Before or after? study tests best timing for shoulder surgery nerve block to cut pain and opioids
NCT ID NCT07689448
First seen Jul 08, 2026 · Last updated Jul 09, 2026 · Updated 1 time
Summary
This study compares giving a nerve block before versus after arthroscopic rotator cuff repair surgery to see which timing provides better pain control and recovery. Participants are adults undergoing this shoulder surgery who receive an interscalene nerve block. The trial measures pain levels, opioid use, hospital stay length, and functional recovery to determine if one approach is superior.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- interscalene nerve block
- What this could lead to
- If timing before surgery proves better, it could lead to a standard practice that reduces pain and opioid use after shoulder surgery.
- What could go wrong
- This is a small, single-center study with 42 participants, so results may not apply broadly. The difference between groups might be small or not clinically meaningful.
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.
- Participants
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About 42 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Jul 2026
An estimate. Start dates often move.
- Expected to finish
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Oct 2026
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.
Who is studied
Adult patients undergoing primary arthroscopic rotator cuff repair for repairable rotator cuff tears at a single tertiary referral center. Participants received ultrasound-guided interscalene nerve block either before surgical incision or after completion of surgery according to routine perioperative practice.
- 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 or older. * Patients undergoing primary arthroscopic rotator cuff repair. * Presence of a repairable small-, medium-, or large-sized rotator cuff tear confirmed by clinical and imaging evaluation. * Receipt of an ultrasound-guided interscalene nerve block as part of perioperative pain management. * Ability to provide informed consent and comply with study follow-up requirements. Exclusion Criteria: * Irreparable rotator cuff tears. * Partial-thickness rotator cuff tears not requiring repair. * Revision rotator cuff repair procedures. * Concomitant shoulder procedures that could substantially influence postoperative pain or functional outcomes (e.g., shoulder arthroplasty, fracture fixation). * Previous surgery on the affected shoulder. * Contraindications to interscalene nerve block, including local anesthetic allergy, infection at the injection site, or severe neurologic disease affecting the brachial plexus. * Chronic opioid use or opioid dependence before surgery. * Inability to complete study questionnaires or follow the postoperative rehabilitation protocol. * Missing baseline or follow-up data required for outcome assessment.
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Conditions
The condition(s) this trial relates to.
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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Istinye University Bahcesehir Liv Research and Training Hospital
Istanbul, Turkey (Türkiye)
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- MRI and biomarkers may predict rotator cuff repair success
- Can targeted nerve blocks ease shoulder surgery pain?
- Can treating the mind heal the shoulder? a surgery study investigates
- Can a 48-Hour nerve block prevent the 'Rebound Pain' after shoulder surgery?
- Shoulder surgery breakthrough? bone injection may give surgeons a clearer view
- New anchors aim to keep shoulders and hips stable after injury