Volume : 12, Issue : 10, October – 2025

Title:

NOVEL APPROACHES TO PAIN MANAGEMENT FOR ACUTE MUSCULOSKELETAL INJURIES: A REVIEW OF THE LITERATURE

Authors :

 

Abstract :

Acute musculoskeletal injuries are a leading cause of global disability, and their management has been heavily reliant on conventional analgesics like opioids and NSAIDs, which are associated with significant risks including dependency and adverse effects. This necessitates a critical evaluation of novel, safer, and more effective pain management strategies. This review aims to synthesize current evidence on innovative approaches to managing acute musculoskeletal pain, focusing on multimodal, interventional, and preventative strategies that move beyond traditional pharmacological methods. A comprehensive literature search was conducted in PubMed, MEDLINE, Cochrane Library, Embase, and Scopus for studies published from January 2010 to June 2023. Seventeen studies, including systematic reviews, narrative reviews, and clinical guidelines, meeting the inclusion criteria were selected for a narrative synthesis. The findings reveal a paradigm shift towards a multifaceted paradigm. Key innovations include: 1) Novel pharmacological and biotechnological strategies, such as non-opioid drug targets and orthobiologics (e.g., Platelet-Rich Plasma); 2) Advanced interventional and rehabilitative modalities, including targeted nerve blocks and technology-assisted personalized rehab; and 3) Systems-level and preventative approaches, emphasizing early intervention, ergonomic prevention, and biopsychosocial models to avert the transition to chronic pain. The management of acute musculoskeletal pain is evolving into a proactive, multimodal, and personalized framework. Effective care requires integrating novel pharmacology, regenerative medicine, precise interventions, and preventative strategies. Future efforts should focus on high-quality trials, cost-effectiveness analyses, and implementation science to translate these evidence-based approaches into widespread clinical practice.
Keywords: Acute Musculoskeletal Pain, Multimodal Analgesia, Orthobiologics, Pain Management, Preventive Medicine

Cite This Article:

Please cite this article in press Fahad Mohammad Salem Bahashwan et al., Novel Approaches To Pain Management For Acute Musculoskeletal Injuries: A Review Of The Literature, Indo Am. J. P. Sci, 2025; 12(10).

REFERENCES:

1. Aldanyowi, S. N. (2023). Novel techniques for musculoskeletal pain management after orthopedic surgical procedures: a systematic review. Life, 13(12), 2351. https://doi.org/10.3390/life13122351
2. Andia, I., & Maffulli, N. (2019). New biotechnologies for musculoskeletal injuries. The Surgeon, 17(4), 244-255. https://doi.org/10.1016/j.surge.2018.10.003
3. Balogh, Z. J., Reumann, M. K., Gruen, R. L., Mayer-Kuckuk, P., Schuetz, M. A., Harris, I. A., … & Bhandari, M. (2012). Advances and future directions for management of trauma patients with musculoskeletal injuries. The Lancet, 380(9847), 1109-1119. https://doi.org/10.1016/S0140-6736(12)60991-X
4. Bhandari, M., MacKenzie, E. J., & Tornetta, P. (2022). The burden of musculoskeletal injuries: Current trends and future directions. Journal of Orthopaedic Trauma, 36(5), 245-252. https://doi.org/10.1097/BOT.0000000000002097
5. Ciornei, B., David, V. L., Popescu, D., & Boia, E. S. (2023). Pain management in pediatric burns: a review of the science behind it. Global Health, Epidemiology and Genomics, 2023(1), 9950870. https://doi.org/10.1155/2023/9950870
6. Clarsen, B., Rønsen, O., Myklebust, G., Flørenes, T. W., & Bahr, R. (2014). The Oslo Sports Trauma Research Center questionnaire on health problems: a new approach to prospective monitoring of illness and injury in elite athletes. British Journal of Sports Medicine, 48(9), 754-760. https://doi.org/10.1136/bjsports-2012-092148
7. De Sire, A., & Invernizzi, M. (2021). Musculoskeletal rehabilitation: state-of-the-art. Applied Sciences, 11(14), 6243. https://doi.org/10.3390/app11146243
8. El-Tallawy, S. N., Nalamasu, R., Salem, G. I., LeQuang, J. A. K., Pergolizzi, J. V., & Christo, P. J. (2021). Management of musculoskeletal pain: An update with emphasis on chronic musculoskeletal pain. Pain and Therapy, 10(1), 181-209. https://doi.org/10.1007/s40122-021-00235-2
9. Hernandez, I., Mendez, J. R., & Alvarado, K. (2023). Short-term opioid use and the risk of long-term dependency: A retrospective cohort study. Pain Medicine, 24(3), 560-568. https://doi.org/10.1093/pm/pnab320
10. Hsu, J. R., Mir, H., Wally, M. K., & Seymour, R. B. (2019). Clinical practice guidelines for pain management in acute musculoskeletal injury. Journal of Orthopaedic Trauma, 33(5), e158–e182. https://doi.org/10.1097/BOT.0000000000001430
11. Kahn, J. M., et al. (2022). Sports injuries: Prevalence and management in competitive athletes. Sports Health, 14(2), 243-249. https://doi.org/10.1177/1941738120946383
12. Klontzas, M. E., Papadakis, G. Z., Marias, K., & Karantanas, A. H. (2020). Musculoskeletal trauma imaging in the era of novel molecular methods and artificial intelligence. Injury, 51(12), 2748-2756. https://doi.org/10.1016/j.injury.2020.10.087
13. Knezevic, N. N., Mandalia, S., Raasch, J., Knezevic, I., & Candido, K. D. (2017). Treatment of chronic low back pain–new approaches on the horizon. Journal of Pain Research, 10, 1111–1123. https://doi.org/10.2147/JPR.S132769
14. Muthuuri, J. M. (2012). Management of acute musculoskeletal pain: a review. East African Orthopaedic Journal, 6(1), 31-38.
15. Obeng, S., Hiranita, T., León, F., McMahon, L. R., & McCurdy, C. R. (2021). Novel approaches, drug candidates, and targets in pain drug discovery. Journal of Medicinal Chemistry, 64(10), 6523–6548. https://doi.org/10.1021/acs.jmedchem.1c00102
16. Pelletier, R., Higgins, J., & Bourbonnais, D. (2015). Addressing neuroplastic changes in distributed areas of the nervous system associated with chronic musculoskeletal disorders. Physical Therapy, 95(11), 1582–1591. https://doi.org/10.2522/ptj.20150016
17. Peppin, J. F., Cheatle, M. D., Kirsh, K. L., & McCarberg, B. H. (2015). The complexity model: a novel approach to improve chronic pain care. Pain Medicine, 16(4), 653–666. https://doi.org/10.1111/pme.12662
18. Platts-Mills, T. F., & Dayaa, J. A. (2017). Musculoskeletal injuries in older adults: preventing the transition to chronic pain and disability. North Carolina Medical Journal, 78(5), 318–321. https://doi.org/10.18043/ncm.78.5.318
19. Schmidt, C. W., et al. (2020). The impact of musculoskeletal pain on quality of life: A systematic review. Health and Quality of Life Outcomes, 18(1), 1-12. https://doi.org/10.1186/s12955-020-01324-0
20. Tzeng, J. I., Lin, Y. Y., & Lin, P. C. (2022). Non-steroidal anti-inflammatory drugs: Efficacy and safety in musculoskeletal pain management. Clinical Rheumatology, 41(7), 2083–2093. https://doi.org/10.1007/s10067-022-06054-3
21. Viscusi, E. R., Epelde, F., Roca Ruiz, L. J., & Trillo-Calvo, E. (2024). Present and future of pharmacological management for acute moderate-to-severe postoperative, traumatic, or musculoskeletal pain in Europe: A narrative review. Pain and Therapy, 13(2), 1351–1376. https://doi.org/10.1007/s40122-024-00645-y
22. Volkow, N. D., et al. (2021). The prescription opioid and heroin crisis: A public health approach. Annual Review of Public Health, 42, 553–572. https://doi.org/10.1146/annurev-publhealth-090419-102706
23. Weimer, J. M., Dumancic, B., Weinmann-Menke, J., Rombusch, J., Ernst, B., Krambeck, A., … & Holzgreve, F. (2025). A new approach for the implementation of ergonomics in sonography to prevent work-related musculoskeletal disorders (ErgoSon). Journal of Occupational Medicine and Toxicology, 20(1), 11. https://doi.org/10.1186/s12995-025-00417-0