Lower dose of painkiller works just as well for acute muscle pain in military ER
NCT ID NCT04763876
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested whether a lower dose (15 mg) of the painkiller ketorolac works as well as a higher dose (60 mg) for treating sudden muscle pain in a military emergency department. 110 adults with acute muscle pain received one injection of either dose. The results showed that the lower dose was just as effective at reducing pain after 60 minutes, with no major safety concerns.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
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110 people
The number who actually took part.
- Started
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Jun 2020
- Finished
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Feb 2021
- Lead sponsor
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A government agency
The lead sponsor is a US federal agency other than the NIH.
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 55 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: * Tricare beneficiaries between 18-55 years of age * Triaged as Emergency Severity Index 4 or 5 * Presenting to the William Beaumont Army Medical Center Emergency Department with a chief complaint of acute MSK pain (i.e., general muscular, neck, back, shoulder, arm, forearm, elbow, wrist, finger, hip, knee, thigh, leg, ankle, foot, or digits) * Pain intensity of 20 mm or greater on a standard 100 mm visual analog scale * Who the attending provider concurred with ketorolac IM administration for analgesia. Exclusion Criteria: * Body weight less than 50 kg (110 lbs.) * Younger than 18 or older than 55 years * Pregnant or breast feeding * History of: confirmed, unconfirmed, known, unknown, or suspected peptic ulcer disease, intestinal hemorrhage, renal insufficiency, hepatic insufficiency, cerebrovascular bleeding, hemorrhagic diathesis, incomplete hemostasis, dark stools, bright red blood per rectum, hemoptysis, easy bruising, or high risk of bleeding * Unable to confidently convey or unknown medical history * Allergy or hypersensitivity to nonsteroidal anti-inflammatory drugs or aspirin * Systolic blood pressure \<90 or \>180 mmHg * Pulse rate \<50 or \>150 beats/min * Any over-the-counter or prescribed opioid and/or non-opioid analgesic medication (oral, per rectum, topical or parenteral) taken within 12 hours of ED presentation * Advised by any medical provider to not receive NSAIDs for any reason * Pain duration greater than 30 days (including acute on chronic pain) * Refusal to remain in the WBAMC ED for up to 60 minutes after injection of ketorolac * Patients currently taking anticoagulant medications * Concurrent use of medications which are contraindicated with concomitant NSAID use (drugs include aspirin, probenecid and pentoxifylline).
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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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William Beaumont Army Medical Center
El Paso, Texas, 79920, United States
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