Efficacy and safety of steroid use for postoperative pain relief. Update and review of the medical literature.

@article{Salerno2006EfficacyAS,
  title={Efficacy and safety of steroid use for postoperative pain relief. Update and review of the medical literature.},
  author={A. R. Salerno and Robert Hermann},
  journal={The Journal of bone and joint surgery. American volume},
  year={2006},
  volume={88 6},
  pages={
          1361-72
        }
}
  • A. Salerno, R. Hermann
  • Published 1 June 2006
  • Medicine
  • The Journal of bone and joint surgery. American volume
Despite the availability of various analgesic regimens, patient surveys have indicated that moderate-to-severe postoperative pain is still poorly managed. The use of corticosteroids for postoperative pain relief, although popular, has yet to gain wider acceptance because of concerns over side effects, in particular adrenal suppression, osteonecrosis, impaired wound-healing, and concerns about efficacy. The medical literature provides evidence that should substantially decrease these concerns… 
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There is a continuing need to explore new drug combinations to achieve all of the purported goals of multimodal anesthesia.
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    Canadian Journal of Anesthesia/Journal canadien d'anesthésie
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TLDR
It can be difficult to achieve adequate postoperative analgesia in patients who present for surgery with preexisting chronic pain, and a care plan that involves preoperative, intraoperative, and postoperative considerations is needed.
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