Post-Joint Lavage: Recovery and Pain Management - Dentistry

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Post-arthrocentesis?


After the arthrocentesis on December 2, I still experience intermittent pain symptoms, and there is a grinding sound when eating.
Is this considered a normal phenomenon during the recovery period? When consuming food with temperature differences (hot or cold), I experience a brief pain in the joint and temple as it adjusts to the temperature; is this normal recovery? Regarding medication use, is it acceptable to take analgesics and anti-inflammatories only when discomfort becomes significant? I have gastrointestinal sensitivity to Diclofenac and Etodolac; would switching to Flurbiprofen provide improvement for temporomandibular joint inflammation? I would like to know more about the situations I might encounter during the recovery period to reduce my anxiety about the condition.
Thank you, Dr.
Lin! ^_^

Ting, 40~49 year old female. Ask Date: 2021/12/13

Dr. Lin Jiayong reply Dentistry


Hello: After joint irrigation, it still requires time for recovery.
It is recommended to rest the joint as much as possible and avoid consuming excessively cold or hot foods.
Flurbiprofen can also cause gastrointestinal irritation; therefore, it is advisable to take this type of anti-inflammatory pain medication with a gastric protectant to alleviate abdominal discomfort.
Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.

Reply Date: 2021/12/13

More Info


Post-joint lavage recovery can indeed be a complex process, and it's important to understand what to expect during this time. After undergoing a joint lavage, which is a procedure often performed to clean out the joint space, patients may experience a range of symptoms as part of their recovery.
Firstly, experiencing pain after the procedure is not uncommon. The joint may still be inflamed or irritated from the surgery, and this can lead to discomfort. The "grating" or "crunching" sounds you hear when eating or moving the joint could be due to residual debris or changes in the joint mechanics following the lavage. While these sounds can be concerning, they are often a normal part of the healing process, especially if they are not accompanied by significant pain or swelling.

Regarding temperature sensitivity, it is also not unusual for patients to feel discomfort when consuming hot or cold foods. This can be attributed to nerve sensitivity in the area surrounding the joint, which may take time to normalize after the procedure. If the pain is mild and transient, it is likely part of the recovery process. However, if the pain becomes severe or persistent, it would be wise to consult your healthcare provider.

When it comes to pain management, it is crucial to use medications judiciously. If you have a history of gastrointestinal sensitivity to certain nonsteroidal anti-inflammatory drugs (NSAIDs) like Diclofenac or Etodolac, it is reasonable to consider alternatives such as Flurbiprofen, provided that your doctor agrees. Flurbiprofen can be effective for managing inflammation and pain, particularly in cases of temporomandibular joint (TMJ) disorders. Always discuss any changes in medication with your healthcare provider to ensure safety and efficacy.

During the recovery period, you may encounter various situations, including swelling, stiffness, and fluctuating pain levels. Here are some common experiences and tips for managing them:
1. Swelling: It is normal to have some swelling after the procedure. Elevating the joint and applying ice can help reduce inflammation.

2. Stiffness: Gentle range-of-motion exercises can be beneficial. Start with passive movements and gradually progress to active movements as tolerated.

3. Pain Fluctuations: Pain can vary from day to day. Keeping a pain diary may help you identify patterns and triggers, which can be useful for discussions with your healthcare provider.

4. Physical Therapy: Engaging in physical therapy can significantly aid recovery. A physical therapist can provide tailored exercises to improve strength and flexibility while minimizing discomfort.

5. Rest and Activity Balance: While it is important to stay active, ensure you are not overdoing it. Listen to your body and rest when needed.

6. Follow-Up Appointments: Regular follow-ups with your healthcare provider are essential to monitor your recovery and adjust your treatment plan as necessary.

In conclusion, while some discomfort and unusual sensations can be part of the recovery process after a joint lavage, it is essential to maintain open communication with your healthcare provider. They can help you navigate your recovery, adjust medications as needed, and provide guidance on managing symptoms effectively. Remember, recovery is a gradual process, and being patient with yourself is key. If you have any concerns or if your symptoms worsen, do not hesitate to seek medical advice.

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