Cold therapy could slash painkiller use for seniors with broken ribs
NCT ID NCT04482582
First seen Jun 26, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tested a procedure called cryoneurolysis, which uses a cold probe to freeze nerves around broken ribs, in 127 elderly patients. The goal was to reduce pain and the need for strong narcotics, helping patients recover faster. Researchers measured pain scores at discharge and tracked complications like ICU stays and survival.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- cryoneurolysis (nerve freezing)
- What this could lead to
- If it works, this could offer elderly patients a way to control rib fracture pain with fewer narcotics and a faster return to normal activities.
- What could go wrong
- This is a small, single-center study. The procedure may not work for everyone, and there are risks like bleeding or nerve damage. Results may not apply to all hospitals.
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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127 people
The number who actually took part.
- Started
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Jun 2021
- Finished
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Apr 2025
- 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
-
65 years and older
- Sex
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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: i) Patients greater than 65 years with any acute rib fracture ii) Pain score equal to or greater than 5 with deep inspiration. iii) Presenting and admitted to Stanford Emergency Department Exclusion criteria: i) Radiographic evidence of metastasis to ribs ii) Glasgow Coma Scale (GCS) score \<13 iii) Patients undergoing SSRF iv) Rib fractures located \< 3cm from spinous process v) Coagulopathy (INR \>1.5, Pat \< 100) vi) Other factors precluding cryoablation at IR attending's discretion vii) If only ribs broken are 1,2 or 10,11, 12
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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
-
Stanford Hospital and Clinics
Palo Alto, California, 94305, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Fixing broken ribs with surgery may cut pain better than drugs alone
- Can a simple patch replace opioids for broken ribs in seniors?
- Ultrasound-Guided epidurals: a missed opportunity?
- Pain relief showdown for broken ribs: IV lidocaine vs nerve block
- Rib fracture surgery: does age matter more than injury severity?