Comparison of Distraction Methods for Pain Relief of Trigger Finger Injection
Overview
- Phase
- Phase 1
- Intervention
- Ethyl chloride spray
- Conditions
- Trigger Finger
- Sponsor
- NYU Langone Health
- Locations
- 1
- Primary Endpoint
- Change in Visual Analog Scale (VAS) Score
- Status
- Withdrawn
- Last Updated
- 6 years ago
Overview
Brief Summary
The purpose of this study is to evaluate the best distraction mechanism during trigger finger injection in the outpatient setting. Temporary discomfort from the needle prick is highly feared by patients and is often accompanied by significant acute pain and distress during routine corticosteroid injection in the orthopedic outpatient setting. This study aims to examine 4 different distraction methods and their efficacy in reducing perceived pain, which will be evaluate using the VAS (visual analog pain score.) The three distraction methods will be ethyl chloride spray, adjacent pinch, ethyl chloride spray and pinch, and "screen" or looking away method.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Diagnosis of Trigger Finger
Exclusion Criteria
- •Allergies to lidocaine, betamethasone, infection, pregnancy, 3 prior injection to the digit
Arms & Interventions
First Group
Skin cooling with ethyl chloride spray will be used for 5 seconds prior to injection
Intervention: Ethyl chloride spray
Second Group
The skin between the distal palmar crease and the palmo-digital crease and the palmo-digital crease will be pinched for 5 seconds prior to injection
Intervention: Pinching
Third Group
Skin cooling with ethyl chloride spray will be used for 5 seconds prior to injection as well as a second pinch to the skin between the distal palmar crease and the palmo digital crease
Intervention: Ethyl chloride spray
Third Group
Skin cooling with ethyl chloride spray will be used for 5 seconds prior to injection as well as a second pinch to the skin between the distal palmar crease and the palmo digital crease
Intervention: Pinching
Fourth Group
Subjects will sit behind a screen with a small opening large enough to introduce the injection hand. They will not see any of the procedure.
Intervention: No Site of Procedure
Outcomes
Primary Outcomes
Change in Visual Analog Scale (VAS) Score
Time Frame: 1 Minute, 24 Hours
A 10-cm scale will be shown to the patients, and they will be asked to choose the proper number, with 1 representing no pain and 10 symbolizing the most pain imaginable