We use combination of medications designed to prevent and down modulate pain and to pre-empt potential postoperative complications, such as nausea or vomiting. Everyone’s care is individualized for their unique needs. Our protocol starts with medication and fluid you receive while you are in the preoperative holding area, prior to your surgery; the type of anesthesia administered during surgery; the combination of medicines injected into the tissues around the surgical reconstruction prior to closing the incision; and the different meds from different families of medicines, other than just narcotics, that you are given on a specific schedule once your surgery is complete.
Medications administered the morning prior to or during surgery include:
- Tylenol to lower your sensitivity to pain as well as decrease the amount of pain.
- IV Toradol which is a NSAID and has proven remarkably effective at decreasing pain via alternate pathways in our bodies.
- Neurontin which also helps to decrease postoperative pain by affecting chemicals and nerves in your body that are involved in pain pathways.
- Medicines which decrease anxiety and make you drowsy. Most patients on these medicines have no recall of their care after they leave the preoperative holding area.
- A long-acting narcotic to dull pain receptors before pain sets in as well as medication to prevent nausea following surgery.
- An IV steroid just prior to the start of your surgery and postoperatively.
- After implanting the components, the tissues around the new joint are injected with a “cocktail” including a long-acting local anesthetic, and an NSAID. This combination has greatly reduced post operative pain and the need for narcotics. This has resulted in our patients feeling remarkably comfortable immediately after their surgery and allowing them to get out of bed the day of surgery and walk.
- Tranexamic acid is also given just prior to making the incision and postoperatively. This medication decreases intra- and post-operative blood loss by stabilizing the blood clot which mitigates the need for postoperative blood transfusion.
- IV antibiotics are also administered before and after surgery to lower the risk of infection.