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Ilizarov Method: Pain relief

Dr. Mangal Parihar 
- Discussion: Pain relief is very often not given due importance in our (Indian) circumstances. The importance of keeping the patient free of pain, during the entire length of treatment cannot be overemphasized. This is even more vital in the early post-op period, because the patient with pain is not going to be very cooperative in the physiotherapy and mobilization. Pain also will cause the adoption of protective postures such as flexion of the knee, plantarflexion of the ankle, which later develop into contractures one of the commonest 'complications' of the Ilizarov method. Adequate doses of non-steroidal anti-inflammatory and or narcotics must be used. The use of NSAIDs is generally discouraged because of possible, unproved deleterious effects on regenerate formation; but for a short while they can be used. 

- Ilizarov Post Op Care 
- Menu:

 - The Early Post-op period (the Latent Phase) 
- Pain relief  
 Limb Positioning 
- The Distraction Phase 
- Neurological Examination 
- Pinsites for Signs of Inflammation / Infection 
- Stability of Frame & Components 
- Ambulation 
- Follow-up Checklist (X-rays) 
- Quality of regenerate  
- Physiotherapy 
- The Consolidation Phase 
- Removal of the Fixator and Post Fixator Removal