Neurostimulation as an Efficacious Nonpharmacologic Analgesic following Arthroscopic Rotator Cuff Repair

This case highlights the importance of pursuing nonpharmacologic analgesic modalities in orthopedic surgery to combat the current opioid epidemic. Presented is a patient who underwent an arthroscopic rotator cuff repair and biceps tenodesis operation and through the use of neurostimulation (in the f...

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Main Authors: Ryan B. Juncker, Joel J. Gagnier, Faisal M. Mirza
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Case Reports in Anesthesiology
Online Access:http://dx.doi.org/10.1155/2022/2133998
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author Ryan B. Juncker
Joel J. Gagnier
Faisal M. Mirza
author_facet Ryan B. Juncker
Joel J. Gagnier
Faisal M. Mirza
author_sort Ryan B. Juncker
collection DOAJ
description This case highlights the importance of pursuing nonpharmacologic analgesic modalities in orthopedic surgery to combat the current opioid epidemic. Presented is a patient who underwent an arthroscopic rotator cuff repair and biceps tenodesis operation and through the use of neurostimulation (in the form of auricular electrostimulation), fully recovered from surgery without the usage of any opioid or nonsteroidal anti-inflammatory medications. The patient was fitted with a novel auricular electrostimulation device (DyAnsys Primary Relief) in the immediate postoperative period that provided constant neurostimulation for 10 days, this neurostimulator was the only analgesic modality used in this case, and the patient reported minimal postoperative pain. The utility of this case centers around the lack of postoperative opioid use, presenting the idea that postsurgical orthopedic pain can be managed in a nonpharmacologic capacity, combatting the fields’ ongoing opioid epidemic.
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spelling doaj-art-9720e5c0283b4dceb39b467f318508202025-02-03T01:06:33ZengWileyCase Reports in Anesthesiology2090-63902022-01-01202210.1155/2022/2133998Neurostimulation as an Efficacious Nonpharmacologic Analgesic following Arthroscopic Rotator Cuff RepairRyan B. Juncker0Joel J. Gagnier1Faisal M. Mirza2Department of Orthopaedic SurgeryDepartment of Orthopaedic SurgeryCoastal Health PartnersThis case highlights the importance of pursuing nonpharmacologic analgesic modalities in orthopedic surgery to combat the current opioid epidemic. Presented is a patient who underwent an arthroscopic rotator cuff repair and biceps tenodesis operation and through the use of neurostimulation (in the form of auricular electrostimulation), fully recovered from surgery without the usage of any opioid or nonsteroidal anti-inflammatory medications. The patient was fitted with a novel auricular electrostimulation device (DyAnsys Primary Relief) in the immediate postoperative period that provided constant neurostimulation for 10 days, this neurostimulator was the only analgesic modality used in this case, and the patient reported minimal postoperative pain. The utility of this case centers around the lack of postoperative opioid use, presenting the idea that postsurgical orthopedic pain can be managed in a nonpharmacologic capacity, combatting the fields’ ongoing opioid epidemic.http://dx.doi.org/10.1155/2022/2133998
spellingShingle Ryan B. Juncker
Joel J. Gagnier
Faisal M. Mirza
Neurostimulation as an Efficacious Nonpharmacologic Analgesic following Arthroscopic Rotator Cuff Repair
Case Reports in Anesthesiology
title Neurostimulation as an Efficacious Nonpharmacologic Analgesic following Arthroscopic Rotator Cuff Repair
title_full Neurostimulation as an Efficacious Nonpharmacologic Analgesic following Arthroscopic Rotator Cuff Repair
title_fullStr Neurostimulation as an Efficacious Nonpharmacologic Analgesic following Arthroscopic Rotator Cuff Repair
title_full_unstemmed Neurostimulation as an Efficacious Nonpharmacologic Analgesic following Arthroscopic Rotator Cuff Repair
title_short Neurostimulation as an Efficacious Nonpharmacologic Analgesic following Arthroscopic Rotator Cuff Repair
title_sort neurostimulation as an efficacious nonpharmacologic analgesic following arthroscopic rotator cuff repair
url http://dx.doi.org/10.1155/2022/2133998
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AT faisalmmirza neurostimulationasanefficaciousnonpharmacologicanalgesicfollowingarthroscopicrotatorcuffrepair