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Pain Management for Orthopedic Injuries
Nupur Nischal1, Evangeline Arulraja1, Stephen P Shaheen2
1Division of Emergency Medicine, Duke University Medical Center, Durham, NC, USA.
Emergency Medicine Clinics of North America
|November 24, 2019
Summary
Effective pain management for acute orthopedic injuries requires individualized treatment plans. This approach combines patient assessment, understanding injury mechanisms, and escalating medication or non-pharmacologic therapies for optimal symptom control.
Area of Science:
- Orthopedic Surgery
- Pain Management
- Trauma Care
Background:
- Acute orthopedic injuries present complex pain management challenges.
- Individualized treatment is crucial for effective symptom control.
- Current strategies emphasize a stepwise approach to analgesia.
Purpose of the Study:
- To outline an evidence-based approach to pain management in acute orthopedic injuries.
- To emphasize the importance of tailored treatment strategies.
- To discuss the role of pharmacologic and non-pharmacologic therapies.
Main Methods:
- Utilizing subjective and objective patient assessments.
- Considering the underlying pathophysiology of the injury.
- Implementing an escalating treatment paradigm.
- Exploring adjunctive therapeutic options.
Main Results:
- Pain management should be personalized to the patient's specific presentation.
- A combination of assessment, pathophysiology, and targeted therapies ensures optimal outcomes.
- Graduated administration of the safest available medications is recommended.
- Non-pharmacologic interventions can significantly enhance pain relief.
Conclusions:
- Tailored pain management is essential for acute orthopedic injuries.
- A comprehensive approach integrating assessment and escalating therapies improves patient outcomes.
- Pharmacologic and non-pharmacologic methods should be considered for comprehensive pain control.
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