Dr. Howard Smith Reports

Physical Therapy Cuts Opioid Use After Knee Surgery


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Vidcast:  https://youtu.be/14VE4UxOwW8

 

Initiating physical therapy, PT for short,  before or after knee replacement therapy significantly reduces that chances that a person will require long-term opioid pain therapy by some 25 to 29 percent.  Boston University researchers studied 67,322 persons who underwent total knee replacement surgery over a 20 year period.

 

Beginning PT either before or after the surgery reduces the need for prolonged opioids by 25% for those who had used or never used opioids previously.  Those who continued their PT for 13 or more sessions reduced their chances even more up to 29%.  On the other hand, delaying the initiation of PT following surgery for up to 30 to 60 days increases the risk of needing opioids by 1.5 to 2 times.

 

If you or a family member are planning knee surgery, be certain to establish a relationship with an experienced physical therapist before surgery.  This will permit you to begin PT when appropriate and reduce your chances of needing and getting hooked on narcotics.

 

https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2785535

 

#kneereplacement #pain #opioids #narcotics #addiction

 

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Dr. Howard Smith ReportsBy Howard G. Smith MD, AM