Hip fractures are a very common and painful injury. In addition, these patients are at high risk for delirium. Thus, opioid-free pain management strategies are crucial. The authors randomized 85 patients to receive a fascia iliaca block or not based on a pseudo-random technique (chart number). Outcomes included the visual analogue scale, day 3 walking distance, and 72 hour cumulative walking distance, as well as length of stay. Though patients with a block trended towards performing better in all of the above outcome domains, none were statistically significant.