Contemporary Pain Management in Total Knee Arthroplasty
Yutthana Khanasuk MD*, Srihatach Ngarmukos MD**
Affiliation : * Department of Orthopaedics, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand ** Clinical Instructor Department of Orthopaedics, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand
Pain management has become a very important part of postoperative care for total knee arthroplasty patients. Contemporary pain control has evolved from high-dose opioid in the past to state-of-the-art multimodal regimens. These include multiple non-opioid medication such as NSAIDs, COX-2 inhibitors, and gabapentinoid, and novel anesthetic techniques such as preemptive analgesia and ultrasound-guided peripheral nerve blocks. Another method which is gaining popularity is intraarticular injection of anesthetic cocktail during surgery. Pre-op education can also help patients cope with their pain better.
Keywords : Total knee arthroplasty, Pain management, Multimodal regimens, Intraarticular injection
