Total Knee Arthroplasty Clinical Trial
Official title:
Double Blind Placebo-controlled Clinical Trial to Assess Pulsed Shortwave Therapy as an Adjunct Pain Therapy & Knee Recovery for Total Knee Arthroplasty
This clinical study is designed to assesses the benefit of adding pulsed shortwave therapy to the postoperative pain and recovery protocol following total knee replacement. Pulsed shortwave therapy is a safe adjunct pain therapy for acute and chronic pain.
Despite the recent advances in the understanding of pain mechanisms and the introduction of
new drugs and new techniques in the postoperative management, pain after total knee
arthroplasty (TKA) is still an unresolved issue. It affects the quality of life and
rehabilitation of an important percentage of patients undergoing TKA. A recent study looked
at the percentage of patients with chronic knee pain after knee replacement at a minimum of
one year following surgery in 272 patients, 107 patients (nearly 40%) reported that they
still had persistent pain at one-plus year following surgery. Central sensitization is now
well established as an integral factor in many chronic pain states, including the commonly
occurring knee and back pain. Many patients undergoing TKA are likely to have a significant
degree of Central Sensitization, therefore the likely hood of high pain levels postoperative
and persistent long standing pain after TKA is increased in this patient population.
Pulsed shortwave therapy negates central sensitization by imputing new
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