To compare the benefit of giving local anaesthesia Vs no anaesthesia prior to joint injection in arthritis patients and to see the pain difference between the two procedures
Phase 4
Completed
- Conditions
- Health Condition 1: M059- Rheumatoid arthritis with rheumatoid factor, unspecifiedHealth Condition 2: M469- Unspecified inflammatory spondylopathy
- Registration Number
- CTRI/2021/07/034777
- Lead Sponsor
- Postgraduate Institute Of Medical Education And Research Chandigarh
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- Not specified
- Target Recruitment
- 42
Inclusion Criteria
Age > 21yrs
Diagnosed case of Rheumatoid arthritis or Spondyloarthritis (as per criteria below) planned with bilateral symmetrical joint effusion ââ?¬â?? either both knees or both ankles or both wrists or both elbows planned for IA injection by treating physician
Exclusion Criteria
Patient refusal to participate in study
Allergy to lidocaine or LA preparation used
Damaged skin or signs of infection at proposed site
Coagulopathy
Inability to assess pain scores associated with the procedure
Non symmetrical joint involvement
Joint Prosthesis
Intra-articular fracture
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method To compare the immediate procedural pain experienced by the patient using Numerical Rating Scale and Faces Pain scale combined, between the joint given LA and the other one not given LA for intra-articular injection.Timepoint: To compare the immediate procedural pain experienced by the patient using Numerical Rating Scale and Faces Pain scale combined, between the joint given LA and the other one not given LA for intra-articular injection. <br/ ><br> <br/ ><br>Baseline: Just prior intervention <br/ ><br> <br/ ><br>1hr post intervention <br/ ><br> <br/ ><br>Follow up assessment at 1 month
- Secondary Outcome Measures
Name Time Method Assess ocal side effects of injection and residual site pain and patient preferenceTimepoint: 1 month;To assess preference of which injection for future procedure1 hr after procedure and 1month post procedure: <br/ ><br>A)Preference of which procedure for future use <br/ ><br>B)Strength of liking of which procedure in terms of strong, medium and weak.Timepoint: 1 hour, 1 month;To compare the pain experienced by patient using Numerical Rating Scale and Faces pain scale combined at 1hr after procedure between the joint given LA and the other one not given LA for intra-articular injection..Timepoint: 1 hour, 1 month