Avoiding Opioids: Treating pain before, during and after surgery

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Avoiding Opioids: Treating pain before, during and after surgery
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In the wake of an epidemic of opioid addiction and deaths, there’s a growing movement among surgeons to find other ways to successfully manage post-surgery pain.

Oxycontin, Percocet, Vicodin – for years, they were a mainstay of pain management after surgery. Plastic and reconstructive surgeon at Mercy Medical Center, Lauren Nigro, MD says she and many of her colleagues recommend non-narcotic alternatives for patients, even for procedures that require weeks of recovery time, like a tummy tuck.

But Dr. Nigro says for the past several years, there’s been a movement to treat pain before, during, and after the procedure. Before, patients are often prescribed Tylenol or other acetaminophen for several days. During, doctors administer a long-acting nerve block that can last three or four days. After, doctors sometimes prescribe the non-opioid gabapentin, non-steroidal anti-inflammatories, and in some cases, an injection of Botox.

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