The Journal of Bone and Joint Surgery (American). 2007;89:2532-2535.
doi:10.2106/JBJS.G.00372
© 2007 The Journal of Bone and Joint Surgery, Inc.
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Pain Management: The Orthopaedic Surgeon's Perspective

Harry N. Herkowitz, MD1, Douglas R. Dirschl, MD2 and David H. Sohn, MD1

1 Department of Orthopaedic Surgery, William Beaumont Hospital, 3535 West 13 Mile Road, #744, Royal Oak, MI 48073. E-mail address for H.N. Herkowitz: cmusich@beaumont.edu
2 Department of Orthopaedics, University of North Carolina School of Medicine, 3147 Bioinformatics, CB#7055, Chapel Hill, NC 37599-7055. E-mail address: dirschld@med.unc.edu

The first 150 words of the full text of this article appear below.


   Background
 
The control of postoperative pain is a major concern of the orthopaedic surgeon. Good pain control is not only more pleasant for the patient but can also lead to earlier mobilization, faster rehabilitation, improved patient satisfaction, and possibly earlier discharge1-6. Currently, an array of choices is available to orthopaedic surgeons for postoperative pain management. These include narcotics (both oral and intravenous), nerve blocks, pain pumps, epidural injections, aspirin, nonsteroidal anti-inflammatory drugs, transdermal patches, and muscle relaxants. Similarly, there is an array of orthopaedic procedures, each with different pain management needs. A total joint replacement surgeon, for example, would likely be dealing with different procedures and different patient demographics than would a sports medicine specialist or a spine surgeon.


   The OREF and AOA Pain Management Survey
 
To better understand the current land-scape regarding pain management in orthopaedic surgery, the American Orthopaedic Association (AOA), in collaboration with the Orthopaedic Research and Education Foundation (OREF), surveyed members of the . . . [Full Text of this Article]


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