Musculoskeletal Pain
Conditions
Brief summary
In this pilot study, the investigators aim to compare two short-term pain relief methods administered over the course of 6 days in the setting of acute musculoskeletal (MSK) pain: 1. Methylprednisolone((Medrol)dose pack- standard taper per dose pack instructions 2. Standard of Care (SOC) which includes a combination of Acetaminophen (Tylenol)+Ibuprofen (Motrin) The investigators are interested in studying pain relief regimens for acute injury of any body part among an adult orthopaedic urgent care population.
Interventions
Participants follow standard 6- day taper dosing schedule.
Participants follow a 6- day taper dosing schedule.
Participants follow a 6- day taper dosing schedule.
Sponsors
Study design
Eligibility
Inclusion criteria
* Adults 18+ * Able to answer survey questions in English * MSK pain \> 3 on the VAS scale in any body part * Invited to participate by and enrolling clinician
Exclusion criteria
* \> 2 weeks from pain onset * Fractures * Active infections * Anaphylactic reaction to either medication (Oral Steroids, Ibuprofen, and/or Acetaminophen) * Currently taking anti-platelet agents (aspirin \</= 100/mg a day, clopidogrel, etc.) * Chronic Kidney Disease Stage 3 or worse * Uncontrolled diabetes (A1C above 9) * Currently taking oral anti-coagulants * History of bleeding ulcer * Cirrhosis * Taking daily prednisone * Chronic pain syndrome * Chronic pain medication (gabapentin, Lyrica, narcotics, etc.) * Pregnant Patients * Worker's Compensation Patients
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Pain | 1 week, 1 month | Pain as self-reported by the patient, following pain medication treatment for an acute musculoskeletal (MSK) injury as measured with the Visual Analog Scale (VAS) where 0 is no pain at all and 10 is the worst pain imaginable. Lower scores indicate less pain. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in Function | 1 week, 1 month | Function as self-reported by the patient following pain medication treatment for an acute musculoskeletal (MSK) injury as measured with the musculoskeletal health questionnaire (MSK-HQ) scale which sums 14 health domains on a 5-point scale from 4 being not at all and 0 to very severe. Higher scores indicate better overall MSK health. |
Countries
United States