Optimal pain relief often times requires a multidisciplinary approach involving the anesthesiologist, pain management team, and the surgeon. Using a combination of both narcotic and non-narcotic medications, this team successfully minimizes postoperative pain while keeping patients alert and clearheaded.

One of the key techniques to control postoperative pain is the use of an epidural catheter. This catheter is gently inserted by the anesthesiologist or pain management team prior to the surgery and afterwards delivers continuous medication near the spine to block the pain sensing nerves. By carefully controlling the amount and types of medication administered, the patient retains full ability to move and function despite the blockade of pain sensation.

An additional benefit is that the pain release is continuous and does not require the patient to push a button or wait for medication to be administered. The epidural catheters work so well that most patients are up and walking around within a day or two of even major surgery with minimal discomfort.

Usually the epidural catheter can be used for seven days. By this time, the worst of post-operative pain is over, and most patients are comfortable on oral pain medication.