Pre-injection local anesthesia does not affect experienced pain in intra-articular hip injections.

IF 2 Q2 ORTHOPEDICS

World Journal of Orthopedics Pub Date : 2025-02-18 DOI:10.5312/wjo.v16.i2.101197

Assaf Albagli, Ehud Rath, Ido Druckmann, Ben Efrima, Efi Kazum, Nata Parnes, Alexis B Sandler, John Tyler, Eyal Amar

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引用次数: 0

Abstract

Background: Intra-articular hip injections (IAHIs) are commonly used for diagnostic and therapeutic purposes but are often associated with patient anxiety and fear. The disparity between anticipated and experienced pain during IAHIs and the role of pre-injection local anesthesia in pain modulation remains unclear.

Aim: To investigate the difference between anticipated and experienced pain during IAHIs and the impact of pre-injection local anesthesia.

Methods: This prospective study enrolled 60 patients undergoing IAHI, 30 receiving pre-injection superficial local anesthesia and 30 serving as a control group without pre-injection local anesthesia. Pain levels were assessed using numeric rating scales.

Results: Patients significantly overestimated anticipated pain compared to experienced pain (6.43 ± 2.48 vs 3.68 ± 2.37, P < 0.001). Pre-injection local anesthesia did not significantly reduce experienced pain (3.19 ± 2.38 vs 4.20 ± 2.29, P = 0.130).

Conclusion: Patients overestimate anticipated pain during IAHIs. Pre-injection local anesthesia does not reduce experienced pain.

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注射前局部麻醉对髋关节关节内注射的疼痛无影响。

背景：关节内髋关节注射（IAHIs）通常用于诊断和治疗目的，但通常与患者焦虑和恐惧有关。在IAHIs中预期和经历的疼痛之间的差异以及注射前局部麻醉在疼痛调节中的作用尚不清楚。目的：探讨注射前局部麻醉对IAHIs患者预期疼痛和实际疼痛的影响。方法：本前瞻性研究纳入60例IAHI患者，30例接受注射前浅表局部麻醉，30例作为未注射前局部麻醉的对照组。疼痛程度采用数字评定量表进行评估。结果：与实际疼痛相比，患者明显高估了预期疼痛（6.43±2.48 vs 3.68±2.37,P 0.001）。注射前局麻未显著减轻疼痛（3.19±2.38 vs 4.20±2.29,P = 0.130）。结论：患者高估了预期疼痛。注射前局部麻醉不能减轻疼痛。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

World Journal of Orthopedics ORTHOPEDICS-

CiteScore

3.10

自引率

0.00%

发文量

814