Postoperative Pain Management in the Orthopedic Setting

  • David H. KimEmail author
  • Sang J. Kim
  • Douglas S. Wetmore


This chapter reviews the general principles of pain pathophysiology, explores the practice of multimodal analgesia, and provides current literature support in favor of using regional anesthesia over general anesthetic and analgesic techniques in orthopedic patients. Additionally, we aim to introduce the reader to newer, motor-sparing peripheral blocks that can be utilized in combination with periarticular injections. Different pain management regimens addressing the most common orthopedic procedures are discussed. The concept of opioid-sparing alternatives is presented in the context of the current opioid epidemic. Finally, this chapter will review the care of challenging pain patients and address the utility of services including those targeted to treat recuperative pain and chronic pain and introduce the role of a transitional pain service.


Postoperative pain management Multimodal analgesia Motor-sparing blocks 


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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • David H. Kim
    • 1
    Email author
  • Sang J. Kim
    • 2
  • Douglas S. Wetmore
    • 3
  1. 1.Department of AnesthesiologyHospital for Special Surgery, Weill Cornell MedicineNew YorkUSA
  2. 2.Department of Anesthesiology, Critical Care, and Pain ManagementHospital for Special Surgery, Weill Cornell MedicineNew YorkUSA
  3. 3.Department of AnesthesiologyHospital for Special SurgeryNew YorkUSA

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