Ischemic Preconditioning Fails to Reduce Pain After Hip Arthroscopy .
Does Ischemic Preconditioning of the Operative Limb Reduce Pain After Hip Arthroscopy? A Prospective, Single-Blind, Randomized Controlled Trial.
Orthop J Sports Med . 2025 Jun 10;13(6):23259671251343762.Sixty-eight patients undergoing hip arthroscopy were randomized to Ischemic preconditioning (IPC) (n=34) or sham control (n=34). The primary outcome was pain (0–10 VAS) recorded daily; secondary outcomes were daily opioid use (morphine milligram equivalents, MME) and acetaminophen consumption, all assessed from the day of surgery through POD7 via REDCap. Overall, the results revealed no between-group differences in VAS at any time point and no differences in opioid or acetaminophen use; both groups’ pain scores declined significantly over time. In short, adding preoperative thigh IPC to a multimodal analgesic regimen did not improve early postoperative pain or reduce analgesic requirements after hip arthroscopy.
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