Skip to content

Cold spray before local anaesthetic injection reduces pain in patients undergoing percutaneous needle aponeurotomy for Dupuytren’s disease

Adults undergoing percutaneous needle aponeurotomy for Dupuytren’s disease randomised to vapocoolant spray prior to local anaesthetic infiltration versus no spray: a single-centre, single-blind randomised controlled trial measuring injection pain

Status
Recruiting
Phases
Unknown
Study type
Interventional
Source
ISRCTN
Registry ID
ISRCTN71616121
Enrollment
200
Registered
2025-09-18
Start date
2024-10-02
Completion date
Unknown
Last updated
2025-09-29

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Dupuytren’s disease Musculoskeletal Diseases

Interventions

Vapocoolant spray group: Application of commercially available menthol-based vapocoolant spray (Mentholatum Ice Spray, Australia) for 5 seconds at a distance of 10 cm to the injection site, immediatel
allocation concealed. Patients and the injecting surgeon are blinded until the moment of spray application.

Sponsors

Peninsula Health
Lead Sponsor

Eligibility

Sex/Gender
Male

Inclusion criteria

Inclusion criteria: 1. Adults aged =18 years undergoing PNA for Dupuytren’s disease 2. Disease affecting a single hand with one or more involved rays 3. Able to provide informed consent

Exclusion criteria

Exclusion criteria: 1. Known allergy or hypersensitivity to lignocaine 2. Prior sensory deficit or paraesthesia in the affected hand 3. Cognitive impairment affecting reliable pain assessment 4. Inability to provide informed consent

Design outcomes

Primary

MeasureTime frame
Injection pain measured using a 10-point Visual Analogue Scale (VAS) immediately after the first local anaesthetic infiltration

Secondary

MeasureTime frame
1. Immediate adverse events (allergic reactions, vasovagal response, unusual sensations) recorded at the time of infiltration 2. Perioperative complications (infection, bleeding, neurovascular injury) recorded during and after PNA 3. Correlation between injection pain and patient demographic variables (age, sex, comorbidities) and disease severity (Tubiana grade) using Spearman’s correlation coefficients

Countries

Australia

Contacts

Public ContactIshith Seth
ishithseth1@gmail.com+61 (0)397847777

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 4, 2026