Participants will not be aware of the relation to the group they are randomized into in comparison to the other study groups; for example, if they were assigned a higher or lower frequency of ice usage (with Intervention 1 being frequency of ice usage), etc.

Participants will not be aware of the relation to the group they are randomized into in comparison to the other study groups; for example, if they were assigned a higher or lower frequency of ice usage (with Intervention 1 being frequency of ice usage), etc.

Participants will not be aware of the relation to the group they are randomized into in comparison to the other study groups; for example, if they were assigned a higher or lower frequency of ice usage (with Intervention 1 being frequency of ice usage), etc.

This study will assess an aspect of perioperative care relating to pain control. Subjects will not be aware of which aspect is randomized, but will be given a list of possible aspects which will include the intervention (listed below):

• Agents used in nerve block (lidocaine vs ropivacaine)
• Location of injection for analgesic
• Use of over-the-counter pain management (including but not limited to acetaminophen, ibuprofen, naproxen, etc.)
• Type of initial opioid prescribed (including but not limited to oxycodone, tramadol, hydrocodone, etc.)
• Number of pills in the initial opioid prescription
• Instructions for sling wear (duration of use or type of sling)
• Ice usage (duration of use and frequency of use)

Blinding the participant to the randomized aspect of this study will help prevent bias in patient responses for outcome scores and medication usage.

Total possible narcotic pain medication use in MME's

number and quantity of opioid prescription refills

Number of times patient contacted the office via telephone, MyChart, or email

standardized questionnaire for the assessment of shoulder function; single score which ranges from 0-100 with higher score reflecting higher function