This project consists of a randomized controlled study design. Study candidates will include
all patients 18 years or older, who were evaluated at UCSD and found to have an orthopaedic
injury requiring surgery. Patients who consent to study participation will be randomized to
receive either the multimodal pain management protocol or standard oral
hydrocodone-acetaminophen for post-operative pain management. Data on opioid usage, pain
control, and functional status will be collected for each participant. After 3 years of data
collection, investigators will analyze this data to provide further insight in determining
appropriateness of pain regimens that reduce the overall opioid consumption. Given the
widespread opioid epidemic, it is imperative to develop alternative means to appropriately
manage pain in orthopaedic surgery patients.