Carpal Tunnel Syndrome, Hand Osteoarthritis, Trigger Finger
Conditions
Brief summary
The purpose of this study was to determine whether adding Lidocaine to Corticosteroid injections reduce pain intensity in hand surgery.
Detailed description
There is a lack of evidence about the use of lidocaine injection as an addition to steroids against pain during injections. Adding lidocaine adds to the volume of the injection, which might increase pain. It's possible that injecting cortisone without any lidocaine would be more comfortable than with lidocaine. The aim of this randomized controlled trial is to assess the difference in pain intensity (during the injection and 4 hours later) between patients receiving a corticosteroid injection with or without lidocaine in patients with a hand condition. Secondarily, the aim of this study is to assess factors independently associated with pain intensity, satisfaction with the visit, and perceived empathy.
Interventions
DRUGLidocaine
The group with the lidocaine will get a combined injection with a corticosteroid and lidocaine. The dosages depend on the disease.
DRUGCorticoids
The group without the lidocaine will get an injection with only corticosteroids. The corticosteroid dosage depends on the disease and will be the same as for the group with the lidocaine:
Sponsors
University of Texas at Austin
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Caregiver)
Masking description
To make this a double-blind study, the medical assistant will put a piece of tape around the syringe to cover up the volume.
Intervention model description
Patients will be randomized in two groups for the corticosteroid injection, one group with lidocaine and one group without lidocaine.
Eligibility
Sex/Gender
ALL
Age
18 Years to 89 Years
Healthy volunteers
Yes
Inclusion criteria
* All patients offered a steroid injection in a hand surgeon's office * Aged 18-89 years * English speaking patients * Able to provide informed consent
Exclusion criteria
* Non-English/Spanish speakers
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain intensity during injection | During Injection | 11-point ordinal scale, with 0 for no pain at all and 10 for worst pain ever |
| Pain Catastrophizing Scale (PCS 4) | through study completion, an average of 6 weeks | A 4 item questionnaire with a range of 0(no pain catastrophizing thoughts) to 16(maximum pain catastrophizing thoughts) |
| Patient Health Questionnaire (PHQ 2) | through study completion, an average of 6 weeks | a 2 item questionnaire measuring depression symptoms with a range of 0(no depression symptoms 0 to 6(maximum depression symptoms) |
| Pain Self-efficacy Questionnaire (PSEQ 2) | through study completion, an average of 6 weeks | A measure of effective coping strategies with a range of 0(no coping strategy) to 12(maximum coping strategies) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pain intensity 4 hours after injection | 4 hours after injection | 11-point ordinal scale, with 0 for no pain at all and 10 for worst pain ever |
| Pain intensity 5 minutes after injection | 5 minutes after injection | 11-point ordinal scale, with 0 for no pain at all and 10 for worst pain ever |
Other
| Measure | Time frame | Description |
|---|---|---|
| Jefferson scale of patient perception of physician empathy | through study completion, an average of 6 weeks | a 5 item questionnaire of patient's perceived empathy with a range of 5(minimum perceived empathy) to 35( maximum perceived empathy) |
Countries
United States
Outcome results
None listed