title: Subacute pain after total knee arthroplasty.
abstract: Acute pain during and immediately after total knee arthroplasty (TKA) can be well controlled by spinal anesthesia, local infiltration analgesia, and peripheral nerve blocks; this enables early or fast-track rehabilitation. However, about half of patients have clinically significant pain in the following weeks. Active movements and rehabilitation of joint function, muscle strength, and ability to maintain balance and prevent falls all become more difficult when the joint is painful on movement. Intensive analgesic and antihyperalgesic treatment during the first few weeks after TKA surgery may reduce the risk of chronic pain after this operation, which is itself intended to remove the patient's chronic osteoarthritis pain. Spinal cord stimulation may be an effective option for patients with mainly neuropathic pain after TKA surgery.
authors.forename: Axel
authors.initials: A
authors.lastname: Sauter
authors.forename: Harald
authors.initials: H
authors.lastname: Breivik
mesh_terms: D059787:Acute Pain / Q000188:drug therapy* / Q000209:etiology; D000368:Aged; D000700:Analgesics / Q000008:administration & dosage; D000775:Anesthesia, Spinal / Q000379:methods; D019645:Arthroplasty, Replacement, Knee / Q000009:adverse effects* / Q000534:rehabilitation; D059350:Chronic Pain / Q000209:etiology / Q000517:prevention & control; D006801:Humans; D008297:Male; D009407:Nerve Block / Q000379:methods; D009437:Neuralgia / Q000209:etiology / Q000628:therapy; D020370:Osteoarthritis, Knee / Q000601:surgery; D010149:Postoperative Pain / Q000188:drug therapy* / Q000209:etiology; D062187:Spinal Cord Stimulation / Q000379:methods; D013997:Time Factors
chemical_list: D000700:Analgesics
keywords: arthroplasty; infiltration analgesia; knee; nerve blocks; pain; postoperative; spinal anesthesia