Could a weaker nerve block mean less pain after shoulder surgery?
NCT ID NCT07146685
First seen Sep 09, 2026 · Last updated Sep 10, 2026 · Updated 1 time
Summary
Researchers are testing whether a lower concentration of the local anesthetic bupivacaine leads to less rebound pain after shoulder replacement surgery. Rebound pain is the sharp increase in pain that can happen when a nerve block wears off. Adults having anatomic or reverse total shoulder arthroplasty receive a nerve block with either 10 ml of 0.5% bupivacaine or 20 ml of 0.25% bupivacaine, both delivering the same total dose of 50 mg. The study measures pain scores at 24 hours after surgery, along with recovery quality and opioid use.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- bupivacaine, a local anesthetic given as a nerve block
- What this could lead to
- If a lower concentration of bupivacaine reduces rebound pain, doctors could adjust nerve block recipes to make shoulder surgery recovery more comfortable.
- What could go wrong
- This is a very small study of 10 people at a single hospital, so the results may not apply broadly. Rebound pain varies widely between patients, and the trial may not detect a clear difference between the two concentrations.
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
-
Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
-
About 10 people
The number the study aims to enrol. It can still change while the study runs.
- Started
-
May 2026
- Expected to finish
-
Jan 2029
An estimate. End dates often move.
- Lead sponsor
-
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
-
18 years and older
- Sex
-
Anyone
- Healthy volunteers
-
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: * Total shoulder replacement patients (anatomic and reverse) * Adult patients (greater than or equal to 18 years) * Any gender * Any race Exclusion Criteria: * \- Chronic Pain diagnoses including: * substance/opioid use disorder * complex regional pain syndromes * fibromyalgia * Daily persistent opioid use spanning 3 months prior to surgery date * Allergy to local anesthetics or NSAIDS * Respiratory pathologies including: * CPAP- non-compliant / untreated obstructive sleep apnea * COPD * Restrictive lung disease (pulmonary fibrosis, interstitial pneumonia, etc) * Contralateral diaphragm dysfunction * BMI \> 40 * Ipsilateral extremity pre-existing nerve injury * GFR \< 60 * NSAID contraindications * Inability to follow up * Revision surgery * Patients requesting block as primary (avoidance of general anesthesia) * Need or request for brachial plexus catheter or liposomal bupivacaine * Vulnerable populations (pregnancy, incarceration, etc) * non-English speaking
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Interscalene block are added.
Genom att skicka in godkänner du våra Användarvillkor
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.
-
The places running it
1 site. The list below names each one and where it is.
-
The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
-
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
-
UVA Health
RECRUITINGCharlottesville, Virginia, 22903, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a simple wash stop the bacteria behind shoulder surgery infections?
- Standing x-rays may reveal what lying scans miss in shoulder replacement planning
- New shoulder implant put to the test against standard replacement
- Can big data improve shoulder replacement success?
- A new battle plan against Post-Surgery pain rebound
- Can a 48-Hour nerve block prevent the 'Rebound Pain' after shoulder surgery?