Postoperative Pain Management Following Carpal Tunnel Release: A Prospective Cohort Evaluation

Hand : Official Journal of the American Association for Hand Surgery
Andrew MillerJonas Matzon

Abstract

Managing postoperative pain in hand surgery is important for both patients and surgeons. However, there is growing concern over prescription opioid abuse. We hypothesized: (1) that pain medications after carpal tunnel release (CTR) surgery are over-prescribed; and (2) that opioids are unnecessary in the majority of patients. We prospectively studied 2 demographically similar patient cohorts receiving either opioid or tramadol for CTR performed by 2 hand surgery fellowship-trained orthopedic surgeons over a 1-year period. The first cohort of patients undergoing CTR received opioids pills postoperatively. The second cohort of patients received a standard prescription of 10 tramadol pills postoperatively. Student t tests were performed to evaluate statistically significant differences between the tramadol and opioid cohorts in total pill consumption and number of postoperative days the medication was used. The opioid cohort consisted of 159 patients with a mean opioid consumption of 4.9 pills for 2.3 days. Eleven of these patients declined the use of opioids postoperatively and instead substituted for nonsteroidal anti-inflammatories and/or acetaminophen. The tramadol cohort consisted of 110 patients with a mean tramadol consumpti...Continue Reading

References

Apr 1, 1992·Anaesthesia·M D VickersJ Yoshizumi
Jan 1, 1991·Drug and Alcohol Dependence·K L PrestonM Testa
Mar 15, 1997·American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists·K S Lewis, N H Han
Mar 14, 2003·Drug and Alcohol Dependence·Edward C SenayTheodore J Cicero
May 24, 2006·Journal of Pain and Symptom Management·Edgar H AdamsGeorge E Woody
Jul 25, 2006·Pharmacoepidemiology and Drug Safety·Leonard J PaulozziYongli Xi
Sep 22, 2006·The Clinical Journal of Pain·Howard G BirnbaumNathaniel P Katz
Nov 26, 2009·Current Medical Research and Opinion·Paul C LangleyJeff R Schein
Nov 19, 2010·The New England Journal of Medicine·Susan Okie
Aug 10, 2011·Journal of Opioid Management·Kathryn P AnastassopoulosMyoung S Kim
Mar 14, 2012·The Journal of Hand Surgery·Jeffrey RodgersEdward Finnerty
Jul 16, 2013·The Journal of Arthroplasty·Joseph D LamplotDavid W Manning
Apr 30, 2014·Clinical Orthopaedics and Related Research·Arjan G J BotDavid Ring
Apr 26, 2015·The Journal of the American Academy of Orthopaedic Surgeons·Brent J Morris, Hassan R Mir

❮ Previous
Next ❯

Citations

Mar 30, 2019·Hand : Official Journal of the American Association for Hand Surgery·Louis C GrandizioJoel C Klena
Mar 21, 2019·The Journal of Bone and Joint Surgery. American Volume·Christopher J Dy
Apr 16, 2019·Hand : Official Journal of the American Association for Hand Surgery·Yehuda ChocronStephanie Thibaudeau
Dec 26, 2019·Journal of the American Academy of Orthopaedic Surgeons. Global Research & Reviews·Shafic Sraj
Oct 31, 2020·Hand : Official Journal of the American Association for Hand Surgery·Mark Henry
Dec 5, 2020·The Journal of the American Academy of Orthopaedic Surgeons·Daniel J CunninghamTyler S Pidgeon
Mar 9, 2021·Plastic and Reconstructive Surgery. Global Open·Jacquelyn A WithersPaymon Rahgozar
May 30, 2021·The Journal of Hand Surgery·Megan R MilesAviram M Giladi
Jun 29, 2021·Plastic and Reconstructive Surgery·Qurratul-Ain DarSteven M Koehler
Aug 5, 2021·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Celeste A MallamaTamra Meyer
Oct 28, 2021·Plastic and Reconstructive Surgery·Jessica I BilligUNKNOWN Michigan Collaborative Hand Initiative for Quality in Surgery Collaborators
Jan 8, 2022·Hand : Official Journal of the American Association for Hand Surgery·Pragna N ShettyAviram M Giladi

❮ Previous
Next ❯

Software Mentioned

SPSS

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.