Vibration Anesthesia for Pain Reduction During Intralesional Steroid Injection for Keloid Treatment

2017 ◽  
Vol 43 (5) ◽  
pp. 724-727 ◽  
Author(s):  
Kui Young Park ◽  
Yohan Lee ◽  
Ji Yeon Hong ◽  
Won Soon Chung ◽  
Myeung Nam Kim ◽  
...  
2021 ◽  
pp. 5-7
Author(s):  
Jitendra Kumar Aloria ◽  
Dinesh Kumar Bairwa ◽  
Vishnu prasad ◽  
Rajesh Goel

Introduction: Ganglions contain transilluminant growths that seem to be tight, smooth, and cystic. They are by far the most frequent soft tissue swelling of the hand, with the dorsum of the wrist being the most prevalent location. Ganglion management options currently include aspiration, loop suture, and surgery. Some supported aspiration combined with steroid injection and loop suture method into the cyst to improve therapeutic outcomes. Objectives: To assess discomfort alleviation, visual results, and recurrence rate in ganglion therapy utilizing aspiration, intralesional steroids (triamcinolone acetate) administration, loop suture approach, versus surgical resection. Material and Methods: -In this prospective and observational study, 50 participants were categorized into 3 groups and managed at GMC Kota during March 2019 and December 2020. Aspiration followed by intralesional steroid (triamcinolone acetate) injection was given to Group A (89 participants), loop suture method was given to Group B (55 patients), and surgical excision was given to Group C (16 patients). Patients were monitored on for up to a year after therapy at one, three, and six months. Results: Out of 89 patients in group A, 88 (98.76%) had pain alleviation, no scars, and just four (4.49%) had recurrence, which was handled by repeating the treatment. Out of 55 patients in group B, 52 (94.55 percent) experienced pain reduction, while three (5.45%) experienced recurrence. In group C, out of 16 patients, 14 (87.5%) experienced pain reduction, while 16 (100%) experienced linear scarring with recurrence (6.25 percent). Patients in group Aexperienced recurrence, which was treated with intralesional steroid.


2021 ◽  
Vol 104 (11) ◽  
pp. 1752-1757

Objective: To evaluate if pre-treatment skin cooling can reduce the pain during steroid injection. Materials and Methods: A randomized cross-over study was conducted between September 2015 and October 2016. This study received ethical approval ID035904 No. MURA2016/152. Forty-four subjects with keloid that needed intralesional steroid injection were divided into three pretreatment groups, no treatment, skin cooling with ice pack, and skin applying with a mixture of lidocaine 2.5% and prilocaine 2.5% (EMLA®), in random order. Pain intensity was measured by using 100-mm visual analogue scale (VAS). The satisfaction levels were assessed with orderly interval rating scale from 1 to 5. Repeated-measure analysis of variance (ANOVA) and Bonferroni pairwise comparison were used for data analyses. Results: The mean VAS score at the time of needle puncturing into the skin and during steroid infiltration was statistically significant lower in skin cooling compared to no treatment group (p<0.001) and EMLA group (p<0.05). The satisfaction level was also statistically significant higher in skin cooling compared to no treatment group (p<0.001) and EMLA group (p<0.001). Thirty-seven patients (84%) selected skin cooling method as the most favorable pre-anesthetic method for intralesional steroid injection. Conclusion: Skin cooling with ice before intralesional steroid injection of keloid effectively reduces pain and patients are also satisfied. Keyword: Keloid, Corticosteroid, Pre-treatment, pain, skin cooling


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