Management of Refractory Pain After Total Joint Replacement
Purpose of Review Chronic pain after total joint replacement (TJA), specifically total knee replacement (TKA), is becoming more of a burden on patients, physicians, and the healthcare system as the number of joint replacements performed increases year after year. The management of this type of pain...
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| Published in | Current pain and headache reports Vol. 25; no. 6; p. 42 |
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| Main Authors | , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
New York
Springer US
01.06.2021
Springer Nature B.V |
| Subjects | |
| Online Access | Get full text |
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| Abstract | Purpose of Review
Chronic pain after total joint replacement (TJA), specifically total knee replacement (TKA), is becoming more of a burden on patients, physicians, and the healthcare system as the number of joint replacements performed increases year after year. The management of this type of pain is critical, and therefore, understanding the various modalities physicians can use to help patients with refractory pain after TJA is essential.
Recent Findings
The modalities by which chronic pain can be successfully managed include genicular nerve radioablation therapy (GN-RFA), neuromuscular electrical stimulation (NMES), transcutaneous electrical nerve stimulation (TENS), and peripheral subcutaneous field stimulation (PSFS). Meta-analyses and case reports have demonstrated the effectiveness of these treatment options in improving pain and functional outcomes in patients with chronic pain after TKA.
Summary
The purpose of this paper is to review and synthesize the current literature investigating the different ways that refractory pain is managed after TJA, with the goal being to provide treatment recommendations for providers treating these patients. |
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| AbstractList | Purpose of ReviewChronic pain after total joint replacement (TJA), specifically total knee replacement (TKA), is becoming more of a burden on patients, physicians, and the healthcare system as the number of joint replacements performed increases year after year. The management of this type of pain is critical, and therefore, understanding the various modalities physicians can use to help patients with refractory pain after TJA is essential.Recent FindingsThe modalities by which chronic pain can be successfully managed include genicular nerve radioablation therapy (GN-RFA), neuromuscular electrical stimulation (NMES), transcutaneous electrical nerve stimulation (TENS), and peripheral subcutaneous field stimulation (PSFS). Meta-analyses and case reports have demonstrated the effectiveness of these treatment options in improving pain and functional outcomes in patients with chronic pain after TKA.SummaryThe purpose of this paper is to review and synthesize the current literature investigating the different ways that refractory pain is managed after TJA, with the goal being to provide treatment recommendations for providers treating these patients. PURPOSE OF REVIEWChronic pain after total joint replacement (TJA), specifically total knee replacement (TKA), is becoming more of a burden on patients, physicians, and the healthcare system as the number of joint replacements performed increases year after year. The management of this type of pain is critical, and therefore, understanding the various modalities physicians can use to help patients with refractory pain after TJA is essential. RECENT FINDINGSThe modalities by which chronic pain can be successfully managed include genicular nerve radioablation therapy (GN-RFA), neuromuscular electrical stimulation (NMES), transcutaneous electrical nerve stimulation (TENS), and peripheral subcutaneous field stimulation (PSFS). Meta-analyses and case reports have demonstrated the effectiveness of these treatment options in improving pain and functional outcomes in patients with chronic pain after TKA. The purpose of this paper is to review and synthesize the current literature investigating the different ways that refractory pain is managed after TJA, with the goal being to provide treatment recommendations for providers treating these patients. Purpose of Review Chronic pain after total joint replacement (TJA), specifically total knee replacement (TKA), is becoming more of a burden on patients, physicians, and the healthcare system as the number of joint replacements performed increases year after year. The management of this type of pain is critical, and therefore, understanding the various modalities physicians can use to help patients with refractory pain after TJA is essential. Recent Findings The modalities by which chronic pain can be successfully managed include genicular nerve radioablation therapy (GN-RFA), neuromuscular electrical stimulation (NMES), transcutaneous electrical nerve stimulation (TENS), and peripheral subcutaneous field stimulation (PSFS). Meta-analyses and case reports have demonstrated the effectiveness of these treatment options in improving pain and functional outcomes in patients with chronic pain after TKA. Summary The purpose of this paper is to review and synthesize the current literature investigating the different ways that refractory pain is managed after TJA, with the goal being to provide treatment recommendations for providers treating these patients. Chronic pain after total joint replacement (TJA), specifically total knee replacement (TKA), is becoming more of a burden on patients, physicians, and the healthcare system as the number of joint replacements performed increases year after year. The management of this type of pain is critical, and therefore, understanding the various modalities physicians can use to help patients with refractory pain after TJA is essential. The modalities by which chronic pain can be successfully managed include genicular nerve radioablation therapy (GN-RFA), neuromuscular electrical stimulation (NMES), transcutaneous electrical nerve stimulation (TENS), and peripheral subcutaneous field stimulation (PSFS). Meta-analyses and case reports have demonstrated the effectiveness of these treatment options in improving pain and functional outcomes in patients with chronic pain after TKA. The purpose of this paper is to review and synthesize the current literature investigating the different ways that refractory pain is managed after TJA, with the goal being to provide treatment recommendations for providers treating these patients. |
| ArticleNumber | 42 |
| Author | Garbarino, Luke J. Boraiah, Sreevathsa Sodhi, Nipun Gold, Peter A. Willinger, Max L. Danoff, Jonathan R. Rasquinha, Vijay Heimroth, Jamie |
| Author_xml | – sequence: 1 givenname: Max L. surname: Willinger fullname: Willinger, Max L. organization: Department of Orthopedic Surgery, Long Island Jewish Medical Center – sequence: 2 givenname: Jamie surname: Heimroth fullname: Heimroth, Jamie organization: Department of Orthopedic Surgery, Long Island Jewish Medical Center – sequence: 3 givenname: Nipun surname: Sodhi fullname: Sodhi, Nipun organization: Department of Orthopedic Surgery, Long Island Jewish Medical Center – sequence: 4 givenname: Luke J. surname: Garbarino fullname: Garbarino, Luke J. organization: Department of Orthopedic Surgery, Long Island Jewish Medical Center – sequence: 5 givenname: Peter A. surname: Gold fullname: Gold, Peter A. email: pgold2@northwell.edu organization: Department of Orthopedic Surgery, Long Island Jewish Medical Center – sequence: 6 givenname: Vijay surname: Rasquinha fullname: Rasquinha, Vijay organization: Department of Orthopedic Surgery, Long Island Jewish Medical Center – sequence: 7 givenname: Jonathan R. surname: Danoff fullname: Danoff, Jonathan R. organization: Department of Orthopedic Surgery, North Shore University Hospital – sequence: 8 givenname: Sreevathsa surname: Boraiah fullname: Boraiah, Sreevathsa organization: Department of Orthopedic Surgery, North Shore University Hospital |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/33864533$$D View this record in MEDLINE/PubMed |
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| CitedBy_id | crossref_primary_10_1136_bmjopen_2023_073949 crossref_primary_10_1186_s40779_022_00404_0 crossref_primary_10_1016_j_asmr_2024_100965 crossref_primary_10_1016_j_otsr_2022_103543 crossref_primary_10_2196_53063 crossref_primary_10_1615_JLongTermEffMedImplants_2023049677 crossref_primary_10_1016_j_jvir_2023_06_026 crossref_primary_10_1097_ACO_0000000000001285 crossref_primary_10_1186_s13018_021_02851_2 crossref_primary_10_1016_j_rcot_2023_01_002 crossref_primary_10_1016_j_otsr_2024_103858 crossref_primary_10_1186_s12891_022_05445_z crossref_primary_10_1111_os_13809 crossref_primary_10_1016_j_rcot_2024_03_002 |
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| Keywords | Genicular nerve radiofrequency ablation Knee osteoarthritis Total joint arthroplasty Postoperative analgesia Chronic pain Refractory pain |
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Chronic pain after total joint replacement (TJA), specifically total knee replacement (TKA), is becoming more of a burden on patients,... Chronic pain after total joint replacement (TJA), specifically total knee replacement (TKA), is becoming more of a burden on patients, physicians, and the... Purpose of ReviewChronic pain after total joint replacement (TJA), specifically total knee replacement (TKA), is becoming more of a burden on patients,... PURPOSE OF REVIEWChronic pain after total joint replacement (TJA), specifically total knee replacement (TKA), is becoming more of a burden on patients,... |
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| SubjectTerms | Alternative Treatments for Pain Medicine (M Jones Analgesics Bone surgery Internal Medicine Joint surgery Medicine Medicine & Public Health Mental depression Narcotics Nonsteroidal anti-inflammatory drugs Orthopedics Pain Pain Medicine Patient satisfaction Section Editor Topical Collection on Alternative Treatments for Pain Medicine |
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| Title | Management of Refractory Pain After Total Joint Replacement |
| URI | https://link.springer.com/article/10.1007/s11916-021-00956-1 https://www.ncbi.nlm.nih.gov/pubmed/33864533 https://www.proquest.com/docview/2513719893/abstract/ https://search.proquest.com/docview/2514607178 |
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