Pain Management for Orthopedic Injuries

Nupur Nischal; Evangeline Arulraja; Stephen P Shaheen

doi:10.1016/j.emc.2019.09.013

Pain Management for Orthopedic Injuries

Emerg Med Clin North Am. 2020 Feb;38(1):223-241. doi: 10.1016/j.emc.2019.09.013.

Authors

Nupur Nischal¹, Evangeline Arulraja¹, Stephen P Shaheen²

Affiliations

¹ Division of Emergency Medicine, Duke University Medical Center, Durham, NC, USA.
² Emergency Medicine and Orthopedic Surgery, Division of Emergency Medicine, Department of Orthopedic Surgery, Duke University Medical Center, DUMC Box 3096, Durham, NC 27710, USA. Electronic address: Stephen.shaheen@duke.edu.

PMID: 31757252
DOI: 10.1016/j.emc.2019.09.013

Abstract

Pain management in acute orthopedic injury needs to be tailored to the presentation and patient. Subjective and objective assessment, in conjunction with pathophysiology, should be used to provide symptom control. Ideally, treatment should be administered in an escalating fashion, attempting to manage pain with the lowest dose of the safest medication available. There are also adjunctive therapies, including those that are nonpharmacologic, that can provide additional relief.

Keywords: Analgesia; NSAID; Orthopedic injuries; Pain; Pain management.

Publication types

Review

MeSH terms

Analgesia / methods*
Humans
Pain / diagnosis
Pain / etiology*
Pain Management / methods*
Pain Measurement / methods*
Wounds and Injuries / complications*
Wounds and Injuries / diagnosis