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Thomas H
Shoulder surgery is associated with significant postoperative pain, but mobilization and physiotherapy often begin on the first postoperative day. Therefore, excellent postoperative analgesia is essential to provide a good functional recovery. A multimodal approach is required to achieve this. Analgesic options include: conventional oral and parenteral analgesia, inter-scalene analgesia or intra-articular analgesia with or without continuous infusion, or supra-scapular nerve block combined with local anaesthetic wound infiltration.