RecruitingPhase 4NCT06373978

NonNarcotic Pain Control in Percutaneous Needle Tenotomy of Elbow

A Randomized Controlled Trial: Alternative Post Procedural Analgesia With NSAIDs vs Opioids in Percutaneous Needle Tenotomy of Elbow

Sponsor

The Cleveland Clinic

Enrollment

92 participants

Start Date

Aug 12, 2024

Study Type

INTERVENTIONAL

Conditions

Chronic Pain Elbow Pain

Summary

This study is a double-blind, randomized controlled trial comparing the effectiveness of oral acetaminophen, diclofenac, and tramadol in reducing the consumption of narcotic doses (primary outcome) and minimizing patients' exposure to narcotics (secondary outcome) following an ultrasound-guided percutaneous needle tenotomy procedure on the lateral elbow.

Eligibility

Min Age: 18 YearsMax Age: 65 Years

Inclusion Criteria6

Provision of signed and dated informed consent form
Stated willingness to comply with all study procedures and availability for the duration of the study
Male or female, aged 18-65 years
Percutaneous Needle Tenotomy of Lateral Elbow Procedure
Ability to take oral medication and willingness to participate in a 2-week follow-up pill counts
Musculoskeletal ultrasound or MRI with diagnosis of tendinosis of the common extensor tendon of the elbow

Exclusion Criteria8

Any full thickness common extensor tendon tear of the elbow
Prior history of elbow surgery
Symptomatic cervical radiculopathy
Concurrent symptoms of the medial elbow
Treatment with another investigational drug or other intervention concurrently or previously that would interfere with postoperative pain control
Psychiatric illness that impedes evaluation of pain and/or narcotics use
No history of inflammatory arthritis, diabetes, chronic regional pain syndrome, connective tissue disease, fibromyalgia or autoimmune disease
No contraindications to NSAIDs or Opioids