![]() For the team at Rush, that process includes a combination of regional blocks and local anesthetic injections as well as spinal Intraoperatively, surgeons and anesthesia providers have a variety of potent options they can employ. This pre-op combination is designed to address nerve and arthritis-related pain, and target the various pain pathways before the procedure, without subjecting patients to potential side effects of an opioid-heavyĪpproach. The analgesia starts preoperatively with a combination of acetaminophen, non-steroidal anti-inflammatories (NSAIDS)Īnd low-dose gabapentin. The specific recipes of pain relief cocktails vary from facility to facility, but the main ingredients are often the same. The patients who stay overnight typically do so only because they require observation for prior medical conditions. Nam says his total joint patients typically stayed in the hospital for six to seven days post-op. Before employing a multimodal protocol, Dr. Of complications and decrease the need for narcotics to manage pain. This approach is superior to a less comprehensive analgesia strategy: Patients are able to mobilize much more quickly post-surgery, which ultimately improves their joints’ range of motion, and multimodal protocols reduce the risk Nam, an associate professor of orthopaedic surgery in the Division of Hip and Knee Reconstruction and Replacement at Rush, cites two ways ![]() What’s more, he expects to perform 70% of his joint replacements on an outpatient basis within the next year or two.ĭenis Nam, MD, MSc, agrees with his colleague about the many benefits of multimodal pain management. That number is now up to 400 -Ībout half his total joints cases. In fact, when his facility first started offering outpatient total joints, Dr. Of why there’s been a dramatic increase in the demand for outpatient procedures. Gerlinger notes that in the four years since he started doing outpatient total joints, the typical time patients use pain medication post-operatively has dropped from six or more weeks to just three weeks. “It has allowed us to perform the procedures on an outpatient basis.” Multimodal pain management has been absolutely crucial to our joint replacement practice.ĭr. Gerlinger, MD, director of the adult reconstructive fellowship and an associate professor of surgery at Rush University Medical Center in Chicago. “Multimodal pain management has been absolutely crucial to our joint replacement practice,” Multiple approaches to treating pain are superior to any single approach on its own, and facilities that employ this multipronged attack swear by it.
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