Does Meloxicam Provide as Much Pain Relief as Opioids After Shoulder Surgery?

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE3

Total Enrollment

96 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-01-25

Study Completion Date

2022-01-25

Brief Summary

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The opioid epidemic continues to be a major concern, with orthopedic surgeons being among the top prescribers of opioids. Studies evaluating these practices found that opioids are overprescribed, even for common procedures. Patients undergoing arthroscopic labrum repair of the shoulder were found to have an average of 20 pills left over after surgery. Many strategies have been developed to tackle overprescribing and have found success, including no opioid protocols for carpal tunnel release. The purpose of this study is to examine if meloxicam alone provides similar patient reported outcomes to opioids following arthroscopic labrum repair of the shoulder.

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Detailed Description

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Conditions

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Shoulder Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Arthroscopic Labral Repair + postoperative Meloxicam

After surgery participants will receive a prescription of 20 pills of 15 mg Meloxicam

Group Type EXPERIMENTAL

Meloxicam 15 mg

Intervention Type DRUG

Participants will receive a prescription of 20 pills of 15 mg Meloxicam after surgery

Preoperative Interscalene Nerve Block

Intervention Type PROCEDURE

Preoperatively participants will standardly receive an interscalene nerve block

arthroscopic labral repair

Intervention Type PROCEDURE

participant will have their standard surgical procedure done

Arthroscopic Labral Repair without Meloxicam

After surgery participants will receive a prescription of 20 pills of 5/300 mg vicodin (hydrocodone/acetaminophen)

Group Type ACTIVE_COMPARATOR

Preoperative Interscalene Nerve Block

Intervention Type PROCEDURE

Preoperatively participants will standardly receive an interscalene nerve block

arthroscopic labral repair

Intervention Type PROCEDURE

participant will have their standard surgical procedure done

Interventions

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Meloxicam 15 mg

Participants will receive a prescription of 20 pills of 15 mg Meloxicam after surgery

Intervention Type DRUG

Preoperative Interscalene Nerve Block

Preoperatively participants will standardly receive an interscalene nerve block

Intervention Type PROCEDURE

arthroscopic labral repair

participant will have their standard surgical procedure done

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Age ≥ 18
* Scheduled for arthroscopic labrum repair of the shoulder

Exclusion Criteria

* History of opioid, acetaminophen, NSAID or local anesthetic allergy or intolerance, or contraindications to these medications.
* Currently on long-term preoperative narcotics
* Scheduled for revision arthroscopic repairs of the shoulder
* Unable/unwilling to consent for enrollment
* Unable to complete postoperative surveys
* History of chronic pain syndromes (fibromyalgia, chronic diffuse MSK pain, etc)
* Patients under the age of 18
* Pregnant or breastfeeding women
* Scheduled for concurrent procedures

Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes