September 6, 2023
CHICAGO: September is Pain Awareness Month.
Managing pain after an operation is an important part of healing and recovery. For most patients undergoing surgery, pain will be either mild or relieved within a few days following surgery.1 But for some patients, their pain may continue beyond the usual time and develop into chronic pain.2
“Pain can inhibit recovery, but good pain control can be an accelerator of a patient’s recovery,” said Jonah J. Stulberg, MD, PhD, MPH, FACS, a member of the American College of Surgeons (ACS) Patient Education Committee and vice chair of research for the department of surgery at UTHealth Houston.
Dr. Stulberg, who has researched effective pain control for more than a decade, offers these three tips for safely and effectively managing pain after surgery:
“Bringing up pain control with your care team before surgery will help you come up with a plan and understand how much pain you can expect to have after surgery,” Dr. Stulberg said. “Having these conversations upfront can save you a lot of time and a lot of headaches after surgery, and it definitely helps with safety.”
He recommends asking your surgeon and care team questions about your care plan, such as:
After your surgery, your doctor and care team can advise on effective ways to manage your pain that don’t involve the use of opioids, including:
In some cases, opioid medications, such as oxycodone and tramadol, may be prescribed for severe pain after surgery, but these should be used with strict caution, stored safely, and properly disposed of following your surgical recovery.
“Opioid medications are really prescribed to that specific individual for the purposes of pain control from that specific surgery,” Dr. Stulberg said. “As we’ve seen with the opioid crisis, when those opioids are not used for the specific purpose that was prescribed by the physician, it can lead to misuse and tragic consequences.”
Describing pain can be incredibly challenging since pain is very subjective. Dr. Stulberg recommends speaking to your care team about pain as it relates to function. For example, speak up and be as specific as possible if your pain is so severe that you’re having trouble taking a deep breath, getting out of bed, or walking to the bathroom.
“That type of pain can be severe pain and suggests we may need to control your pain better,” he said. “If your pain is constant but you’re able to take deep breaths and go about your day, that might be a level of pain you may need to tolerate for a short time after your surgery. That is the conversation to have with your surgeon.”
Some other questions to ask your care team:
Always seek help if you feel that your pain has become severe. Pain after surgery, Dr. Stulberg emphasizes, should not be associated with:
“Those are all signs you should really be calling your doctor,” he said.
The ACS has several resources for the public and for journalists writing about safe pain control management:
“We’ve learned a lot in the past decade, and many providers do a better job of checking things like prescription monitoring programs before prescribing opioids,” Dr. Stulberg said. “But each patient has unique pain needs – some patients do require more assistance with pain control, while others may have a higher pain tolerance or less of a sensation from the surgeries. Patient education continues to be front and center as an important component to creating a safer environment for pain control.”
To schedule an interview with Dr. Stulberg, journalists may email pressinquiry@facs.org.
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1Gerbershagen,et al. (2013). Pain intensity on the first day after surgery: a prospective cohort study comparing 179 surgical procedures. Anesthesiology, 118(4); 934-44.
2Glare, et al. (2019). Transition from acute to chronic pain after surgery. Lancet, 393:10180;1537-1546.
The American College of Surgeons is a scientific and educational organization of surgeons that was founded in 1913 to raise the standards of surgical practice and improve the quality of care for all surgical patients. The College is dedicated to the ethical and competent practice of surgery. Its achievements have significantly influenced the course of scientific surgery in America and have established it as an important advocate for all surgical patients. The College has approximately 90,000 members and is the largest organization of surgeons in the world. "FACS" designates that a surgeon is a Fellow of the American College of Surgeons.