- Use NSAIDs in the pre-operative period. Oral NSAID can be started on the day before the surgery in an elective case otherwise a pre-operative or pre-induction diclofenac rectal suppository helps in reducing the surgical inflammation and hence postoperative pain.
- Adequate release of skin tension (green arrow) at the end of surgery to release skin tenting (white arrow), to allow easy movement of skin and soft tissue over the pins while movements, reduces pain and discharge from the pin sites.
- Injection of Marcain (long acting local anesthetic) in the incisions and pin sites helps in reducing the immediate post-operative pain.
- “Magic Bullet”, that's what we call the diclofenac rectal suppository – Jonac, at the end of surgical procedure (if not used pre-operatively) or at 12 hourly intervals keeps the patient comfortable and largely pain free, at the same time avoiding the gastric irritation that the oral medication may cause.
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