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Latest news: We request that you wear a mask when you attend our practice in person, and that you log your attendance via our Victorian Government QR code (location code 3D7RE3 in the Service Victoria App) or by writing your details on the physical register at our reception. Elective hospital surgeries are now unrestricted and you no longer routinely need to have a COVID test prior to hospital admission. Dr Tomlinson is operating at The Avenue and Glenferrie Private; Epworth Cliveden is indefinitely closed at this time.

We consult with patients via videoconsultation where it is clinically appropriate to do to maximise patient and staff safety under the new COVID normal. Enhanced hygiene measures in our rooms include acrylic screens, masks, hand sanitiser, face shields and physical distancing-related changes; long (48 minute) consultations and our See and Treat service remain adjusted under our COVIDsafe plan to include the use of telehealth to reduce face to face time. We require that all patients provide a referral prior to booking an appointment so we can identify and manage urgent and emergency conditions in a timely manner, and so that Dr Tomlinson can assess your suitability for a telehealth appointment and identify any further information or investigations that might be required before your consultation. 

Pain management

Written by Dr Jill Tomlinson on .

PLEASE NOTE: All medications can have side effects. Please use only as directed. Incorrect use could be harmful. Consult your health care practitioner if pain or symptoms persist.

father holding daughter in airAdequate pain control plays an important role in maximising function when you have a painful condition or injury. We strive to manage your pain using combinations of splinting, activity modification, local anaesthetic, oral medications and non-medication techniques. Some surgeries are sufficiently painful that we recommend an overnight stay in hospital as a routine in order to manage your pain optimally. Many plastic surgery procedures are suitable to be performed as day-case operations, using a combination of local anaesthetic (administered at the time of surgery) and oral medications (which you take at home) to manage your pain.

Paracetamol

Paracetamol is a very valuable and effective pain medication. Some people mistakenly think that because paracetamol is available over the counter that it is not very effective. However, taking regular paracetamol (which means 2 tablets four times a day for most adults) will provide a reduction in your pain, even if you still need to take stronger pain killers. By taking regular paracetamol you will reduce your need to take stronger pain killers, which will reduce the side effects of nausea, constipation and confusion that are common with strong opiate pain killers. 

For more information about paracetamol please follow this link to the National Prescribing Service website.

Ibuprofen

capsules 200x150Ibuprofen is a medication from the family of Non-Steroidal Anti-Inflammatory Drugs (NSAIDs). Aspirin, naproxen and diclofenac are other NSAIDs that you may have heard of. Ibuprofen can be purchased over the counter from supermarkets and pharmacies. The usual adult dose is 200-400mg three times daily.

Ibuprofen can have side effects including irritation of the stomach lining and stomach ulcers. For this reason it is recommended that ibuprofen be taken with food. Ibuprofen can lead to an exacerbation of asthma in some individuals. Ibuprofen should not be taken by pregnant women. For more detailed information please speak with your doctor or pharmacist, and refer to the information available from the National Prescribing Service website.

For post operative pain I commonly recommend taking ibuprofen in addition to paracetamol. The combination of paracetamol and ibuprofen will often be sufficient to manage moderate pain. In many instances if you take regular paracetamol and ibuprofen you will not need to take stronger pain killers like codeine, tramadol and oxycodone – so you will be able to avoid the side effects of nausea, constipation and confusion that are common with strong opiate pain killers.

Ibuprofen is available in a topical gel form. This is not suitable for immediate post operative use but may be suitable in other circumstances – discuss with your doctor or pharmacist if you would like to consider this treatment.

Tramadol

Click here to view information regarding tramadol.

Oxycontin

Click here to view information regarding oxycontin.

Oxycodone

Click here to view information regarding oxycodone.

Additional Pain Management Resources

Pain Management: Frequently Asked Questions

Over The Counter Pain Medications Explained

Chronic Pain: What Can I Do?

My Pain Management Plan - Having structured plan can help chronic pain management

Using Opioid Medications for Chronic Pain

My Pain Diary

Website Disclaimer

This website is authored by Dr Jillian Tomlinson, a fully qualified plastic, reconstructive and hand surgeon who practices in Melbourne, Australia. This website aims to inform patients and health professionals about hand surgery, illness prevention and the practice philosophy of Dr Jill Tomlinson. This website's content is designed to complement, not replace, the relationship between a patient and his/her own doctor. The information is not intended to replace the advice of a health professional. This website does not host or receive funding from advertising or from the display of commercial content.