Effect of Foot Massage on Pain and Analgesic Consumption in Total Knee Prosthesis

Çukurova University

Status: Not yet enrolling

Conditions: Pain After Surgery

Treatments: Other: Cold application; Other: Foot massage and cold application

Study type: Interventional

Funder types: Other

Identifiers

NCT07126340

Alev Keskin

Details and patient eligibility

About

Total Knee Prosthesis (TDP) surgery is a widely applied intervention in the surgical treatment of knee osteoarthritis, which causes degeneration, osteophyt formation and subchondral sclerosis in articular cartilage in advanced age today. In cases where medical treatment methods are insufficient, TDP aims to improve the quality of life of the patient by increasing the functional capacity. However, in the literature, it was stated that postoperative pain management was insufficient in patients with TDP (Kılıç et al., 2016). Total knee prosthesis is followed by postoperative pain in moderate and severe intervals. Severe knee pain is seen in 60% of patients undergoing total knee prosthesis after surgery and moderate pain in 30% (Li et al., 2019) Cold application is a simple, cheap and effective non-pharmacological method used to relieve pain after surgery or trauma (Hıdır, 2019). This method cools the skin, reducing inflammation and relieves pain. Cold application is performed in the postoperative period in the form of applying an ice pack or cooler packs to the wound area (Wittig-Wells et al., 2015). Cold application has been shown to increase patient comfort by reducing the need for analgesics (Anggraini & Fadila, 2020).

Massage therapy improves venous return and lymph movement by providing mechanical mobilization of muscles and subcutaneous tissues. In addition to reducing swelling, this application allows muscles to relax and reduce pain (Alan, 2016). Massage therapy also positively affects sleep quality and recovery by reducing stress and anxiety (Dreyer et al., 2015; Miozzo et al., 2016). Massage therapy applied after TDP can help patients return to daily life activities faster.

Pain management after Total Knee Prosthesis surgery allows patients to recover faster and improve their quality of life in the postoperative period. In addition to pharmacological treatments, non-pharmacological methods such as cold application and massage can increase patient satisfaction by reducing the need for analgesic (Chunduri & Aggarwal 2022). Multimodal pain management contributes to the effective control of pain and minimizes postoperative complications. For this reason, it is important to apply both pharmacological and non-pharmacological methods together in postoperative pain management.

Enrollment: 60 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria

• Being 18 years or older
• Ability to speak Turkish
• No visual or hearing impairment
• No cognitive disability
• Undergoing surgery performed by the same surgeon using the same anesthesia method
• Undergoing unilateral knee replacement surgery
• Receiving regional anesthesia (spinal or epidural) during surgery
• Using similar analgesic medication
• Volunteering to participate in the study

Exclusion Criteria

• Presence of any intellectual disability or psychiatric disorder
• History of diabetes
• Presence of neurological or cerebrovascular disease
• Diagnosis of deep vein thrombosis

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Single Group Assignment

Masking: None (Open label)

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60 participants in 2 patient groups

The Effect of Foot Massage and Cold Application on Postoperative Pain

Active Comparator group

Description:

The cold application protocol will be initiated upon the patient's arrival at the clinic after surgery. Cold therapy will be applied for 20 minutes every two hours and will continue for 48 hours postoperatively. In addition to cold therapy, patients will receive foot massage performed according to a standard technique. The massage will include effleurage (stroking and gliding), petrissage (kneading), and friction maneuvers. Vaseline will be used during the massage to minimize skin friction and facilitate smooth hand movements.

Treatment:

Other: Foot massage and cold application

Effect of Cold Application on Postoperative Pain

Active Comparator group

Description:

The cold application protocol will be started from the moment the patient comes to the clinic after surgery. Cold application will be done for 20 minutes and every 2 hours. This application will be continued for the patient for 48 hours from the postoperative period.

Treatment:

Other: Cold application