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Pain Management Options

NSAIDS

  • Naproxen (conservative treatment of choice for both pain and function in recent study)

  • Ibuprofen

  • Celebrex

  • Diclofenac

  • Acetaminophen

Request a Medication Refill for a Non-Narcotic Medication

Cortisone Injections

  • Steroid is placed directly into the affected area

Hyaluronic Injections (HA or "Gel" Injections)

  • Synvisc

  • Euflexxa

Narcotic Medications

  • We are empathetic to patients who have recently have surgery, and we promise to do everything possible that is safe and within the patient's best interest to help control pain symptoms.

  • Opioid medications are generally not prescribed before surgery for any medical condition.  Most sprains, strains, and fractures result in pain because of substantial inflammation (swelling), and opioid medications do not function as an anti-inflammatory.  Thus, they are not directly effective at treating the cause of the pain.  

  • In most cases, a potent anti-inflammatory is your best bet to get the inflammation down and decrease the pain.  If a procedure is performed, opioid medications will be prescribed for a maximum of two weeks.  

  • If you desire a longer course of opioid therapy, a referral to a pain management specialist can be made for you.​

References

Typical Peri-Operative Pain Protocol

Pre-Operative Medications

Scopalamine patch (to reduce nausea)

Zofran 4mg IV

Pepcid 2 mg/2 mL IV

Tylenol 1 gm PO

Regional nerve block

Intra-Operative Medications

TXA 1 gm IV

Toradol 30 mg IV

Peri-articular injection (40 mL)

Post-Operative Medications

TXA 1 gm IV

Ice (20 min q2h)

Dilaudid 0.3-0.5 mg IV q1h

Oxycodone 10 mg PO q4h

Tylenol 1 gm PO

Toradol 30 mg q6h

ASA 325 mg PO

Zofran 4 mg IV q4h

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Home Medications

Ice (20 min q2h)

Oxycodone 5 mg PO #30

Gabapentin

Meloxicam

Zofran 4 mg PO q6h

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