Critical Analysis in Pain Management
The assigned article, Wylde et al. (2018), is all about finding the impact of post-discharge interventions to reduce chronic pain after total knee arthroplasty (TKA) in reviews of relevant research articles. The type of research used for this study is primary research methodology i.e., observation and study through reviews of multiple research articles. However, total knee replacement is orthopaedic surgery to relieve pain resulting from osteoarthritis. Chronic pain refers to such pain which exists or increases after surgery with three months period. Pain assessment and pain management have the main focus on perioperative pain control as well as chronic pain management. The said article is based on a study to assess the effectiveness of multiple ways and interventions to reduce chronic pain.
However, the key findings in the said research report that no evidence is there to prove that one specific type of physiotherapy intervention is more valuable and helpful than the other type. It mainly depends upon the severity of chronic pain to know what type of measures should be taken. The randomized data of screened records of 7955 review articles in this study provided the key findings regarding various types of physiotherapy intervention. The key findings of this primary research indicates that physiotherapy interventions leads with maximum studies (n=13). On the other hand nurse-led interventions are less studies (n=2) and the neuromuscular electrical stimulation (NMES) with least number of studies (n=1). Meanwhile, key findings also emphasize that the amalgamation and combination of two or more types of intervention need more research. Regarding further clarity with respect to the beneficial aspect of the non-physiotherapy intervention, more diversified research is required, according to suggestions based on key findings.
Moreover, the study depicts such key findings where home-based exercise resulted in lower pain severity. These exercises were aimed to manage kinesiophobia. The said condition of a specific data sample is an exception as it is the single case in the whole data pool of primary research. The key findings also indicate that the only way is to ensure optimal care of the patients while considering clinical and cost-effective intervention. The development and understanding of the complex aetiology of chronic pain after surgery are recommended. The key findings reveal that multidimensional primary research is needed especially to reduce individual, societal and economic impact regarding chronic pain and its treatment after total knee arthroplasty (TKA).
