Multimodal versus narcotic pain control after rotator cuff repair
Official title: The Effect of Multimodal Pain Regimen on Use of Narcotics After Rotator Cuff Tear Repair
Run by Montefiore Medical Center · NCT07076069 · Data updated 2026-11-12
This trial will test whether a mostly non‑narcotic multimodal pain plan reduces opioid use and keeps patients comfortable after arthroscopic rotator cuff repair.
Quick facts
| Phase | Phase 4 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 130 (estimated) |
| Sponsor | Montefiore Medical Center Academic / other |
| Locations | 1 site (The Bronx, New York) |
| Status | Recruiting |
| Started | July 21, 2025 |
| Main results expected | June 2028 |
| Study ends | June 2028 |
| Registry record updated | July 13, 2026 |
| Trial ID | NCT07076069 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults with rotator cuff tears who have failed conservative therapy and are scheduled for arthroscopic rotator cuff repair, who can consent and are eligible for a local nerve block, are ideal candidates.
✕Probably not a fit
Patients who cannot tolerate the regimen medications, have prior same‑side shoulder surgery, significant renal disease, peptic ulcer disease or GI bleeding, active substance abuse history, pregnancy, or inability to consent are unlikely to benefit from this protocol.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
Adults undergoing arthroscopic rotator cuff repair at Montefiore are assigned to either a previously described multimodal, primarily non‑narcotic pain protocol or the medical center's usual postoperative regimen that relies mainly on narcotics. The study measures total rescue opioid consumption after surgery along with self‑reported pain and satisfaction outcomes. Patients must be able to consent, receive a local nerve block, and tolerate the medications in the assigned regimen to participate. The investigators aim to identify a pain plan that lowers opioid use without sacrificing comfort or patient satisfaction.
Why it matters
Potential benefit: If successful, this approach could allow patients to use fewer opioids after rotator cuff repair while maintaining effective pain control and satisfaction.
How similar studies have gone: Opioid‑sparing multimodal pain regimens have shown promise in other surgical populations, though direct head‑to‑head evidence specifically for arthroscopic rotator cuff repair remains limited.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Adults with rotator cuff tears who have failed conservative therapy and are now undergoing arthroscopic rotator cuff repair. Exclusion Criteria: * Patients without capacity to consent for the study * Patients not able to have local nerve block * Patients who underwent previous shoulder surgery on the same side, kindling revision rotator cuff repair * Patients who are unable to record and verbalize their pain level due to altered mental status * Patients who are unable to tolerate any of the medications included in the multimodal pain regimen or standard pain regimen due to severe allergies or inability to consume medication * Patients with history of previously diagnosed alcohol or drug abuse, renal impairment, peptic ulcer disease, and gastrointestinal bleeding * Patients who are pregnant
Where it's running
-
Montefiore Hutchinson Campus
The Bronx, New York, United States Recruiting
Study contacts
- Principal investigator: Ferdinand Chan, M.D. — Montefiore Medical Center
- Study coordinator: Ferdinand Chan, M.D.
- Email: fchan@montefiore.org
- Phone: 718-920-2060
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Dexmedetomidine as add-on for refractory cancer pain in palliative care
This study tests whether adding dexmedetomidine helps improve pain control for adults with cancer in palliative care whose pain remains high despite opioids.
-
Two Ways to Help Pain After Breast Surgery: Education-Based Analgesia vs Standard Care
This trial tests whether teaching patients about pain management and using a multimodal pain plan improves pain control and recovery after breast surgery compared with standard care.
-
Virtual Reality Therapy to Improve Arthroplasty Outcomes
This pilot test checks whether using virtual reality during the perioperative period helps knee or hip replacement patients feel better about their care and recover more easily.
-
Suzetrigine for pain relief after knee replacement
This trial tests whether suzetrigine can reduce opioid use after a total knee replacement compared with placebo.
-
Analgesic effects of adding BiFeS block to adductor canal block after ACL reconstruction
This study tests whether adding a BiFeS block to the standard adductor canal block provides better pain relief after ACL reconstruction.
-
Tegileridine for pain after bariatric surgery
This phase 3 trial tests tegileridine vs standard opioid medicine to see if it provides good pain relief after bariatric surgery while considering sleep apnea status.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.