Navicular Fracture Medication

Updated: May 18, 2017
  • Author: Michael J Ameres, MD; Chief Editor: Sherwin SW Ho, MD  more...
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Medication

Medication Summary

As with all fractures, pain management should be a primary concern. Often, acetaminophen or an NSAID (eg, ibuprofen) suffices for the acute pain of a navicular stress fracture because immobilization and rest should considerably improve the pain. Moreover, the persistence of pain, especially in the recovery phase, is an important sign that healing has not occurred and the fracture is still present. However, additional pain relief should not be withheld if the patient does not have relief with acetaminophen or NSAIDs alone. In this case, an opiate (eg, oxycodone) may be required, particularly for breakthrough pain. Adjustment of pain medications may be necessary, especially in the acute phase.

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Analgesics

Class Summary

Pain control is essential to quality patient care. Analgesics ensure patient comfort, promote pulmonary toilet, and have sedating properties, which are beneficial for patients who have sustained trauma.

Acetaminophen (Tylenol, Feverall, Tempera, Aspirin-Free Anacin)

Indicated for mild to moderate pain. DOC for pain in patients with documented hypersensitivity to aspirin or NSAIDs, with upper GI disease, or who are taking oral anticoagulants.

Ibuprofen (Motrin, Ibuprin)

DOC for mild to moderate pain. Inhibits inflammatory reactions and pain by decreasing prostaglandin synthesis.

Oxycodone (OxyContin, OxyIR, Roxicodone)

Indicated for moderate to severe pain.

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