CALL NOW FOR AN APPOINTMENT 425.656.5060

Online Appointment Requests

For convenient scheduling, request an appointment online.

Managing Joint Replacement Post-Op Opioid Use

An article published in JBJS Feb. 2018 by Sabatino et al documented excess opioid prescribing for patients undergoing THA/TKA procedures. They noted that post-op pain management for several major orthopedic procedures accounts for a substantial portion of opioid medications prescribed in the US. The authors evaluated the prescribing habits and patient utilization following elective orthopedic procedures at Dartmouth Hitchcock Medical Center in New Hampshire.

They evaluated prescribing data for 1,199 orthopedic procedures during 2015, the majority of which were hip and knee replacement procedures. They noted that 60% of the time, excess pain pills were prescribed i.e. patients did not use all the medication. This accounted for 43,000 opioid pills prescribed but not used. There was a very large range in pills prescribed 30 – 560.

The authors recommend that orthopedic surgeons decrease the number of opioid pills prescribed to help with the opioid crisis facing the U.S. We have continued to refine our pain management protocols emphasizing non-narcotic options. Insurance companies have weighed in, limiting the number of opioid pills that can be prescribed at discharge after hip and knee replacement. This will result in some increased patient inconvenience as patients or their family will have to drive to our office for refills. We all have to do our part to help with this national crisis.

Dr. Barrett is an orthopedic surgeon who performs over 500 joint replacement surgeries annually. For more information about total hip and knee replacements, contact Proliance Orthopedic Associates at 425.656.5060.

LOCATIONS

RENTON

4011 Talbot Rd S #300
Renton, WA 98055

Phone: 425.656.5060
Fax: 425.656.5047

COVINGTON

27005 168th Pl SE #201
Covington, WA 98042

Phone: 253.630.3660
Fax: 253.631.1591

Maple Valley

24060 SE Kent Kangley Rd,
Maple Valley, WA 98038

Phone: 425.358.7708
Fax: 425.656.5047

Latest POA News

  • Healing Hip Pain: Q&A with Dr. Haloman

    Dr. Haloman serves a large role as POA’s in-house hip preservation specialist, within our knee and hip services, where he treats a variety of ailments through arthroscopic surgery of the hip, shoulder, and knee. After several months practicing at POA, we realized it was time for a check-up with our newest orthopedic surgeon. Catch up with Dr. Haloman …

  • Earl Thomas Leg Injury: A Doctor’s Evaluation

    As many in the Seattle area have heard, Earl Thomas, the superstar safety of the Seattle Seahawks, recently experienced a season-ending injury when he fractured his tibia during the team’s win over the Cardinals. Fall sports, like football, are a major reason why both professional and recreational athletes frequently experience injuries this time of year. …

  • Know Your Limits to Exercise Safely

    Myth: No pain, no gain. Exercise may help your orthopedic health, but it’s important to know when to stop. Fighting through rigorous workouts can be rewarding, but when you push past the point of injury, you won’t actually receive the benefits you seek. Learn how to set yourself up for success, rather than injury, when …

Dr. Barrett's Blog

  • Total Hip Replacement: Implants and Other Factors that Affect Outcomes

    As one of the most experienced hip replacement doctors in Seattle, Dr. Barrett performs over 500 joint replacement surgeries annually. For more information about hip and knee injuries, sports medicine, and more, contact Proliance Orthopedic Associates at 425.656.5060. Recently, I had the honor of presenting at a hip replacement conference in Rome, Italy on October 11-12 2018. At …

  • Recent News About Anterior Hip Replacement

    As one of the busiest hip replacement doctors in Seattle, Dr. Barrett performs over 500 joint replacement surgeries annually. For more information about hip and knee injuries, sports medicine, and more, contact Proliance Orthopedic Associates at 425.656.5060. I had the pleasure of presenting at the 7th annual Direct Anterior Approach Hip Replacement meeting sponsored by …

  • Dr. Barrett Hosts Visiting Surgeons

    Last month, Dr. Barrett welcomed Dr. Weijun Wang from Nanjing, China along with Dr. Kuan Li and Dr. Wei Li from Jinan, China. These three surgeons (and their translator) observed Dr. Barrett’s technique while performing anterior hip replacements and total knee replacements. They also observed Physician Assistant Jana Flener’s technique on wound closure. Dr. Barrett is …