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Opioid Crisis and Acute Pain Management After Foot and Ankle Surgery.
Clin Podiatr Med Surg. 2019 Oct; 36(4):695-705.CP

Abstract

Opioid abuse has plagued the United States, with a resurgence since the early 2000s. Governmental agencies, pharmaceutical companies, patients, and physicians have all contributed to this crisis. Severe pain has been reported following foot and ankle surgery. There are current national guidelines for chronic opioid prescribing, but guidelines for acute pain have not been established. Prescribing fewer opioids, education on opioid risks, proper disposal of unused medication, and participating in prescription monitoring programs help reduce opioid abuse. Multimodal analgesia is paramount in managing pain while reducing opioid consumption after postoperative foot and ankle surgery.

Authors+Show Affiliations

Department of Orthopedics, Division of Podiatry, Swedish Medical Center, Seattle, WA, USA; Department of Orthopedics, Division of Podiatry, Providence Medical Center, Everett, WA, USA; Private Practice, The Ankle and Foot Clinic of Everett, 3131 Nassau Street Suite 101, Everett, WA 98201, USA. Electronic address: Melinda.bowlby@gmail.com.Department of Orthopedics, Division of Podiatry, Providence Medical Center, Everett, WA, USA; Private Practice, The Ankle and Foot Clinic of Everett, 3131 Nassau Street Suite 101, Everett, WA 98201, USA.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

31466576

Citation

Bowlby, Melinda A., and Mary E. Crawford. "Opioid Crisis and Acute Pain Management After Foot and Ankle Surgery." Clinics in Podiatric Medicine and Surgery, vol. 36, no. 4, 2019, pp. 695-705.
Bowlby MA, Crawford ME. Opioid Crisis and Acute Pain Management After Foot and Ankle Surgery. Clin Podiatr Med Surg. 2019;36(4):695-705.
Bowlby, M. A., & Crawford, M. E. (2019). Opioid Crisis and Acute Pain Management After Foot and Ankle Surgery. Clinics in Podiatric Medicine and Surgery, 36(4), 695-705. https://doi.org/10.1016/j.cpm.2019.06.009
Bowlby MA, Crawford ME. Opioid Crisis and Acute Pain Management After Foot and Ankle Surgery. Clin Podiatr Med Surg. 2019;36(4):695-705. PubMed PMID: 31466576.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Opioid Crisis and Acute Pain Management After Foot and Ankle Surgery. AU - Bowlby,Melinda A, AU - Crawford,Mary E, Y1 - 2019/07/27/ PY - 2019/8/31/entrez PY - 2019/8/31/pubmed PY - 2020/1/3/medline KW - Ankle KW - Foot KW - Multimodal KW - Opioids KW - Pain KW - Surgery SP - 695 EP - 705 JF - Clinics in podiatric medicine and surgery JO - Clin Podiatr Med Surg VL - 36 IS - 4 N2 - Opioid abuse has plagued the United States, with a resurgence since the early 2000s. Governmental agencies, pharmaceutical companies, patients, and physicians have all contributed to this crisis. Severe pain has been reported following foot and ankle surgery. There are current national guidelines for chronic opioid prescribing, but guidelines for acute pain have not been established. Prescribing fewer opioids, education on opioid risks, proper disposal of unused medication, and participating in prescription monitoring programs help reduce opioid abuse. Multimodal analgesia is paramount in managing pain while reducing opioid consumption after postoperative foot and ankle surgery. SN - 1558-2302 UR - https://neuro.unboundmedicine.com/medline/citation/31466576/Opioid_Crisis_and_Acute_Pain_Management_After_Foot_and_Ankle_Surgery_ DB - PRIME DP - Unbound Medicine ER -