To help you get ready to talk with your doctor before surgery, this page reviews common pain treatments used in hospitals and your recovery at home. There are many types of treatment plans — some with drugs and some without, and some pain treatments administered before, during, and after surgery — that can be used together or separately to provide relief based on your specific needs, so discuss your choices with your medical team.
In addition to keeping you comfortable, good pain control can help your recovery, reduce the chance of complications and unwanted side effects from your medications, and prevent the pain from becoming chronic. So if your pain treatment doesn’t seem to be working, tell your doctors. Without your feedback, they can’t optimize your pain management plan.
Because pain management varies with the type of surgery, it’s not possible to review every possible treatment, so links to additional information can be found at the bottom of this page and in the Resources section.
Pain management should be “multimodal”
Multimodal pain management refers to the use of different types of treatments to alleviate your pain. A multimodal approach varies the types of pain medicines used, so your doctor can avoid exposing you to very high doses of any one medication, which can help reduce your chances of experiencing side effects.
While there are many different combinations of treatments that can go into a multimodal plan, the trend is to use non-opioid medications at the start of treatment to limit (or in some cases eliminate) your need for opioids, which may be associated with unwanted side effects that can impact the recovery process.
Doctors combine what they know about you (which is why discussions with your doctor are essential), their experience with patients like you who’ve undergone similar surgical procedures and medical guidelines to create the most appropriate surgical pain management plan for you.
Anesthetics such as lidocaine and bupivacaine eliminate pain by preventing nerves from transmitting the signals that carry the sensation of pain. The novocaine used by your dentist to numb your mouth before you have a tooth pulled or a filling put in works the same way.
Electrical stimulation applied to the skin has also been used to manage pain at specific locations on the body. Some versions of this treatment stimulate areas near the skin; some stimulate deeper.
Cryoanalgesia relieves pain by freezing the affected nerve, causing an interruption of pain signals to the brain. This method is typically used to relieve pain from peripheral nerves (nerves that connect the brain or spinal column to areas outside the central nervous system).
This type of focused cold therapy applied directly to the nerve can provide pain relief for up to 90 days, allowing patients to function more comfortably and experience less pain. The effect on the nerve is temporary.
Complementary and alternative medicine (CAM)
“CAM” refers to treatments that may be used as a complement to or as an alternative in place of the more standard treatments discussed above.* CAM treatments include acupuncture, meditation, relaxation techniques, massage therapy, spinal manipulation, tai chi, yoga, dietary supplements and other natural products.
CAM medicine is actively studied — the National Center for Complementary and Integrative Health (NCCIH) is a National Institute of Health research center that performs and funds research that investigates the effectiveness of CAM methods.
As with any pain treatment, you’ll need to speak with your doctor to find out if CAM is right for you.