"Shifting the Pain Paradigm in TKA" #TKAInsights #PainPathways #RegionalAnesthesia #PostoperativePain #KneeSurgery #GenicularBlock #ExtraArticularPain #PeriarticularTargets #SmartAnalgesia #OrthoAnesthesia #AnesthesiaTips #PainManagement #PrehabToRehab Tip of the Day: Before TKA, The Pain source is primarily intra-articular—originating from structures inside the knee joint such as cartilage degeneration, inflamed synovium, and subchondral bone changes. This makes targeting intra-articular and capsular innervations, especially the genicular nerves, a logical approach for preoperative pain management and delaying surgery. However, After TKA, the native joint is removed and replaced with prosthetic components. Now, the pain no longer comes from inside the joint. Instead, it becomes an iatrogenic, extra-articular issue—arising from surgical trauma to soft tissues, the joint capsule, periosteum, quadriceps tendon, and skin. These are structures that lie outside the replaced joint. Bottom line: Patients don't feel pain in the joint post-TKA—it’s the pain around it that matters! Tailor your analgesia accordingly. Watch this video to understand it better, youtu.be/aBO-b73ZH6M?si=t8qF…

#genicularblock #kneepain Genicular nerve block for chronic gonalgia