1 The ROI of Preoperative Pain Neuroscience Education Adriaan Louw, PT , PhD2 Introduction Is Preoperative Rehabilitation the Answer? Preoperative Pain Neuroscience Education for Lumbar Surgery Developing the Program Results of the Program Applying the Program to Total Knee Arthroplasty Results of the Program Conclusion About the Author Table of Contents 2 3 3 3 5 7 7 8 10 Introduction Orthopedic surgery is one of the most common medical procedures in the United States, and its prevalence is only increasing. It is estimated that over 2 million spine surgeries are performed in the US annually, while over 1.5 million total knee arthroplasties (TKA) are performed. 1-3 What makes these numbers even more significant is that since 2010, TKAs have doubled. 4 Because of the increasing numb

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