Purpose of Review

Chronic pain after total joint replacement (TJA), specifically total knee replacement (TKA), is becoming more of a burden on patients, physicians, and the healthcare system as the number of joint replacements performed increases year after year. The management of this type of pain is critical, and therefore, understanding the various modalities physicians can use to help patients with refractory pain after TJA is essential.

Recent Findings

The modalities by which chronic pain can be successfully managed include genicular nerve radioablation therapy (GN-RFA), neuromuscular electrical stimulation (NMES), transcutaneous electrical nerve stimulation (TENS), and peripheral subcutaneous field stimulation (PSFS). Meta-analyses and case reports have demonstrated the effectiveness of these treatment options in improving pain and functional outcomes in patients with chronic pain after TKA.

Summary

The purpose of this paper is to review and synthesize the current literature investigating the different ways that refractory pain is managed after TJA, with the goal being to provide treatment recommendations for providers treating these patients.

中文翻译：

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全关节置换术后顽固性疼痛的处理

审查目的

随着关节置换术的数量逐年增加，全关节置换术 (TJA)，特别是全膝关节置换术 (TKA) 后的慢性疼痛正成为患者、医生和医疗保健系统的负担。这种类型的疼痛的管理至关重要，因此，了解医生可以用来帮助 TJA 后难治性疼痛患者的各种方式至关重要。

最近的发现

可以成功控制慢性疼痛的方法包括膝神经放射治疗 (GN-RFA)、神经肌肉电刺激 (NMES)、经皮神经电刺激 (TENS) 和外周皮下野刺激 (PSFS)。荟萃分析和病例报告证明了这些治疗方案在改善 TKA 后慢性疼痛患者的疼痛和功能结果方面的有效性。

概括

本文的目的是回顾和综合研究 TJA 后治疗难治性疼痛的不同方法的当前文献，目的是为治疗这些患者的提供者提供治疗建议。