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Hawkins K, Coffey M, Cooper M, Markwell A, Boyd P, Zuk K, Thompson E. The Use of Lavender Aromatherapy for Pain After Total Hip and Total Knee Arthroplasty: A Randomized Trial. Orthop Nurs 2023; 42:230-242. [PMID: 37494903 DOI: 10.1097/nor.0000000000000956] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 07/28/2023] Open
Abstract
A randomized clinical trial was conducted over a threemonth period with 102 participants undergoing a total hip arthroplasty (THA) or total knee arthroplasty (TKA). The study purpose was to assess whether there was a reduction in the use of opioids in the postoperative period for THA or TKA participants that utilized lavender aromatherapy as an adjunct to pain medication. The participants in the control and intervention group were administered nonopioid pain medication around the clock and opioids as needed after surgery. However, the intervention group also received a pre-packaged lavender essential oil inhaler. Total oral morphine equivalents (OME) were calculated for each participant to determine opioid usage. Although the total OME was similar for the groups overall, the total OME was slightly lower for THA patients that were enrolled in the intervention group (median 22.5) compared to THA patients that were enrolled in the control group (median 31.2). In the intervention group, 58% of participants reported that the lavender inhaler was a useful tool for pain management and 76% indicated they would continue to use the lavender inhaler after discharge.
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Affiliation(s)
- Kelley Hawkins
- Kelley Hawkins, BSN, RN, HN-BC, Nurse Professional Development Generalist, Corewell Health William Beaumont University Hospital, Royal Oak, MI
- Mary Coffey, PhD, Senior Biostatistician, Research Institute, Corewell Health William Beaumont University Hospital, Royal Oak, MI
- Maureen Cooper, MSN, RN, ACNS-BC, ONC, HN-BC, Clinical Nurse Manager, Corewell Health William Beaumont University Hospital, Royal Oak, MI
- Ashley Markwell, MSN, RN, AGCNS-BC, CWOCN, Wound Care Clinical Nurse Specialist, Corewell Health Dearborn Hospital, Dearborn, MI
- Pamela Boyd, MSN, RN, ACNPC-AG, HN-BC, Orthopaedic Nurse Practitioner, Corewell Health William Beaumont University Hospital, Royal Oak, MI
- Kathy Zuk, BSN, RN, HN-BC, Postoperative Nurse, Michigan Orthopaedic Surgeons
- Elizabeth Thompson, BSN, RN, HN-BC, Clinical Nurse Instructor, Oakland Community College, Auburn Hills, MI
| | - Mary Coffey
- Kelley Hawkins, BSN, RN, HN-BC, Nurse Professional Development Generalist, Corewell Health William Beaumont University Hospital, Royal Oak, MI
- Mary Coffey, PhD, Senior Biostatistician, Research Institute, Corewell Health William Beaumont University Hospital, Royal Oak, MI
- Maureen Cooper, MSN, RN, ACNS-BC, ONC, HN-BC, Clinical Nurse Manager, Corewell Health William Beaumont University Hospital, Royal Oak, MI
- Ashley Markwell, MSN, RN, AGCNS-BC, CWOCN, Wound Care Clinical Nurse Specialist, Corewell Health Dearborn Hospital, Dearborn, MI
- Pamela Boyd, MSN, RN, ACNPC-AG, HN-BC, Orthopaedic Nurse Practitioner, Corewell Health William Beaumont University Hospital, Royal Oak, MI
- Kathy Zuk, BSN, RN, HN-BC, Postoperative Nurse, Michigan Orthopaedic Surgeons
- Elizabeth Thompson, BSN, RN, HN-BC, Clinical Nurse Instructor, Oakland Community College, Auburn Hills, MI
| | - Maureen Cooper
- Kelley Hawkins, BSN, RN, HN-BC, Nurse Professional Development Generalist, Corewell Health William Beaumont University Hospital, Royal Oak, MI
- Mary Coffey, PhD, Senior Biostatistician, Research Institute, Corewell Health William Beaumont University Hospital, Royal Oak, MI
- Maureen Cooper, MSN, RN, ACNS-BC, ONC, HN-BC, Clinical Nurse Manager, Corewell Health William Beaumont University Hospital, Royal Oak, MI
- Ashley Markwell, MSN, RN, AGCNS-BC, CWOCN, Wound Care Clinical Nurse Specialist, Corewell Health Dearborn Hospital, Dearborn, MI
- Pamela Boyd, MSN, RN, ACNPC-AG, HN-BC, Orthopaedic Nurse Practitioner, Corewell Health William Beaumont University Hospital, Royal Oak, MI
- Kathy Zuk, BSN, RN, HN-BC, Postoperative Nurse, Michigan Orthopaedic Surgeons
- Elizabeth Thompson, BSN, RN, HN-BC, Clinical Nurse Instructor, Oakland Community College, Auburn Hills, MI
| | - Ashley Markwell
- Kelley Hawkins, BSN, RN, HN-BC, Nurse Professional Development Generalist, Corewell Health William Beaumont University Hospital, Royal Oak, MI
- Mary Coffey, PhD, Senior Biostatistician, Research Institute, Corewell Health William Beaumont University Hospital, Royal Oak, MI
- Maureen Cooper, MSN, RN, ACNS-BC, ONC, HN-BC, Clinical Nurse Manager, Corewell Health William Beaumont University Hospital, Royal Oak, MI
- Ashley Markwell, MSN, RN, AGCNS-BC, CWOCN, Wound Care Clinical Nurse Specialist, Corewell Health Dearborn Hospital, Dearborn, MI
- Pamela Boyd, MSN, RN, ACNPC-AG, HN-BC, Orthopaedic Nurse Practitioner, Corewell Health William Beaumont University Hospital, Royal Oak, MI
- Kathy Zuk, BSN, RN, HN-BC, Postoperative Nurse, Michigan Orthopaedic Surgeons
- Elizabeth Thompson, BSN, RN, HN-BC, Clinical Nurse Instructor, Oakland Community College, Auburn Hills, MI
| | - Pamela Boyd
- Kelley Hawkins, BSN, RN, HN-BC, Nurse Professional Development Generalist, Corewell Health William Beaumont University Hospital, Royal Oak, MI
- Mary Coffey, PhD, Senior Biostatistician, Research Institute, Corewell Health William Beaumont University Hospital, Royal Oak, MI
- Maureen Cooper, MSN, RN, ACNS-BC, ONC, HN-BC, Clinical Nurse Manager, Corewell Health William Beaumont University Hospital, Royal Oak, MI
- Ashley Markwell, MSN, RN, AGCNS-BC, CWOCN, Wound Care Clinical Nurse Specialist, Corewell Health Dearborn Hospital, Dearborn, MI
- Pamela Boyd, MSN, RN, ACNPC-AG, HN-BC, Orthopaedic Nurse Practitioner, Corewell Health William Beaumont University Hospital, Royal Oak, MI
- Kathy Zuk, BSN, RN, HN-BC, Postoperative Nurse, Michigan Orthopaedic Surgeons
- Elizabeth Thompson, BSN, RN, HN-BC, Clinical Nurse Instructor, Oakland Community College, Auburn Hills, MI
| | - Kathy Zuk
- Kelley Hawkins, BSN, RN, HN-BC, Nurse Professional Development Generalist, Corewell Health William Beaumont University Hospital, Royal Oak, MI
- Mary Coffey, PhD, Senior Biostatistician, Research Institute, Corewell Health William Beaumont University Hospital, Royal Oak, MI
- Maureen Cooper, MSN, RN, ACNS-BC, ONC, HN-BC, Clinical Nurse Manager, Corewell Health William Beaumont University Hospital, Royal Oak, MI
- Ashley Markwell, MSN, RN, AGCNS-BC, CWOCN, Wound Care Clinical Nurse Specialist, Corewell Health Dearborn Hospital, Dearborn, MI
- Pamela Boyd, MSN, RN, ACNPC-AG, HN-BC, Orthopaedic Nurse Practitioner, Corewell Health William Beaumont University Hospital, Royal Oak, MI
- Kathy Zuk, BSN, RN, HN-BC, Postoperative Nurse, Michigan Orthopaedic Surgeons
- Elizabeth Thompson, BSN, RN, HN-BC, Clinical Nurse Instructor, Oakland Community College, Auburn Hills, MI
| | - Elizabeth Thompson
- Kelley Hawkins, BSN, RN, HN-BC, Nurse Professional Development Generalist, Corewell Health William Beaumont University Hospital, Royal Oak, MI
- Mary Coffey, PhD, Senior Biostatistician, Research Institute, Corewell Health William Beaumont University Hospital, Royal Oak, MI
- Maureen Cooper, MSN, RN, ACNS-BC, ONC, HN-BC, Clinical Nurse Manager, Corewell Health William Beaumont University Hospital, Royal Oak, MI
- Ashley Markwell, MSN, RN, AGCNS-BC, CWOCN, Wound Care Clinical Nurse Specialist, Corewell Health Dearborn Hospital, Dearborn, MI
- Pamela Boyd, MSN, RN, ACNPC-AG, HN-BC, Orthopaedic Nurse Practitioner, Corewell Health William Beaumont University Hospital, Royal Oak, MI
- Kathy Zuk, BSN, RN, HN-BC, Postoperative Nurse, Michigan Orthopaedic Surgeons
- Elizabeth Thompson, BSN, RN, HN-BC, Clinical Nurse Instructor, Oakland Community College, Auburn Hills, MI
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Dewanjee S, Sohel M, Hossain MS, Ansari F, Islam MT, Sultana F, Al Mamun A, Islam MM, Amin MN. A comprehensive review on clinically proven natural products in the management of nerve pain, with mechanistic insights. Heliyon 2023; 9:e15346. [PMID: 37159686 PMCID: PMC10163606 DOI: 10.1016/j.heliyon.2023.e15346] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2022] [Revised: 03/13/2023] [Accepted: 04/03/2023] [Indexed: 05/11/2023] Open
Abstract
Introduction People are treating their neuropathic pain with several approved and licensed pharmacological drugs. But due to having existing limitations like low efficacy with some side effects, there needs to be a more effective alternative and complementary therapeutic options. Purpose s: The study was designed to discuss the mechanistic role of several clinically proven natural products that have been shown to play a significant role against different nerve pain or neuropathic pain. Method ology: Information for this review article was salvaged using several accessible searching databases like SciVerse Scopus ® (Elsevier Properties S. A, USA), Web of Science® (Thomson Reuters, USA), and PubMed® (U.S. National Library of Medicine, USA) considering some search items like - nerve pain, natural products in pain/nerve pain management, clinically proven natural products in pain management, pain-reducing agents and so on. Result Our study reported the therapeutic efficacy of natural products and their possible mechanism against neuropathic pain in the human body. Natural products widely used to treat neuropathic pain include comfrey root extract ointment, lavender oil, Rose Oil, aromatic essential oil, ginger oil, vitex agnus-castus, peganum oil, and ajwain 10%. Some common pathways are involved in pain relief through sensory stimulation, enzymatic, anti-inflammatory, and pain-related receptor regulation. Conclusion The present study suggests that the mentioned natural products can be an appropriate choice for the treatment and management of neuropathic pain.
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Affiliation(s)
- Sanchita Dewanjee
- Department of Applied Chemistry and Chemical Engineering, Noakhali Science and Technology University, Noakhali, Bangladesh
| | - Md Sohel
- Department of Biochemistry and Molecular Biology, Primeasia University, Banani, Dhaka, 1213, Bangladesh
- Pratyasha Health Biomedical Research Center, Dhaka, 1230, Bangladesh
| | - Md Shahadat Hossain
- Department of Pharmacy, Atish Dipankar University of Science and Technology, Dhaka, 1230, Bangladesh
| | - Farzana Ansari
- Department of Biochemistry and Molecular Biology, Laboratory of Nutrition and Health Research, University of Dhaka, Dhaka, 1000, Bangladesh
| | - Md Tofikul Islam
- Department of Pharmacy, Atish Dipankar University of Science and Technology, Dhaka, 1230, Bangladesh
| | - Farhana Sultana
- Pratyasha Health Biomedical Research Center, Dhaka, 1230, Bangladesh
- Department of Pharmacy, Atish Dipankar University of Science and Technology, Dhaka, 1230, Bangladesh
| | - Abdullah Al Mamun
- Department of Biochemistry and Molecular Biology, Primeasia University, Banani, Dhaka, 1213, Bangladesh
| | - Md Monirul Islam
- Department of Pharmacy, State University of Bangladesh, Dhaka, 1205, Bangladesh
- Corresponding author.
| | - Mohammad Nurul Amin
- Pratyasha Health Biomedical Research Center, Dhaka, 1230, Bangladesh
- Department of Pharmacy, Atish Dipankar University of Science and Technology, Dhaka, 1230, Bangladesh
- Corresponding author. Department of Pharmacy, Atish Dipankar University of Science and Technology, Dhaka, 1230. Bangladesh.
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