Anxiety trait linked to postoperative pain in men following total knee replacement

Increased pain following surgery has long been linked to anxiety and "catastrophizing," an extreme response to stress.

In a new study presented today at the 2012 Annual Meeting of the American Academy of Orthopaedic Surgeons (AAOS), 97 patients – and – who were about to undergo minimally invasive total knee replacement (TKR) surgery, completed a brief survey to quantify their level of , as well as their typical level of anxiety and potential for catastrophizing. Pain data was then collected for seven days following surgery.

Catastrophizing did not correlate with or pain medication use in either men or women, nor did a patient's level of acute anxiety.

However, men with anxiety traits – a high level of anxiety unrelated to a stressful event – had higher post-operative pain ratings resulting in longer hospital stays. Women generally reported higher post-operative pain levels than men, and women were consistently less satisfied with pain control.

Further research is needed to identify patients most likely to have difficulty with TKR pain management.

add to favorites email to friend print save as pdf

Related Stories

Unexplained chest pain can be due to stress

Feb 09, 2009

Each year, many people seek emergency treatment for unexplained chest pains. A thesis from the Sahlgrenska Academy, University of Gothenburg, Sweden, indicates several common factors among those affected, including stress ...

Women feel pain more often than men

Jul 06, 2005

Women feel pain more than men -- the opposite of widely held beliefs that men are more susceptible to pain, British researchers at the University of Bath say.

Men play post-op catch-up

Jun 29, 2011

Although women generally have worse knee function and more severe symptoms before undergoing surgery for knee replacement than men, they recover faster after the operation. Men take longer to recover but, after a year, they ...

Massage may help ease pain and anxiety after surgery

Dec 17, 2007

A 20-minute evening back massage may help relieve pain and reduce anxiety following major surgery when given in addition to pain medications, according to a report in the December issue of Archives of Surgery, one of the ...

Recommended for you

Face transplants change lives, identity

16 hours ago

Patients are prepared to take significant risks in order to be considered for a face transplant, says Dr David Koppel, director of the largest craniofacial unit in the UK and Honorary Clinical Associate Professor ...

British Lords hold ten-hour debate on assisted dying

Jul 19, 2014

Members of Britain's unelected House of Lords spent almost ten hours on Friday discussing whether to legalise assisted dying, in an often emotional debate putting the question back on the agenda, if not on the statute books.

AbbVie, Shire agree on $55B combination

Jul 18, 2014

The drugmaker AbbVie has reached a deal worth roughly $55 billion to combine with British counterpart Shire and become the latest U.S. company to seek an overseas haven from tax rates back home.

User comments