Ankle screw removal?
Hello, doctor...
I have an outpatient surgery scheduled for February 12th to remove steel screws under local anesthesia.
Will the local anesthesia be painful? I’ve read online that many people say local anesthesia doesn’t work well for bones and that the surgical process is very painful.
Is this true? I’m really afraid of pain and also of being awake while the doctor is performing the surgery.
How long does the effect of local anesthesia last? Will it wear off halfway through the surgery?
Niming, 10~19 year old female. Ask Date: 2016/01/25
Dr. Shi Guozheng reply Orthopedics
Local anesthesia involves a slight pain during the injection of the anesthetic, but the surgery itself should not be painful.
The effects of the anesthetic typically last about half an hour to one hour.
Reply Date: 2016/01/25
More Info
Local anesthesia is a common practice in various surgical procedures, including the removal of ankle screws. Understanding how it works, its effectiveness, and what to expect during the procedure can help alleviate your concerns.
Understanding Local Anesthesia
Local anesthesia involves the administration of anesthetic agents directly to the area where the surgery will take place. This method blocks the sensation of pain in that specific region while allowing the patient to remain awake and alert. The anesthetic works by inhibiting nerve signals in the targeted area, effectively numbing the sensation of pain.
Pain During the Procedure
It is normal to have concerns about pain during a procedure involving local anesthesia. While many patients report minimal discomfort during the injection of the anesthetic itself, the actual surgical procedure should be relatively painless if the anesthesia is effective. However, individual experiences can vary. Some patients may feel pressure or movement, but they should not feel sharp pain.
Effectiveness of Local Anesthesia
The effectiveness of local anesthesia can depend on several factors, including the type of anesthetic used, the dosage, and the specific area being treated. Typically, local anesthetics take effect within a few minutes and can last anywhere from one to several hours. In your case, the anesthetic should ideally last throughout the procedure, but it is important to communicate with your surgeon if you start to feel any discomfort during the surgery. Surgeons are trained to manage pain and can administer additional anesthetic if necessary.
Duration of Anesthesia
The duration of the anesthetic effect can vary. For most local anesthetics, the numbness can last from 1 to 4 hours, depending on the specific agent used and the individual’s metabolism. In some cases, longer-lasting formulations may be used, especially for procedures that are expected to take longer. Your surgeon or anesthesiologist will be able to provide specific information regarding the anesthetic that will be used for your ankle screw removal.
Managing Anxiety
It is completely normal to feel anxious about undergoing a procedure, especially if you are concerned about pain or being aware of what is happening during surgery. Here are some tips to help manage your anxiety:
1. Communicate with Your Surgeon: Discuss your fears and concerns with your surgeon beforehand. They can explain the procedure in detail and reassure you about the pain management strategies in place.
2. Relaxation Techniques: Consider practicing deep breathing exercises or visualization techniques to help calm your nerves before and during the procedure.
3. Distraction: Some patients find it helpful to listen to music or an audiobook during the procedure to distract themselves from the sounds and sensations.
4. Support: Having a friend or family member accompany you to the appointment can provide emotional support and help ease your anxiety.
Conclusion
In summary, local anesthesia is designed to minimize pain during procedures like ankle screw removal. While some discomfort may occur during the anesthetic injection, the procedure itself should not be painful if the anesthesia is effective. The duration of the anesthetic effect typically lasts long enough to cover the procedure, but it is essential to communicate with your healthcare team about any concerns you may have. By preparing yourself and discussing your fears with your surgeon, you can help ensure a smoother experience.
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