Priority 16 from the Broken Bones of the Upper Limb in People over 50

UNCERTAINTY: What are the best pain-relieving drugs to use at each phase of treatment of an upper limb fracture in people over 50? (JLA PSP Priority 16)
Overall ranking 16
JLA question ID 0088/16
Explanatory note Sustaining an upper limb fracture and its subsequent management can be a very painful experience. Medications can help control this pain at each stage of treatment. This question looks to determine what is the best type and amount of pain medication to give a patient and the best way to give it, to optimise a patient’s pain relief at each stage of treatment.
Evidence

National Institute for Health and Care Excellence. Fractures (non-complex): assessment and management (NG38). London: NICE, 2016. 

The British Society of Surgery for the Hand. Best Practice for management of Distal Radius Fractures (DRFs). BSSH, 2018
Health Research Classification System category  Injuries and Accidents
Extra information provided by this PSP
Original uncertainty examples What pain relief works best? ~ What is the best immediate roadside intervention to resolve adequately my pain? ~ What is effective outpatient safe analgesia? ~ What pain relief can you give me before diagnosis? ~ My pain relief pre and post surgery was ineffective what is/could be effective pain relief? ~ How much pain is normal in first week when wearing half-cast splint, to allow for swelling?
Submitted by  22 x Healthcare professionals, 58 x Patients, 6 x Carers / Relatives, 27 x Not stated
PSP information
PSP unique ID 0093
PSP name Broken Bones of the Upper Limb in People over 50 PSP
Total number of uncertainties identified by this PSP. 50  (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website)
Date of priority setting workshop 3 December 2018