Re-evaluate Unremitting Pain
In the absence of reliable evidence, it is the opinion of the work group that all patients with distal radius fractures and unremitting pain during follow-up be re-evaluated.

Rationale
The pain associated with a distal radius fracture will typically diminish after standard treatment protocols.  Patient’s reports of unremitting pain during the early treatment period may signal a concomitant associated condition which requires investigation. The work group deemed that it is warranted to issue a recommendation on this topic despite the lack of evidence to support or refute the investigation into the source of unremitting pain following treatment of distal radius fracture. Each patient in the treatment of distal radius fracture should report their progress in recovery. When pain levels do not decrease as expected, it is appropriate to evaluate the patient for causes of pain. This recommendation may result in costs associated with assessment and management. We believe these actions are consistent with the current practice of most orthopedic surgeons