Orthopedic Pain
Orthopedic Pain Relief Physical Therapy in Fort Lauderdale
i) The Role of Orthopedic Surgery in Addressing Pain and Disability
Orthopedic surgery is instrumental in managing various conditions such as foot drop, unresolved extremity weakness, and cauda equina syndrome, particularly in patients experiencing pain and disability. Despite surgical advancements, challenges persist, with a significant percentage of patients reporting ongoing pain post-surgery.
Rising Numbers and Persistent Issues
The prevalence of orthopedic surgeries, including lumbar fusion and knee replacements, is on the rise. However, alarming statistics reveal that approximately one in three patients continues to experience pain and disability after lumbar surgery or joint replacement. Additionally, concerns arise regarding the potential overuse of knee replacements, with an estimated one in five deemed unnecessary.
ii) Rehabilitation Challenges and the Need for a Holistic Approach
Referral to physical therapy (PT) is a common step in the recovery process, but the effectiveness of rehabilitation programs varies. Many programs lack the necessary skills and time to address the multifaceted nature of pain and disability, often focusing solely on anatomical aspects.
Understanding Pain and Embracing a Multidimensional Approach
Patients' unrealistic expectations post-surgery and surgeons' challenges in linking anatomical pathology to pain underscore the need for a comprehensive approach. This involves addressing postural habits, incorporating effective physical therapy modalities like dry needling and shockwave therapy, implementing progressive home exercise programs, and providing comprehensive patient education to promote a better understanding of pain mechanisms.
iii) Importance of Psychosocial Factors and Patient Education
Psychosocial factors play a pivotal role in recovery. Patients who receive proper information and support about their condition and pain often experience an improved quality of life. A multidimensional approach that integrates psychosocial support can enhance outcomes.
Striving for Effective and Patient-Centered Orthopedic Care in Fort Lauderdale
Conclusion
While orthopedic surgery offers hope for those experiencing pain and disability, a comprehensive approach is essential for optimal outcomes. By addressing the multifactorial nature of pain, focusing on patient education, and integrating psychosocial support, a more effective and patient-centered orthopedic care model can be achieved.
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Bibliography
Louw A, Diener I, Fernandez-de-Las-Penas C, Puentedura EJ. Sham Surgery in Orthopedics: A Systematic Review of the Literature. Pain Medicine. July 2016.
Baert IA, Lluch E, et al. Does pre-surgical central modulation of pain influence outcome after total knee replacement? A systematic review. Osteoarthritis and cartilage / OARS, Osteoarthritis Research Society. 2015.
Baker PN, van der Meulen JH, Lewsey J, Gregg PJ, National Joint Registry for England and Wales. The role of pain and function in determining patient satisfaction after total knee replacement. Data from the National Joint Registry for England and Wales. The Journal of Bone and Joint Surgery: British Volume. 2007;89(7):893-900.
Beaupre LA, Lier D, Davies DM, Johnston DB. The effect of a preoperative exercise and education program on functional recovery, health-related quality of life, and health service utilization following primary total knee arthroplasty. J Rheumatol. 2004;31(6):1166-1173.
Berg S, Tullberg T, Branth B, Olerud C, Tropp H. Total disc replacement compared to lumbar fusion: a randomized controlled trial with 2-year follow-up. Eur Spine J. 2009;18(10):1512-1519.
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