What is CPSP?
- Any pain that lasts for more than 3 months after surgery
- CSPS often has a component related to nerves (neuropathic pain)
- A common type of CPSP we see is persistent knee pain after knee replacements. Despite a technically perfect knee replacement, studies estimate that approximately 10-30% of patients may still have pain.
How is CPSP treated?
- Medications including topical agents (lidocaine, compounded creams), tylenol, anti-inflammatories, and medications for nerve pain (gabapentin, pregabalin, nortriptyline).
- Nerve blocks
- Radiofrequency ablation
- Peripheral nerve stimulation
- Spinal cord stimulation
- Physical therapy
- Cognitive behavioral therapy and pain reprocessing therapy