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Does Cold Therapy Reduce Pain After Arthroscopic Rotator Cuff Surgery: A Randomized Controlled Trial

Does Cold Therapy Reduce Pain After Arthroscopic Rotator Cuff Surgery: A Randomized Controlled Trial

Christoffer von Essen, MD, PhD, SWEDEN

Capio Artro Clinic, Stockholm, Stockholm, SWEDEN


2023 Congress   ePoster Presentation   2023 Congress   Not yet rated

 

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Summary: Based on the results of this study, no significant reduction of pain could be seen with cold therapy compared to without. Clinicians should question the need of expensive cold bandages in the short-term post-operative treatment after arthroscopic surgery of the shoulder.


Purpose; To compare the acute effects of a ice bandage on pain and swelling after the first 72 h after arthroscopic rotator cuff surgery of the shoulder with no cold therapy. It was hypothesized that using the bandage is more effective in reducing pain and swelling after 72
compared without.

Methods; According to a power analysis, 22 patients were randomly assigned to two groups after arthroscopic surgery. The first group wore a cold bandage, and the second group without any cold therapy. Pain and swelling were measured 1, 8, 24 and 72h after surgery. The use of pain killers was also monitored during the trial. Differences within and between groups were analyzed.

Results

All patients were assessed at all time points. There were no significant difference in pain nor swelling at any time point between the groups. Additionally, no significant difference between the groups was found in terms of use of pain medicine.

Conclusions

Based on the results of this study, no significant reduction of pain could be seen with cold therapy compared to without. Clinicians should question the need of expensive
cold bandages in the short-term post-operative treatment after arthroscopic surgery of the shoulder.
Level of evidence II.


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