Electrotherapy, Acupuncture Beneficial for Total Knee Arthroplasty Pain

Share this content:
The researchers found that continuous passive motion, preoperative exercise, cryotherapy, electrotherapy, and acupuncture were the most commonly performed interventions.
The researchers found that continuous passive motion, preoperative exercise, cryotherapy, electrotherapy, and acupuncture were the most commonly performed interventions.

HealthDay News — Electrotherapy and acupuncture seem to be beneficial for pain management after total knee arthroplasty, according to a meta-analysis published online in JAMA Surgery.

Dario Tedesco, MD, from Stanford University in California, and colleagues conducted a systematic review and meta-analysis of evidence relating to nonpharmacological interventions for postoperative pain management after total knee arthroplasty. Data from 39 randomized clinical trials with 2,391 patients were included in the meta-analysis.

The researchers found that continuous passive motion, preoperative exercise, cryotherapy, electrotherapy, and acupuncture were the most commonly performed interventions. Electrotherapy was found to reduce the use of opioids (mean difference, −3.50 morphine equivalents in mg/kg per 48 hours) and acupuncture delayed opioid use (mean difference, 46.17 minutes to the first patient-controlled analgesia), based on moderate-certainty evidence. Low-certainty evidence was found for acupuncture improving pain (mean difference −1.14 on a visual analogue scale at 2 days). 

Based on very low-certainty evidence, cryotherapy correlated with a reduction in opioid consumption (mean difference, −0.13 morphine equivalents in mg/kg per 48 hours) and in pain improvement (mean difference, −0.51 on the visual analogue scale). Continuous passive motion and preoperative exercise did not improve pain or reduce opioid consumption, based on low-certainty or very low-certainty evidence.

"In this meta-analysis, electrotherapy and acupuncture after total knee arthroplasty were associated with reduced and delayed opioid consumption," the authors write.

follow @RheumAdvisor

Reference

Tedesco D, Gori D, Desai KR, et al. Drug-free interventions to reduce pain or opioid consumption after total knee arthroplasty: a systematic review and meta-analysis [publised online August 16, 2017]. JAMA Surg. doi:10.1001/jamasurg.2017.2872



You must be a registered member of Rheumatology Advisor to post a comment.
.

Sign Up for Free e-newsletters