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Use of various pain relief methods is
effective at different times of the arthroscopic repair
surgery.
Interscalene brachial plexus block (IBPB) offers higher night pain
relief during the first 24 hours of the arthroscopic repair
surgery, on
the other hand intravenous acetaminophen (IA)
is effective for
higher night pain relief at 72 hours of the surgery, as concluded from a prospective
study
issued in the Journal
of Orthopaedics.
Ryosuke Takahashi and colleagues examined the pain relief efficacy of
IA and IBPB in a total of 66 patients who had arthroscopic rotator
cuff repair (ARCR). Twenty three shoulders were allotted to the IA group
and forty three shoulders were allotted to IBPB groups. The visual analog scale
(VAS) pain scores at rest, during movement, and at night for the first
72 hours after the surgery were assessed.
As compared to IA group, the IBPB group had significantly
lower VAS scores for night pain for the first 24 hours of the Arthroscopic
repair surgery. But, the same scores were significantly lower in the IA
group as compared to IBPB group at 72 hours of surgery. No other scores
were significantly dissimilar amongst the groups.
Journal of Orthopaedics
Post-operative pain control following arthroscopic rotator cuff repair: Intravenous acetaminophen versus interscalene brachial plexus block; A prospective randomized study
RyosukeTakahashi et al.
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