Korean J Anesthesiol.  2000 Aug;39(2):202-205. 10.4097/kjae.2000.39.2.202.

The Effect of Diclofenac Sodium on Uncontrolled Postoperative Back Pain by IV-PCA

• Lee J
• Kim HY
• Kim WS
• Choe H

• KMID: 2031562
• DOI: http://doi.org/10.4097/kjae.2000.39.2.202

Abstract

BACKGROUND: Although postoperative back pain has been reported to occur, as a frequent complication of anesthesia and surgery, it is usually mild and self-limited. However, we experienced cases of uncontrolled postoperative back pain in patients even after IV-PCA administration. These patients' back pain was relieved by the traditional diclofenac sodium intramuscular injection, so we evaluated the efficacy of diclofenac sodium on uncontrolled postoperative back pain by IV-PCA.
METHODS
We studied 16 patients who complained of postoperative back pain even with IV-PCA for postoperative pain control. When NRS pain score was above 5, the patients were treated with a diclofenac sodium 75 mg intramuscular injection. Postoperative back pain and operation site pain was measured by NRS before and after diclofenac sodium injection.
RESULTS
There was a significant decrease in the pain score of postoperative back pain after diclofenac sodium injection without a dramatic improvement of operation site pain.
CONCLUSIONS
Diclofenac sodium plays a useful role in the control of acute postoperative back pain.

Keyword

Analgesia: IV-PCA; Analgesics: intramuscular diclofenac sodium; Pain: postoperative back pain

MeSH Terms

Anesthesia
Back Pain*
Diclofenac*
Humans
Injections, Intramuscular
Pain, Postoperative
Diclofenac