scholarly journals INTRALESIONAL STEROID INJECTION AND GOLFER’S ELBOW: A PROSPECTIVE STUDY

2015 ◽  
Vol 4 (74) ◽  
pp. 12880-12883
Author(s):  
Maruthi C V ◽  
Shivanna Shivanna
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


2016 ◽  
Vol 17 (3) ◽  
pp. 405 ◽  
Author(s):  
Suyoung Kim ◽  
Joon-Ho Shin ◽  
Joon Woo Lee ◽  
Heung Sik Kang ◽  
Guen Young Lee ◽  
...  

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