Pain With Trigger Finger Injection: A Comparison of Steroid Alone Versus Steroid/Lidocaine Mixture

Kenneth Taylor, M.D.

Status and phase: Terminated; Phase 4

Conditions: Trigger Finger Disorder

Treatments: Drug: Xylocaine; Drug: Sodium Chloride; Drug: Dexamethasone Sodium Phosphate

Study type: Interventional

Funder types: Other

Identifiers

NCT02421419

IRB - 001858

Details and patient eligibility

About

This research is being done to compare pain relief and efficacy of trigger finger injection using a combination of lidocaine/corticosteroid versus corticosteroid injection alone versus corticosteroid/saline combination.

Full description

This is a prospective, randomized study comparing pain relief and efficacy of trigger finger injection using a combination of lidocaine/corticosteroid versus corticosteroid injection alone versus corticosteroid/saline combination.

Enrollment: 26 patients

Sex: All

Ages: 18 to 90 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age 18-90
• Male or female (non-pregnant)
• Clinically diagnosed trigger digit
• Subject is able to provide voluntary, written informed consent
• Subject, in the opinion of the clinical investigator, is able to understand the clinical investigation and is willing to perform all study procedures and follow-up visits.

Exclusion criteria

• Age <18 or >90
• Pregnant or lactating women
• Non-English speaking individuals
• Medication contradictions to lidocaine, corticosteroids and/or saline
• Prior injection or surgery on the affected finger
• Diagnosis of reflex symptomatic dystrophy (RSD) or complex regional pain syndrome (CRPS)
• Open wound

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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26 participants in 3 patient groups

Corticosteroid alone (CS) Group

Active Comparator group

Description:

1 cc dexamethasone sodium phosphate (4mg/ml) injectable

Treatment:

Drug: Dexamethasone Sodium Phosphate

Corticosteroid/Lidocaine (CSL) Group

Active Comparator group

Description:

1 cc dexamethasone sodium phosphate (4 mg/ml) injectable and 1 cc 1% Xylocaine (lidocaine) injectable

Treatment:

Drug: Dexamethasone Sodium Phosphate

Drug: Xylocaine

Corticosteroid/Saline (CSS) Group

Active Comparator group

Description:

1 cc dexamethasone sodium phosphate (4mg/ml) injectable and 1 cc 0.9% injectable Sodium Chloride (saline)

Treatment:

Drug: Sodium Chloride

Drug: Dexamethasone Sodium Phosphate