Final answer:
NSAIDs are typically the most effective option for controlling pain during an acute gout attack. While other treatments like rest and ice may help, NSAIDs directly target the pain and inflammation. Opiates and heating pads are not first-line treatments for gout pain.
Step-by-step explanation:
If Parker is experiencing an acute gout attack and seeks effective pain control by starting treatment soon after symptoms begin, the most recommended option would be NSAIDs (non-steroidal anti-inflammatory drugs). These can reduce the pain by lessening the effects of prostaglandins, which sensitize nerves to pain. Although they are more likely to cause serious side effects compared to acetaminophen, they are generally effective for managing gout pain. Options such as rest, ice, compression, and elevation can also help relieve symptoms but may not provide the immediate pain control that NSAIDs can offer. Low-dose opiates are reserved for cases where other medications are ineffective or cause serious side effects, and due to their risk of addiction and serious side effects, they should be used with caution and under a doctor's supervision. A heating pad set to a high level is not the recommended treatment for gout pain.