©2022 Stanford Medicine
Cutaneous Administration of Local Anesthetic for Spine Injection Procedures
Not Recruiting
Trial ID: NCT00756301
Purpose
Interventional spine procedures are an increasingly popular means of diagnosis and treatment
of spine disease. By convention, local anesthetics are used at the beginning of these
procedures with the goal of minimizing pain. However, the infiltration of the local
anesthetic is painful. This initial painful stimulus can heighten pain awareness and cause
anxiety or excessive movement during the procedure.
The purpose of this study is to determine patient discomfort with administration of cutaneous
local anesthetic prior to interventional spine procedures compared to no anesthetic
administration for different gauge procedural needles. Another purpose is to determine
patient discomfort with administration of local anesthetic by traditional technique compared
to an alternative technique and to develop a standardized technique and criteria for local
anesthetic administration during spine injection procedures that minimizes patient pain, and
may help reduce the overall risk of these procedures.
We plan to enroll a total of 200-300 subjects coming to Stanford for symmetric bilateral
single injections.
Official Title
Cutaneous Administration of Local Anesthetic for Spine Injection Procedures: A Prospective Randomized Controlled Trial of Patient Preferred Method
Eligibility
Inclusion Criteria:1. Any patients referred by their treating physician for symmetric
bilateral single injections (for example, bilateral transforaminal epidural injections,
bilateral facet injections, or bilateral SI joint injections, etc.).
2.Ability to give informed consent. Exclusion Criteria:1.Pregnancy 2.Coagulopathy
3.Systemic infection 4.Allergy to contrast dye 5.Mentally disabled or those whom are unable
to give informed consent 6.Those whom are unable to give informed consent in English
7.Prisoner
Intervention(s):
other: Lidocaine local anesthesia- Alternative
Not Recruiting
Contact Information
Stanford University
School of Medicine
300 Pasteur Drive
Stanford,
CA
94305
Matthew Smuck
6507217627