Thursday, December 6, 2012

Pain and smoking JBJS

Smoking Cessation Related to Improved Patient-Reported Pain Scores Following Spinal Care

This article concerns the results for care (predominantly non-operative) of spinal disorders over 8 months, comparing smokers and non-smokers. At the time of entry to care and at the time of discharge from care, smokers reported more pain than nonsmokers did. Smoking cessation prior to treatment or even acutely during the course of care was related to a greater improvement in reported pain. Patients who continued smoking during treatment had no clinically important improvement in reported pain. In the experience of the authors in the context of care by a surgeon for painful spinal disorders, up to 36% of patients are able to quit smoking with an appropriately structured program and education. This study points to a strong association between improved patient-reported pain and smoking cessation.

There seems to be every reason to expect similar results for our management of shoulder disorders. Bottom line: smoking is associated with persistent pain and smoking behavior is modifiable.


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