arthroscopy.
Main Methods:
- 60 patients undergoing day-case arthroscopy were randomized.
- Group 1: Intra-articular tenoxicam 20 mg + intravenous saline.
- Group 2: Intra-articular saline + intravenous tenoxicam 20 mg.
- Pain assessed via visual analogue scale and analgesic needs.
Main Results:
- Intra-articular tenoxicam group had significantly lower pain scores at rest and during movement.
- Lower pain scores observed at 1, 2, and 4 hours postoperatively, and during walking at 6 hours.
- Fewer patients in the intra-articular group required supplemental opioid analgesia within the first 4 hours.
Conclusions:
- Intra-articular tenoxicam (20 mg) provides superior analgesia compared to intravenous administration.
- Local injection significantly decreases the need for additional postoperative pain medication.
- Intra-articular tenoxicam is an effective strategy for managing post-arthroscopy pain.