Your doctors and nurses will make every attempt to keep your pain under control after orthopedic surgery. While you should expect some discomfort, your doctor has numerous choices for managing and relieving pain. Opioids, nonsteroidal anti-inflammatory drugs (NSAIDs), and local anesthetics are among the medications available to assist reducing pain.
Because of worries about opioid use, alternative techniques such as medical hypnosis and acupuncture are becoming more popular, with surgeons and their patients increasingly choosing these therapies to enhance conventional therapy. A multimodal pain management approach is frequently the best option since it allows the surgeon to personalize pain control measures to each unique patient.
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Analgesics with Opioids
Opioids are pain relievers that are helpful for moderate to severe pain. They can be especially beneficial for controlling short-term pain following surgery when used as directed.
Individual providers and medical facilities may have varying rules, methods, and pain management alternatives. In most circumstances, oral (PO), intramuscular (IM), or intravenous (IV) opioids will be provided following surgery. When you return home, oral drugs are usually the preferred prescribed way.
Opioids and How They Work
All opioids, whether natural or synthetic, act through binding to opioid receptors in the brain, spinal cord, and gastrointestinal system. When these medications bind to specific opioid receptors, they prevent pain signals from reaching the brain.
Opioids can do this because they resemble your body’s natural painkillers, known as endorphins. This structural resemblance “fools” receptors and allows the drug to activate nerve cells, filling the area with dopamine, a natural substance that influences your brain’s pleasure center(s) to induce euphoria or good feelings. As the opioid activates the nerve cell, large levels of dopamine are released, resulting in the “opioid effect.”
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Treatment Methods of Opioid
Opioids may also be administered in the surgical recovery area to help you recover from anesthesia. After you leave the recovery room, you have numerous alternatives for additional pain relief:
Opioid medicine should be taken orally
Because of the growing worry about opioid addiction, the current practice is to use oral opioid medicine for pain treatment following surgery. When taking the medication by mouth, lesser doses are absorbed through the stomach and intestinal tract over time, providing prolonged pain relief without administering more medication than is necessary.
Pump for patient-controlled analgesia (PCA)
In rare circumstances, doctors use a PCA pump to administer opioid medications following surgery. When you experience discomfort, you can click a button to release a small amount of medicine through an intravenous (IV) tube.
The PCA pump is set to give the medication at the exact dose suggested by your doctor. You must wait a certain length of time after each dose before giving yourself another medication. The PCA device will not dispense medication if you press the button too quickly. There is no risk of receiving too much pain medication this way.
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