International Journal of Orthopaedics Sciences
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International Journal of Orthopaedics Sciences

2020, Volume 6 Issue 1

A prospective comparative study on analgesia effect between diclofenac sodium and tramadol hydrochloride used in various orthopedic trauma conditions by applying wong-baker faces pain rating scale in a tertiary care teaching hospital

Author(s): Sushanta Kumar Das M Pharm, Dr. J Satyanarayana, Rabia Arshi, Sangishetti Kaveri, Sanjana Yadav Manuka and Shreya Varanasi Prasanna
Abstract: Acute pain in orthopedic trauma should be anticipated and treatment should be a part of every anesthetic plan. In this study we have aimed to assess the comparison of pain management effects between Diclofenac and Tramadol in orthopedic trauma condition along with Wong-Baker Faces Pain Rating Scale to demonstrate which drug provides better efficacy. This prospective case analysis study was conducted during August and September 2019 in the Department of Orthopedics, Gandhi Hospital, Secunderabad with necessary permission. Selected Cases were collected and documented. Outcome was framed after interpreting the data; according to various category and parameters. 30 cases were identified, included and observed in our study considering 15 each in Diclofenac and Tramadol respectively and analyzed for final outcome. Our study shows that male with age group of 21 – 40 yrs were predominant in developing orthopedic wound. In our study, we also found cases where both Tramadol and Diclofenac were prescription for the management of pain. Out of 15 patients prescribed with Tramadol, Wong-Baker score was found to be; for 4 patients ‘0’ (no hurt), 6 patients ‘2’ (hurts little bit), 4 patients ‘4’ (hurts little more) and only 1 patient ‘6’ (hurts even more) this shows that pain management with Tramadol was satisfactory. On the other hand, out of 15 cases prescribed with Diclofenac, Wong-Baker score was very less, as 6 cases had a score of ‘4’ (hurts little more), 5 cases had a score of ‘6’ (hurts even more), 4 cases had a score of ‘8’ (hurts whole lot). This indicates that Diclofenac may not be sufficient enough to manage orthopedic pain as compared to Tramadol, as orthopedic pain are acute and very complicated in nature; Tramadol may be the best choice to manage the pain.
Pages: 29-33  |  39 Views  3 Downloads
How to cite this article:
Sushanta Kumar Das M Pharm, Dr. J Satyanarayana, Rabia Arshi, Sangishetti Kaveri, Sanjana Yadav Manuka and Shreya Varanasi Prasanna. A prospective comparative study on analgesia effect between diclofenac sodium and tramadol hydrochloride used in various orthopedic trauma conditions by applying wong-baker faces pain rating scale in a tertiary care teaching hospital. International Journal of Orthopaedics Sciences. 2020; 6(1): 29-33. DOI: 10.22271/ortho.2020.v6.i1a.1829