The ROI of Preoperative Pain
Neuroscience Education

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Orthopedic surgery is one of the most common medical procedures in the United States, but one in three patients following lumbar surgery still experience significant pain and disability, and one in five patients following total knee arthroplasty.1-3 What can be done to address this growing issue?

In his new white paper, Adriaan Louw, PT, PhD, examines how preoperative pain neuroscience education programs for lumbar surgery and total knee arthroplasty were developed to address the prevalence of this problem, shares the results of two programs, and takes a look at the future.

Download the white paper to understand best practices, incorporate learnings within pre-op to your programs, and see outcomes improvement and cost reduction. Readers will learn how incorporating pre-operative pain neuroscience in their pre-op program will ultimately:

  • Improve assessment of the surgical and hospital experience
  • Reduce healthcare costs for patients
  • Decrease resistance to future procedures
  • And more

1 Oertel MF, Ryang YM, Korinth MC, Gilsbach JM, Rohde V. Long-term results of microsurgical treatment of lumbar spinal stenosis by unilateral laminotomy for bilateral decompression. Neurosurgery. 2006;59(6):1264-1269; discussion 1269-1270.
2 Deyo RA, Mirza SK. The case for restraint in spinal surgery: does quality management have a role to play? Eur Spine J. 2009;18 Suppl 3:331-337.
3 Hirschmann MT, Testa E, Amsler F, Friedrich NF. The unhappy total knee arthroplasty (TKA) patient: higher WOMAC and lower KSS in depressed patients prior and after TKA. Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA. 2013;21(10):2405-2411.

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The ROI of Preoperative Pain Neuroscience Education

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Who is this white paper for?

This white paper is an ideal resource for:

  • Managers, administrators, and other healthcare leaders
  • All practitioners in leadership roles

These best practices can be applied in the following settings:

  • Hospitals

Meet the Author

Adriaan Louw, PT, PhD

Adriaan earned his undergraduate, master’s degree and PhD in physiotherapy from the University of Stellenbosch in Cape Town, South Africa. He is an adjunct faculty member at St. Ambrose University and the University of Nevada Las Vegas, teaching pain science. Adriaan has taught throughout the US and internationally for 25 years at numerous national and international manual therapy, pain science and medical conferences. He has authored and co-authored over 100 peer-reviewed articles related to spinal disorders and pain science. Adriaan completed his PhD on pain neuroscience education and is the Director of the Therapeutic Neuroscience Research Group – an independent collaborative initiative studying pain neuroscience. Adriaan is a senior faculty, pain science director and vice-president of faculty experience for Evidence in Motion.

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