Vibration or cool-spray to reduce pain from steroid injections in the hand and wrist

Is this trial a fit for you?

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

What this trial studies

Adults who are already scheduled for bilateral corticosteroid injections in the upper extremities receive two injections—one in each arm—during a single visit and report pain after each injection. The type of local anesthesia for each injection is randomly assigned so each participant receives two of three options: no anesthesia, vibration with the DigiVibe device, or a vapocoolant spray, with some combinations pairing vibration and spray. The DigiVibe device is applied to the skin at the injection site while the injection is given, and participants rate pain using a numeric pain rating scale after each injection. Pain scores for the different anesthesia methods are compared to determine which approach is associated with the least injection pain.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Any patient of the Principal Investigator who has clinically diagnosed bilateral arthritis, tendinopathy, arthropathy, or compression neuropathy of the hand, wrist, or elbow where treatment with corticosteroid injection is indicated.
* Participants who voluntarily consent to participate in the study and sign consent forms.
* Participants who complete all numeric pain rating scales
* Patients aged ≥ 18 years old

Exclusion Criteria:

* Participants who opt out of the study or withdraw consent
* Participants who are determined to be without capacity to consent to study participation or injection procedure by principal investigator
* Participants with inability to complete numeric pain rating scales
* Participants with known allergies to triamcinolone acetonide, lidocaine, or bupivicaine
* Participants without clinically diagnosed bilateral arthritis, tendinopathy, arthropathy, or compression neuropathy of the hand, wrist, or elbow.
* Participants where treatment with corticosteroid injection is not indicated bilaterally.
* Patients ≤ 18 years old

Where it's running

• University of Texas Medical Branch
  Galveston, Texas, United States Recruiting

Study contacts

• Study coordinator: John Faillace, MD,FAAOS
• Email: jofailla@utmb.edu
• Phone: 409-772-1011

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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.