Priority 5 from the Broken Bones of the Upper Limb in People over 50
|UNCERTAINTY: What is the best alternative to medication / drugs to manage pain following an upper limb fracture in people over 50? (e.g. splints / casts / lining the fracture back up / ice)? (JLA PSP Priority 5)
|JLA question ID
|Sustaining an upper limb fracture and its subsequent management can be a very painful experience. We normally use medications to help control this pain but there are other ways that we can control pain at different stages of a patient's treatment. This question looks to determine what the best ways are to reduce acute and chronic pain that does not involve medication. Uncertainties included questions about casting; using slings; and immobilisation of the fracture.
Johnson MI, Paley CA, Howe TE, Sluka KA; Transcutaneous electrical nerve stimulation for acute pain. Cochrane Database of Systematic Reviews 2015, Issue 6.
Green S, Buchbinder R, Hetrick SE; Acupuncture for shoulder pain. Cochrane Database of Systematic Reviews 2005, Issue 2
|Health Research Classification System category
|Injuries and Accidents
|Extra information provided by this PSP
|Original uncertainty examples
|I cannot take most painkillers or anti inflammatories. What other ways are there of reducing pain? ~ Prediction of outcome helps the patient to understand their pain and manage it better, so is early advice possible? ~ I cannot take most painkillers or anti inflammatories. What other ways are there of reducing pain? ~ What non-pharmacological analgesia is best for prehospital treatment (immobilisation/reduction/ice/support)?
|5 x Healthcare Professionals, 12 x Patients
|PSP unique ID
|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