Clinical trial Recruiting at 1 site Interventional Ages 18 and up

Standardized breathing control during rheumatological injections

Official title: The Value of Standardized Respiratory Rate Monitoring Exercises During Rheumatological Infiltration Procedures - A Single-blind, Randomized, Controlled Non-inferiority Study

Run by Centre Hospitalier Metropole Savoie · NCT07172984 · Data updated 2026-11-12

This trial will try whether a 5-minute guided breathing exercise can reduce pain and anxiety during ultrasound-guided joint or periarticular injections for people having rheumatological injections, compared with local lidocaine anesthesia.

Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment136 (estimated)
SponsorCentre Hospitalier Metropole Savoie
Academic / other
Locations1 site (Chambéry)
StatusRecruiting
StartedSeptember 19, 2025
Main results expectedSeptember 20, 2028
Study endsSeptember 20, 2028
Registry record updatedOctober 7, 2026
Trial IDNCT07172984 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults scheduled for therapeutic ultrasound-guided joint or periarticular injections who can give informed consent and follow breathing instructions are the ideal candidates.

Probably not a fit

Patients having injections in sites with insufficient joint volume (for example fingers or toes), those allergic to the anesthetic, pregnant women, or people unable to perform paced breathing may not receive benefit from the breathing approach.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This is a randomized, single-blind, single-center non-inferiority trial comparing two approaches to managing pain and anxiety during therapeutic ultrasound-guided joint or periarticular injections. One group receives 5 cc of lidocaine before the injection plus sham breathing instructions, while the other group performs a 5-minute paced breathing exercise and receives saline instead of lidocaine. Continuous heart rate recording with the EmWave PRO device will measure cardiorespiratory variability and a cardiac coherence score during the procedure. Pain, anxiety, and patient satisfaction will be measured after infiltration using EVA scales.

Why it matters

Potential benefit: If successful, guided breathing could offer a low-cost, drug-free way to reduce pain and anxiety during joint injections and reduce reliance on local anesthetic.

How similar studies have gone: Some prior work shows paced breathing and cardiac coherence can reduce pain and anxiety in medical settings, but substituting breathing for local anesthesia in joint injections is relatively novel and not well established.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Patient scheduled to undergo therapeutic ultrasound-guided joint or periarticular injection.
* Patient able to sign an informed consent form to participate in the study

Exclusion Criteria:

* Patient able to sign an informed consent form to participate in the study - - Allergy to the injection product or anesthetic.
* Injection not allowing the use of a local anesthetic due to insufficient joint volume (e.g., fingers/toes).
* Epidural injection via the sacrococcygeal hiatus.
* Pregnant women

Where it's running

  • Centre Hospitalier Métropole Savoie
    Chambéry, France
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.