We present a set of new numerical methods that are relevant to calculating radiation pressure terms in hydrodynamics calculations, with a particular focus on massive star formation. The radiation force is determined from a Monte Carlo estimator and enables a complete treatment of the detailed microphysics, including polychromatic radiation and anisotropic scattering, in both the free-streaming and optically thick limits. Since the new method is computationally demanding we have developed two new methods that speed up the algorithm. The first is a photon packet splitting algorithm that enables efficient treatment of the Monte Carlo process in very optically thick regions. The second is a parallelization method that distributes the Monte Carlo workload over many instances of the hydrodynamic domain, resulting in excellent scaling of the radiation step. We also describe the implementation of a sink particle method that enables us to follow the accretion on to, and the growth of, the protostars. We detail the results of extensive testing and benchmarking of the new algorithms. We also present the first results using the new method, simulating the growth of a 25-solar mass star.