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The Role Multimodal Pain Management Plays With Successful Total Knee and Hip Arthroplasty

Warren, Kevin G. Jr, BS, RN; Froehlich, Morgan, PharmD; Feldman, Daniel L., MD

Topics in Geriatric Rehabilitation: January/March 2019 - Volume 35 - Issue 1 - p 42–54
doi: 10.1097/TGR.0000000000000215
Pharmacology for the Older Adult: A Primer for the Fine Print

Approaching the best way to treat and manage a patient's surgical pain following total joint arthroplasty is a challenging task. To reduce the use of opioids, we utilize many different methods working together in a synergistic way. This is the true core of multimodal pain control. This task can be accomplished with a driven effort from the interdisciplinary team mostly comprising of but not limited to the surgeon, regional anesthesiologist, nurse, and physical therapist. The team addresses education of the patient, anesthesia type, medications, and nonpharmacological interventions within the development of the pain management plan. Achieving the goal of safe, effective pain management, in this population, will lead to improved outcomes, patient satisfaction, and enhanced functional life of patients.

St Charles Hospital of Catholic Health System, Port Jefferson, New York (Mr Warren); Northport Veterans Affairs Medical Center, Northport, New York (Dr Froehlich); and John T Mather Memorial Hospital, Port Jefferson, St Charles Hospital, Port Jefferson, Peconic Bay Medical Center, Riverhead, and Department of Anesthesiology, Long Island Anesthesia Physicians, Rocky Point, New York (Dr Feldman).

Correspondence: Kevin G. Warren Jr, BS, RN, St Charles Hospital of Catholic Health System, 2002 Belle Terre Rd, Port Jefferson, NY 1777 (

The authors have disclosed that they have no significant relationships with, or financial interest in, any commercial companies pertaining to this article.

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