Comparing Non-Narcotic and Opioid Pain Relief After Needle Procedure for Elbow Tendon Pain A Randomized Trial of Acetaminophen, Diclofenac, and Tramadol for Post-Procedure Pain Control

What this Trial Is About

This research aims to compare the effectiveness of different pain medications for people undergoing an ultrasound-guided percutaneous needle tenotomy on the lateral elbow. The study evaluates oral acetaminophen, diclofenac, and tramadol to see which best reduces the use of narcotic pain medication and limits patients exposure to narcotics after the procedure. It is a double-blind, randomized controlled trial designed to provide clear comparisons among these treatments. Participants will receive one of three medication regimens right after their tenotomy procedure. Acetaminophen 1000 mg will be taken every 8 hours if pain is present and is suggested as the first medication for pain. Patients will then take blinded capsules containing either diclofenac potassium 50 mg or tramadol 50 mg every 8 hours as needed. If pain continues an hour after taking the study medication, a rescue medication will be provided tramadol for those on diclofenac and diclofenac for those on tramadol. These medications come in identical capsules to keep the study blinded. During the study, participants will have in-person visits about 10 days after the procedure to check pill counts and monitor narcotic use. Researchers will measure the total number of tramadol doses taken as the main outcome and also track non-narcotic medication use. Participants must be available for follow-up and able to take oral medication throughout the study period, which lasts around two weeks after the procedure.

NonNarcotic Pain Control in Percutaneous Needle Tenotomy of Elbow