Procedural pain assessment after spinal injections of corticosteroid
##plugins.themes.academic_pro.article.main##
Abstract
Background: Spinal injections of corticosteroid are commonly performed by rheumatologists in their daily practice but little is known about the frequency, the intensity and the management of procedural pain observed in these osteoarticular injections in daily practice.
Aim: To evaluate the prevalence and intensity of pain caused by spinal injections.
Methods: In this observational prospective study, data were collected over 6 months, for up to 44 procedures (corticosteroid spinal injection). Evaluation of the pain was evaluated immediately before and after the injection using Huskisson’s visual analogue scale (VAS). Statistical analysis was carried out in order to compare
patients who had suffered from pain whilst undergoing the procedure to those who had not.
Results: Data were analyzed for 17 patients (12 female, mean age 53.6 ± 10.5 years). Over 50% of patients experienced procedural pain. Significant predictive factors of genesis of the procedural pain were the young age (p=0.022) and the intensity of the initial pain (p < 0.001), while the existence of a co morbidity is rather a protective factor (p = 0.006). Others factors such us sex, origin, level of studies, socioeconomic conditions, didn’t seem to have of effect on the procedural pain.
Conclusion: Most patients undergoing spinal injections suffer from procedural pain. Specific research and guidelines for the management of procedural pain related to rheumatologic care should be established to improve the quality of care provided by physicians.
Aim: To evaluate the prevalence and intensity of pain caused by spinal injections.
Methods: In this observational prospective study, data were collected over 6 months, for up to 44 procedures (corticosteroid spinal injection). Evaluation of the pain was evaluated immediately before and after the injection using Huskisson’s visual analogue scale (VAS). Statistical analysis was carried out in order to compare
patients who had suffered from pain whilst undergoing the procedure to those who had not.
Results: Data were analyzed for 17 patients (12 female, mean age 53.6 ± 10.5 years). Over 50% of patients experienced procedural pain. Significant predictive factors of genesis of the procedural pain were the young age (p=0.022) and the intensity of the initial pain (p < 0.001), while the existence of a co morbidity is rather a protective factor (p = 0.006). Others factors such us sex, origin, level of studies, socioeconomic conditions, didn’t seem to have of effect on the procedural pain.
Conclusion: Most patients undergoing spinal injections suffer from procedural pain. Specific research and guidelines for the management of procedural pain related to rheumatologic care should be established to improve the quality of care provided by physicians.
Keywords:
Sciatica - epidural injection - corticosteroid - pain - visual analogue scale.,##plugins.themes.academic_pro.article.details##
References
- Couteaux A, Collin E. Douleurs induites par les soins : épidémiologie, retentissement, facteurs prédictifs. Doul et Analg 2008;21:126-38.
- Perrot S, Laroche F, Poncet C, Marie P, Payen-Champenois C. Are joint and soft tissue injections painful? Results of a national French cross-sectional study of procedural pain in rheumatological practice. BMC Musculoskelet Disord. 2010; 11:16.
- Perrot S, Squibb BM. IDALGIA, première étude sur les douleurs induites en rhumatologie. Impact Med 2007; 222:29.
- Sicauda, Gaudinb P. Enquête de satisfaction des patients en rhumatologie interventionnelle. Rev rhum 2009; 76 :1142.
- Ortiz M, Calvino S. Prise en charge des douleurs induites : évolutions récentes. Douleurs 2009;10:69-72.
- Cimerman P. Douleurs induites par les soins. Savoirs et soins infirmiers 2009; 60-615-M-10.
- Bannal, Cinquetti G, Sanmartin N et al. Auto-évaluation par questionnaire téléphonique de la pratique en rhumatologie interventionnelle : étude à propos de 35 patients. Rev Rhum 2009; 76:1143-4.
- Djennane S, Rozenberg C, Levy-Weil F. Infiltrations et musique du monde: une clé contre la douleur. Rev Rhum 2008;75:1142-3.
- Jaber S, Bahloul H, Guétin S et al. Effects of music therapy in intensive care unit without sedation in weaning patients versus non ventilated patients. Ann Fr Anesth Reanim 2007; 26:30-8.
- Guétin S, Coudeyre E, Picot MC et al. Effect of music therapy among hospitalized patients with chronic low back pain: a controlled, randomized trial. Ann Readapt Med Phys 2005; 48:217-24.
- Carbajal R, Biran V, Lenclen R et al. EMLA cream and nitrous oxide to alleviate pain induced by palivizumab (Synagis) intramuscular injections in infants and young children. Pediatrics 2008; 12:1591-8.