Trigger Finger Corticosteroid Injection With and Without Local Anesthetic
- Conditions
- Trigger Finger
- Interventions
- Drug: Corticosteroid with lidocaine with epinephrineDrug: Corticosteroid with normal saline
- Registration Number
- NCT04023695
- Lead Sponsor
- Vanderbilt University Medical Center
- Brief Summary
Steroid injection is the first line treatment for trigger finger. Steroid injection is sometimes mixed with a local anesthetic.
- Detailed Description
The treatment of trigger finger involves an injection of corticosteroid. Corticosteroid treats the underlying inflammatory pathology. Some surgeons add lidocaine with epinephrine as a local anesthetic with the injection. Lidocaine with epinephrine is associated with a burning sensation and may be the primary pain associated with the injection. We hypothesize that a corticosteroid injection without lidocaine with epinephrine will be less painful, and equally effective in treating trigger finger
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 110
- At least 18 years old with trigger finger
- Preference for open trigger finger release
- Not a candidate for corticosteroid injection
- Contraindication to lidocaine with epinephrine
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Corticosteroid with lidocaine with epinephrine Corticosteroid with lidocaine with epinephrine This arm includes an injection mixture of corticosteroid and lidocaine with epinephrine Corticosteroid with normal saline Corticosteroid with normal saline This arm includes a mixture of corticosteroid and normal saline. The purpose of normal saline is the keep the volume and concentration similar when compared to the injections containing lidocaine.
- Primary Outcome Measures
Name Time Method Pain Outcome: Visual Analog Scale Assessed after 24 hours after injection (by phone) Assessed using the visual analog scale (0-10 scale). Zero indicates no pain, 10 indicates worst pain ever
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (1)
Vanderbilt University Medical Center
🇺🇸Nashville, Tennessee, United States