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Legacy JRH pain control guide

Opiate-Sparing Strategies In Orthopedic Surgery

Orthopedic surgery can hurt, but modern recovery planning uses multimodal pain control to reduce reliance on opioids while keeping patients comfortable enough to move safely.

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Patient education

Useful guidance before the visit, clearer decisions during the visit.

01

Multimodal pain control

A multimodal plan may include acetaminophen, anti-inflammatory strategies when safe, regional anesthesia, local anesthetic, cryotherapy, elevation, and carefully limited opioids when appropriate.

02

Why opioid-sparing matters

Reducing opioids can lower the risk of nausea, constipation, sedation, confusion, respiratory problems, and long-term dependence.

03

Patient-specific medication planning

Kidney disease, blood thinners, liver disease, allergies, sleep apnea, chronic pain, and prior medication reactions all affect pain-control choices.

04

What I want patients to do before surgery day

Set up the home, organize medications, choose the person who will help you, remove fall hazards, and write down the questions that make you nervous. Preparation lowers stress for the patient and the family.

05

When to call instead of waiting

Call for concerning wound changes, fever, chest symptoms, calf pain, sudden severe pain, worsening swelling, confusion, medication problems, or anything that feels unsafe. It is better to ask early than to sit at home worried.

Related patient trust

Recovery is easier when patients know what is next.

The recovery pathway should make home preparation, medication timing, wound checks, therapy, warning signs, and activity milestones easier for patients and families.

01

PBJ Rapid Recovery approach

02

Procedure-specific recovery centers

03

Printable checklists and milestone planning

Make it personal

A guide helps. Imaging, exam, and goals make the plan real.

Bring your symptoms, records, and questions into a focused consultation so this information can be applied to your case.

Written for patients by the practice

Orthopedic guidance should be clear enough to help you make a real decision.

Dr. Paul Norio Morton created Joint Replacement Hawaii to help patients understand hip pain, knee pain, arthritis, sports injuries, robotic joint replacement, revision surgery, injections, and recovery before they come in for a visit.

Recognition

Awards, focused training, and Hawaii-specific care planning help patients compare trust before they schedule.

US News High Performing in Hip and Knee Replacement
2025 Top Doctors
Best of West 2023
40 Under 40
First Hawaii orthopedic surgeon fellowship-trained in robotic joint replacement
ACGME-accredited fellowship training in hip and knee replacements
Minimally invasive, muscle-sparing approaches when appropriate
Concierge-style coordination for travel and neighbor island patients
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