Opioid-Free Orthopaedics Study: This study is looking at how well a special plan, called a multimodal regimen, can manage pain after bone surgeries without using opioid medications. Opioids are strong pain relievers that can be risky if used for a long time. The study uses a double-blinded randomized controlled trial, which means neither the patients nor the researchers know who gets the real medicine (opioids) or a fake one (placebo). The researchers want to see how this plan affects pain, satisfaction, and any side effects after surgery. This could help in reducing opioid use after surgeries.

• The study involves people having joint replacements or surgeries on parts like the shoulder, knee, or hand.
• Participants should be over 18 and have tried other treatments for at least 3 months.
• Those with serious health issues or who use opioids before surgery can't join.