Article: Preventing Chronic Pain After Surgery: Who, How, and When?

This issue contains a report of the use of oral celecoxib to reduce acute perioperative pain and prevent chronic postoperative pain.1 It joins a list of interventions, many of them examined by the team of Dr. Reuben and recently reviewed by him,2 to attempt to reduce the incidence of chronic pain after surgery. The current study observed that a 5-day treatment with celecoxib, begun before surgery and into the postoperative period in patients with spinal fusion, resulted in significant reductions in pain and opioid use over this time period and a 75% reduction in the incidence of pain at the donor site 1 year later. They observed, as have others,3 that patients who go on to develop chronic ...

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