The Effect of Multimodal Pain Regimen on Use of Narcotics After Rotator Cuff Tear Repair

The purpose of this study is to investigate whether a previously described multimodal pain protocol involving non-narcotic medications compared to the medical center's current postoperative pain regimen mainly involving narcotics will decrease total rescue narcotics used for patients who undergo arthroscopic rotator cuff tear repair at Montefiore. The implications of the study would be reduced narcotics consumptions in postoperative patients and improved self-reported patient outcomes. Through this study, the investigator team hopes to develop a pain regimen that alleviates dependence on opioids in postoperative patients without sacrificing patient satisfaction and comfort.

Inclusion criteria

• Adults with rotator cuff tears who have failed conservative therapy and are now undergoing arthroscopic rotator cuff repair.

Exclusion criteria

• Patients without capacity to consent for the study
• Patients not able to have local nerve block
• Patients who underwent previous shoulder surgery on the same side, kindling revision rotator cuff repair
• Patients who are unable to record and verbalize their pain level due to altered mental status
• Patients who are unable to tolerate any of the medications included in the multimodal pain regimen or standard pain regimen due to severe allergies or inability to consume medication
• Patients with history of previously diagnosed alcohol or drug abuse, renal impairment, peptic ulcer disease, and gastrointestinal bleeding
• Patients who are pregnant