I take suboxone for (3+ years) opiate dependency maintenance. i've recently broken my ankle and require surgery. what are my pain control options?

Pain: You will get enough pain medication to control your pain. Alert anesthesiologist of your possible increased opiates requirements , depending on type of surgery, surgeon's preferences regional anesthesia with epidural for post-op pain could be good option.

Multimodal Therapy: Many patients are now showing up with this medication in their system. Your anesthesiologist can use multiple other medications such as gabapentin, Celebrex (celecoxib) and non-steroidals to help you through surgery. Other alternatives include regional anesthesia with the use of continuous catheters providing local anesthetic. Talk to your provider before surgery to get the best solution for you.

See below: Before major surgery, i often switch my Suboxone patients to a long acting morphine starting give 5 days before and lasting two to three days after. This gives more options for pain control during and after surgery.

Pain control options: Depend on the Suboxone dosage, your pain control options might be limited. You might benefit from nsaids, anti-convulsant, topical cream. Other options might be nerve block with or without catheter.