Can a 48-Hour nerve block prevent the 'Rebound Pain' after shoulder surgery?
NCT ID NCT07770165
First seen Aug 18, 2026 · Last updated Aug 20, 2026 · Updated 2 times
Summary
This trial tests whether a continuous nerve block lasting 48 hours can reduce the sharp 'rebound pain' that often strikes after a single-shot nerve block wears off following shoulder replacement surgery. Half of the participants will receive the continuous block through a small catheter, while the other half gets a standard one-time injection. Researchers will track pain scores and opioid use for 96 hours after surgery to see if the longer-lasting block offers better pain control.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Continuous interscalene nerve block with ropivacaine 0.2% for 48 hours
- What this could lead to
- If effective, a continuous nerve block could become a standard way to prevent severe rebound pain after shoulder replacement, improving recovery and reducing opioid use.
- What could go wrong
- The trial is relatively small and early, and results may not apply to all patients. There are also risks associated with nerve blocks, such as infection or nerve damage.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 154 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Oct 2026
An estimate. Start dates often move.
- Expected to finish
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May 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Adults aged \>18 years of age * ASA I-III * Scheduled for elective ambulatory total shoulder arthroplasty. Exclusion Criteria: * ASA IV * Revision surgery * Contraindication to regional anesthesia (such as allergy to local anesthetics, systemic anticoagulation, local infection) * Preoperative chronic pain or opioid use * Preoperative drug dependency * Severe respiratory disease or contralateral diaphragmatic paralysis * Patient refusal.
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As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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South Health Campus
Calgary, Alberta, T3M 1M4, Canada
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Effect of local anesthetic concentration on rebound pain: a randomized control study
- A new battle plan against Post-Surgery pain rebound
- Iodine-coated surgical drapes may cut infection risk in shoulder replacements
- Could a simple steroid injection replace a catheter for shoulder surgery pain?
- Before or after? study tests best timing for shoulder surgery nerve block to cut pain and opioids
- Body shape may predict nerve block difficulty in shoulder surgery