To the Editor We applaud the efforts taken by Tedesco et al1 in assessing the evidence of nonpharmacological interventions for postoperative pain management following total knee arthroplasty. According to the results of this systematic review and meta-analysis, electrotherapy and acupuncture could potentially reduce and delay consumption of opioids, which are used for pain relief after total knee arthroplasty. However, despite being very interested, we would like to address a few concerns regarding this article.