The effects of cryotherapy in relieving postarthroscopy pain

Fang, Li; Hung, Chich‐Hsiu; Wu, Shang Liang; Fang, Shu; Stocker, Joel F.

doi:10.1111/j.1365-2702.2010.03531.x

Cited by 21 publications

(13 citation statements)

References 16 publications

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“…Cooling of the skin is simple and cheap form of anesthesia. The exact mechanism of action of anesthesia by cooling is unknown, but several mechanisms, such as decreased nerve conduction, reduction in muscle spasms, prevention of edema after injury, a decrease in the release of pain-production substances locally, release of endorphins, and pain inhibition through inhibitory interneurons (pain gate), have been suggested [5][6][7][8]. These neural effects increase the patient's pain threshold and can diminish the need for pharmacologic interventions, such as narcotics or local anesthetics.…”

Section: Discussionmentioning

confidence: 99%

A comparative trial of ice application versus EMLA cream in alleviation of pain during molluscum contagiosum removal by needle extirpation

Gupta¹,

Gupta²

2020

Our Dermatol Online

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Section: Discussionmentioning

confidence: 99%

A comparative trial of ice application versus EMLA cream in alleviation of pain during molluscum contagiosum removal by needle extirpation

Gupta¹,

Gupta²

2020

Our Dermatol Online

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“…[60][61][62][63] Evidence for cold therapy exists so far only in randomized controlled trials for a variety of surgical procedures, including hernia repair, A-V fistula creation, and dental surgery. 59,[64][65][66][67][68][69][70][71][72] Other methods also need further study even though they are endorsed by various institutions. 73,74 Lack of movement postoperatively can lead to muscle tightness and pain.…”

Section: Recommendations and Summary Of Evidencementioning

confidence: 99%

Consensus Statement for the Prescription of Pain Medication at Discharge after Elective Adult Surgery

Clarke

Manoo

Pearsall

et al. 2020

Canadian Journal of Pain

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This Consensus Statement provides recommendations on the prescription of pain medication at discharge from hospital for opioid-naïve adult patients who undergo elective surgery. It encourages health care providers (surgeons, anesthesiologists, nurses/nurse practitioners, pain teams, pharmacists, allied health professionals, and trainees) to (1) use nonopioid therapies and reduce the prescription of opioids so that fewer opioid pills are available for diversion and (2) educate patients and their families/caregivers about pain management options after surgery to optimize quality of care for postoperative pain. These recommendations apply to opioid-naïve adult patients who undergo elective surgery. This consensus statement is intended for use by health care providers involved in the management and care of surgical patients. A modified Delphi process was used to reach consensus on the recommendations. First, the authors conducted a scoping review of the literature to determine current best practices and existing guidelines. From the available literature and expertise of the authors, a draft list of recommendations was created. Second, the authors asked key stakeholders to review and provide feedback on several drafts of the document and attend an in-person consensus meeting. The modified Delphi stakeholder group included surgeons, anesthesiologists, residents, fellows, nurses, pharmacists, and patients. After multiple iterations, the document was deemed complete. The recommendations are not graded because they are mostly based on consensus rather than evidence. RÉSUMÉ Cette déclaration de consensus fait des recommandations pour la prescription d'analgésiques à la sortie de l'hôpital pour les patients adultes n'ayant jamais pris d'opiacés et qui subissent une intervention chirurgicale non urgente. Elle encourage les prestataires de soins de santé (chirurgiens, anesthésiologistes, infirmières et infirmiers, infirmières et infirmiers praticiens, équipes antidouleur, pharmaciens, professionnels de la santé et stagiaires) à (1) utiliser des traitements non opiacés et à réduire la prescription d'opiacés afin de réduire le nombre de pilules opiacées pouvant être détournées; et (2) à éduquer les patients, ainsi que leurs familles et soignants, sur les options de prise en charge de la douleur après l'opération afin d'optimiser la qualité des soins pour la douleur postopératoire. Ces recommandations s'appliquent aux patients adultes n'ayant jamais pris d'opioïdes et qui subissent une intervention chirurgicale non urgente. Cette déclaration de consensus est destinée à être utilisée par les prestataires de soins de santé impliqués dans la prise en charge des patients opérés et les soins qui leur sont apportés. Un processus Delphi modifié a été utilisé pour parvenir à un consensus sur les recommandations. Tout d'abord, les auteurs ont procédé à une de la portée de la littérature afin de déterminer les pratiques exemplaires actuelles et les lignes directrices existantes. À partir de la littérature disponible et de l'expertise des ...

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“…Hospital admission time can be shortened by using cryotherapy after THA (18), and because of its feasibility and cost-effectiveness standard use has been advocated (19,20). To our knowledge, no study has been performed in which cyclic cryotherapy and compression therapy have been combined.…”

Section: Cryocompression Therapy After Elective Arthroplasty Of the Hipmentioning

confidence: 99%

Cryocompression Therapy after Elective Arthroplasty of the Hip

et al. 2012

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Pneumatic compression and cryotherapy have been successfully being employed in the management of acute tissue damage. The Game Ready System (GRS) combines cyclic compression and cryotherapy. No randomised controlled trial has been performed on the effects of combined cyclic compression and cryotherapy in total hip arthroplasty (THA). We observed postoperative pain, morphine usage, blood loss, wound discharge, patient and medical staff satisfaction, together with the feasibility of a cryocompression machine, total hospital admission time, infection rate, deep vein thrombosis, and short-term prosthesis related problems in this context. Thirty patients, mean age 68 yrs (range 31-83 yrs) undergoing elective hip arthroplasty for end-stage osteoarthritis were included. Control patients (n = 15) received a tricot compression bandage alone, and patients studied received a tricot compression bandage plus intermittent cryocompression therapy 15 times for 30 minutes. Haemoglobin levels on postoperative day (POD) 1 dropped 2.34 mmol/L in the control group and 1,87 mmol/L in the intervention group (p = 0,027). At POD 3 haemoglobin levels were reduced by 2,63 and 2,16 respectively (p = 0,646). A trend occurred towards lower morphine usage, shorter hospital admission time and less wound discharge in the study group. No difference was found in postoperative pain scores. One event of deep venous thrombosis occurred in the control group. Intermittent cryocompression therefore appears to reduce postoperative blood loss. A trend towards less analgesic use, shorter hospital stay, less wound discharge and less pain at 6 weeks postoperatively was also observed.

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The effects of cryotherapy in relieving postarthroscopy pain

Abstract: Cryotherapy with ice in a plastic bag is a simple, readily attainable and cost-effective technique for relieving postarthroscopy pain. We recommend that it be included in standard treatment protocols. Techniques for cryotherapy should be incorporated into in-service education.

Cited by 21 publications

References 16 publications

A comparative trial of ice application versus EMLA cream in alleviation of pain during molluscum contagiosum removal by needle extirpation

A comparative trial of ice application versus EMLA cream in alleviation of pain during molluscum contagiosum removal by needle extirpation

Consensus Statement for the Prescription of Pain Medication at Discharge after Elective Adult Surgery

Cryocompression Therapy after Elective Arthroplasty of the Hip

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