There has recently been a load of attention given to opioid use and abuse in the
I have found that it is almost never necessary to give patients opioids (hydrocodone, oxycodone, or Codeine, etc.) for hand surgery procedures. When it is given I limit it to about a one-week supply maximum. I have found that the best way to help prevent pain and to avoid opioids is to prevent letting a person experience much pain in the first place. I have extensively used anti-inflammatory medication which interferes with the chemical cascade ultimately perceived by the brain as pain since the mid-1980s. I have the patient start the anti-inflammatory the night before and continue it full-strength for about a week after surgery. In the event of breakthrough pain I give them a non-addicting analgesic in the form of tramadol should Tylenol fail to give them the boost in pain relief that they need. Upon calling the patients the next day I find that most of them have not required even tramadol and so I often suggest to the patients to not fill the prescription in the first place, just have the written prescription as a back-up in the event it is needed.
 Non-opioid pan reliever.