Clinical Protocols

Targeted Protocols.
Target the Nerve. Control the Pain.®

Precision OrthoCryo® delivers cryoneurolysis protocols for the four most common orthopedic procedures — each backed by peer-reviewed clinical evidence and delivered by credentialed providers within your hospital.

The Technology

How Cryoneurolysis
Works

Cryoneurolysis uses precisely controlled cold temperatures to temporarily interrupt the function of targeted sensory nerves. The iovera° system delivers a focused freeze to the nerve, causing a reversible Wallerian degeneration — blocking pain signals for 60–90 days while preserving motor function entirely.

Unlike opioids (systemic, addictive), nerve blocks (hours-long), or steroid injections (weeks, systemic effects), cryoneurolysis is targeted, drug-free, and provides lasting relief through the critical post-operative recovery window.

Targeted

Precise delivery to specific sensory nerves. Motor function fully preserved.

Drug-Free

No opioids, steroids, or local anesthetics. Zero systemic side effects.

Lasting

Up to 90 days of relief — covering the entire post-operative recovery window.

Reversible

Nerves regenerate naturally. No permanent damage. Full sensation returns.

Cryoneurolysis vs. Alternatives

How iovera° cryoneurolysis compares to standard pain management approaches

AttributeOpioidsNerve BlockSteroid InjectionCryoneurolysis
Duration of ReliefHours–DaysHoursWeeksUp to 90 Days
Drug-Free
Motor Function Preserved
Systemic Side EffectsSignificantMinimalModerateNone
Addiction RiskHighNoneNoneNone
ReversibleN/AYesYesYes
Covers Recovery WindowPartialPartial
Knee Replacement

Knee Pain Relief

Before & After Your Knee Replacement

Knee Pain Relief treatment

What to Expect

If you're preparing for a knee replacement — or recovering from one — iovera° cryotherapy can dramatically reduce your pain without opioids. A quick, in-office treatment uses gentle cold to calm the nerves around your knee, so you feel less pain before surgery and recover faster afterward.

45%
Fewer Opioid Prescriptions
Clinical study, Dasa et al. 2016
2X
Better Knee Function Scores
At 6 & 12 weeks after surgery
0.8 days
Shorter Hospital Stay
Plessl et al., JAAOS 2020
Up to 90 days
Pain Relief Duration
Fully reversible treatment
Who This Helps
  • Total Knee Replacement
  • Partial Knee Replacement
  • Knee Revision Surgery
  • Chronic Knee Pain (non-surgical)
Your Treatment Journey
1
Before Surgery

You receive the iovera° treatment 1–3 days before your knee replacement. It takes about 30 minutes and you stay awake and comfortable the whole time.

2
Day of Surgery

Because your nerves are already calmed, you need less anesthesia and wake up more comfortably in recovery.

3
After Surgery

You'll experience significantly less pain in the hospital, which means you can start moving sooner and go home earlier.

4
Recovery at Home

Pain relief continues for up to 90 days — the most critical window for physical therapy and getting your strength back.

Hip Replacement

Hip Pain Relief

Before & After Your Hip Replacement

Hip Pain Relief treatment

What to Expect

Hip replacement surgery is a major step toward getting your life back — and iovera° helps make the recovery smoother. A brief, in-office cryotherapy treatment before your surgery reduces pain signals around the hip, so you need fewer pain medications and can get moving again sooner.

0.8 days
Shorter Hospital Stay
Plessl et al., JAAOS 2020
Significant
Reduction in Post-Op Pain
Statistically significant vs. control
No Increase
In Complications
No added risk vs. standard care
Same Day
Discharge Possible
For eligible patients
Who This Helps
  • Total Hip Replacement
  • Hip Revision Surgery
  • Hip Resurfacing
  • Chronic Hip Pain (non-surgical)
Your Treatment Journey
1
Before Surgery

The iovera° treatment is performed 1–3 days before your hip replacement. It's an outpatient procedure — no hospital stay required — and takes about 30–45 minutes.

2
Day of Surgery

With pain signals already reduced, you need less anesthesia and experience a smoother recovery room experience.

3
After Surgery

Less pain means you can start walking and doing physical therapy sooner, which is key to a successful hip replacement outcome.

4
Going Home

Many patients are able to go home the same day or the next day. You'll have fewer opioid prescriptions to manage during recovery.

Shoulder Surgery

Shoulder Pain Relief

Before & After Rotator Cuff or Shoulder Replacement

Shoulder Pain Relief treatment

What to Expect

Shoulder surgery — whether it's a rotator cuff repair or a shoulder replacement — can be painful during recovery. iovera° cryotherapy calms the sensory nerves around your shoulder before surgery, reducing pain and helping you get more out of physical therapy during the weeks that matter most.

2X
Better Shoulder Function
SPADI scores at 6 & 12 weeks
2X
Improved Outcome Scores
ASES functional scores at follow-up
Reduced
Opioid Use After Surgery
Post-operative prescription reduction
Up to 90 days
Duration of Relief
Fully reversible treatment
Who This Helps
  • Rotator Cuff Repair
  • Total Shoulder Replacement
  • Reverse Shoulder Replacement
  • Shoulder Labrum Repair
  • Chronic Shoulder Pain
Your Treatment Journey
1
Before Surgery

The iovera° treatment is applied to the nerves around your shoulder 1–3 days before your procedure. It takes about 25–35 minutes in the office.

2
Day of Surgery

Pre-treated patients report less pain waking up from surgery and a more comfortable recovery room experience.

3
Early Recovery

Reduced pain in the first weeks after surgery means you can participate more fully in physical therapy — which directly impacts how well your shoulder heals.

4
Rehabilitation

Improved function scores at 6 and 12 weeks show that patients who received iovera° recover faster and with less reliance on pain medication.

Lateral Hip Pain

Bursitis & Hip Pain Relief

Non-Surgical Treatment for Outer Hip Pain

Bursitis & Hip Pain Relief treatment

What to Expect

If you have persistent pain on the outside of your hip — often called trochanteric bursitis or greater trochanteric pain syndrome — iovera° offers a drug-free, non-surgical option that lasts far longer than a steroid injection. A single in-office treatment can provide up to 90 days of relief.

Drug-Free
No Opioids or Steroids
Non-pharmacologic treatment
Up to 90 days
Pain Relief Duration
vs. weeks for steroid injections
No Side Effects
Localized, Reversible Treatment
No systemic effects
~20–30 min
In-Office Procedure
No recovery room needed
Who This Helps
  • Greater Trochanteric Pain Syndrome
  • Trochanteric Bursitis
  • Iliotibial Band Syndrome
  • Chronic Outer Hip Pain
  • Failed Steroid Injection
Your Treatment Journey
1
Consultation

Your provider will review your symptoms and confirm that iovera° is appropriate for your type of hip pain. Most patients with outer hip pain are good candidates.

2
The Treatment

The iovera° procedure takes about 20–30 minutes. You remain awake and comfortable throughout. There's no incision and no recovery room time needed.

3
After Treatment

Most patients notice pain relief within 24–48 hours. You can return to normal activities right away.

4
Ongoing Relief

Relief typically lasts up to 90 days. As the nerves naturally regenerate, the treatment can be repeated if needed.

Hospital Partners

Want the Full Protocol Packet?

Nerve maps, landmark guides, patient education materials, and billing codes — all included.

Clinical FAQ

Common Clinical Questions

Answers to the most common questions from surgical directors, orthopedic surgeons, and hospital administrators evaluating cryoneurolysis.

Ready to Add These Protocols
to Your Service Line?

Request the full protocol packet — including nerve maps, landmark guides, and patient education materials.

Precision OrthoCryo® — Target the Nerve. Control the Pain.®

A turnkey cryotherapy service line for post-operative pain control, delivered in partnership with leading hospital systems.

Target the Nerve. Control the Pain.®

Contact

[email protected]

(941) 321-2740

Medical Partnerships Division
Available Mon–Fri, 8am–4pm EST

© 2026 Precision OrthoCryo®. All rights reserved.

Precision OrthoCryo® services are provided in partnership with licensed healthcare facilities. All clinical protocols are administered by credentialed medical professionals. This website is intended for healthcare professionals and institutional partners only. Not intended as medical advice for patients.