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Armpit block may ease shoulder replacement pain
NCT ID NCT06042608
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study looked at whether adding a nerve block in the armpit to the standard shoulder block can reduce pain and opioid use after total shoulder replacement. Twelve adults having shoulder replacement surgery received both blocks. Researchers measured recovery room time, pain scores, and how much opioid medication they needed.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- intercostobrachial nerve block (local anesthetic injection)
- What this could lead to
- If effective, this simple addition could reduce pain and opioid use after shoulder replacement, making recovery more comfortable.
- What could go wrong
- This is a very small, early study with only 12 participants. Results may not apply to everyone, and the added block carries rare risks like 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
-
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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12 people
The number who actually took part.
- Started
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Sep 2024
- Finished
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Jun 2025
- 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 to 80 years
- Sex
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Anyone
- Healthy volunteers
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Accepted
You do not need to have the condition being studied to take part.
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: * Adult patients 18-80 years old * Adult patient's BMI \<= 35 * Individuals presenting for primary total shoulder arthroplasty or reverse total shoulder arthroplasty * Anticipated discharge home same day of surgery * Patient is able to provide informed consent to participate in the study. Exclusion Criteria: * Patient presenting for revision shoulder surgery * Allergy to amide local anesthetic, liposomal bupivacaine or other medication involving liposomal formulation * Preexisting neurological deficits involving or potentially involving the ipsilateral brachial plexus * Preexisting contralateral vocal fold paralysis or recurrent laryngeal paralysis * Psychiatric or cognitive disorders that could interfere with perioperative evaluation including drug or alcohol abuse * Chronic pain conditions * Preoperative opioid use * Moderate to severe pulmonary disease * Moderate to severe sleep apnea * Planned postoperative admission. * Unplanned postoperative admission * Any contraindication to interscalene or intercostobrachial nerve block including any local disorder of the skin where blockade is to be performed which would prevent safe performance of the block * Any coagulation abnormality which would be a contraindication for block placement * Preoperative chronic renal dysfunction requiring renal replacement therapy or CrCl \< 60 * Sulfa allergy (or other reason patient cannot receive celecoxib) * Allergy or intolerance to any medication in the protocol * Body mass index \>35 * Pregnancy * Incarceration * ASA classification greater than 3 * Inability to provide informed consent * Refusal to participate in the study
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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.
Contacts and locations
Locations
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University of Texas Southwestern Medical Center
Dallas, Texas, 75390, United States
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Other studies related to the condition(s) this trial covers.
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