Dr. Ramakrishnan recently attended Rhinoworld 2019, the international meeting of the American Rhinologic Society (ARS), International Rhinologic Society (IRS), and International Society on Inflammation and Allergy of the Nose (ISIAN). At this conference, Dr. Ramakrishnan learned about the latest advancements in the diagnosis and treatment of diseases of the nose and sinuses in order to benefit the good citizens of Wake County. Dr. Ramakrishnan created these blogs to provide the most recent research and useful information to those we serve. 

Practical Guidelines for Pain Management in the Age of Opioid Addiction

It is well-known that there is a crippling problem with opioid use and addiction that is currently rampant in America.

As a result, many types of surgeons are studying how to manage post-operative pain better and with fewer opioids, including ENT’s.

Many recent studies have looked at pain after nasal/sinus surgery in order to try to understand this better.

On a scale of 1-10, with 1 being no pain and 10 being the most severe pain, most patients had a moderate pain level (4-7) for two to three days after nasal/sinus surgery. By the eighth day after surgery, this pain level had decreased to mild (1-3).

Regardless of the type of surgery performed, this pain pattern was basically the same. The average time back to work after nasal/sinus surgery was seven days.

These studies have helped us to understand that the pain after nasal/sinus surgery is not as severe as previously thought. This allows us to counsel patients better and manage pain after nasal/sinus surgery more effectively and safely.

Recent studies have also showed that the use of acetaminophen (Tylenol) and ibuprofen for pain after nasal/sinus surgery decreased the need for the use of opioids.

In addition, the acetaminophen (Tylenol) worked better if it was scheduled to be taken every four hours for the first three days after nasal/sinus surgery, rather than taken as needed.

We at Raleigh-Capitol ENT are well aware of the dangers of opioids and of our duty to help our society by minimizing exposure to opioids whenever possible. If you need nasal/sinus surgery, do not worry! The pain after this type of surgery is not bad, and we will help you to manage the pain as effectively and safely as possible with the care and compassion you deserve.


Raleigh Capitol Ear, Nose, and Throat is the area's premiere physician-owned ENT practice with seven convenient locations throughout Wake County. Our board-certified physicians have extensive experience in treating both common and complex cases to help adults and children alike. For more information or to schedule an appointment, contact us.