What is the first line of pain control management for MSK trauma?

The first line of pain control management for musculoskeletal (MSK) trauma often involves the use of non-steroidal anti-inflammatory drugs (NSAIDs). These medications are effective in managing pain and reducing inflammation, which is a common response to musculoskeletal injuries. NSAIDs, like ibuprofen and naproxen, provide analgesic effects and are typically recommended because they address both pain and inflammation, leading to an overall more effective approach to managing acute MSK injuries.

While oral analgesics, including NSAIDs, are widely used, they may not provide the rapid relief that some patients need immediately following trauma. Ice and elevation are important adjuncts for controlling pain and swelling but do not serve as direct pharmacological pain management. Narcotics, while effective for severe pain, are generally not the first choice due to their side effects and potential for dependency. Therefore, NSAIDs are recommended as the initial treatment for pain associated with MSK trauma, balancing effectiveness and the safety profile for patients experiencing acute pain.