ClinicalTrials.gg
CompletedNCT06188221Updated Jan 3, 2024

Does Adding Lidocaine to Corticosteroid Injections Reduce Pain Intensity in Hand Surgery

An interventional study of Lidocaine and Corticoids in Hand Osteoarthritis, Trigger Finger and Carpal Tunnel Syndrome, sponsored by University of Texas at Austin. Completed at 1 site in United States. Open to participants aged 18 Years to 89 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-01-03.

Sponsored by University of Texas at Austin · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
40
Allocation
Randomized
Ages
18 Years to 89 Years
Sex
All
01

Study summary

The purpose of this study was to determine whether adding Lidocaine to Corticosteroid injections reduce pain intensity in hand surgery.

Read the detailed description

There is a lack of evidence about the use of lidocaine injection as an addition to steroids against pain during injections. Adding lidocaine adds to the volume of the injection, which might increase pain. It's possible that injecting cortisone without any lidocaine would be more comfortable than with lidocaine.

The aim of this randomized controlled trial is to assess the difference in pain intensity (during the injection and 4 hours later) between patients receiving a corticosteroid injection with or without lidocaine in patients with a hand condition. Secondarily, the aim of this study is to assess factors independently associated with pain intensity, satisfaction with the visit, and perceived empathy.

02

Conditions studied

  • Hand Osteoarthritis
  • Trigger Finger
  • Carpal Tunnel Syndrome
03

In context

Trigger Finger Disorder

93 studies on the registry are indexed under Trigger Finger Disorder; 22 are open to participants now.

This study's enrollment of 40 is below the median of 66 across 75 interventional studies indexed under Trigger Finger Disorder.

Browse Trigger Finger Disorder studies →

Lead sponsor

University of Texas at Austin is the lead sponsor of 328 studies on the registry; 79 are open to participants now.

Of its 10 completed or terminated interventional studies of FDA-regulated products, 5 (50%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 89 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • All patients offered a injection in a hand surgeon's office
  • Aged 18-89 years
  • English speaking patients
  • Able to provide

Exclusion criteria

Exclusion criteria:

  • Non-English/Spanish speakers
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Care provider)
Enrollment
40 participants (actual)

Study arms

  • Experimental
    Corticosteroid with Lidocaine

    The group with the lidocaine will get a combined injection with a steroid and lidocaine. The dosages depend on the disease. The steroid dosage will be the same as for the group without lidocaine. * Trigger finger/De Quervain's tenosynovitis/Tendonitis: 20mg kenalog (0.5mL of kenalog 40mg/mL suspension) + 5mg lidocaine (0,5mL 10mg/mL lidocaine solution) * Carpal tunnel injections: 6mg betamethasone (1mL of betamethasone 6mg/mL suspension) + 20mg lidocaine (2mL 10mg/mL lidocaine solution) * CMC/Basal joint arthritis: 3mg betamethasone (0.5mL of betamethasone 6mg/mL suspension) + 5mg lidocaine (0,5mL 10mg/mL lidocaine solution)

    Drug: Lidocaine · Drug: Corticoids

  • Active comparator
    Corticosteroid without Lidocaine

    The group without the lidocaine will get an injection with only steroids. The steroid dosage depends on the disease and will be the same as for the group with the lidocaine: * Trigger finger/De Quervain's tenosynovitis/Tendonitis: 20mg kenalog (0,5mL of kenalog 40mg/mL suspension) * Carpal tunnel injections: 6mg betamethasone (1mL of betamethasone 6mg/mL suspension) * CMC/Basal joint arthritis: 3mg betamethasone (0,5mL of betamethasone 6mg/mL suspension)

    Drug: Corticoids

Interventions

  • The group with the lidocaine will get a combined injection with a corticosteroid and lidocaine. The dosages depend on the disease.

  • DrugCorticoids

    The group without the lidocaine will get an injection with only corticosteroids. The corticosteroid dosage depends on the disease and will be the same as for the group with the lidocaine:

06

What researchers measure

Primary outcomes

  1. Pain intensity during injection

    11-point ordinal scale, with 0 for no pain at all and 10 for worst pain ever

    Time frame: During Injection

  2. Pain Catastrophizing Scale (PCS 4)

    A 4 item questionnaire with a range of 0(no pain catastrophizing thoughts) to 16(maximum pain catastrophizing thoughts)

    Time frame: through study completion, an average of 6 weeks

  3. Patient Health Questionnaire (PHQ 2)

    a 2 item questionnaire measuring depression symptoms with a range of 0(no depression symptoms 0 to 6(maximum depression symptoms)

    Time frame: through study completion, an average of 6 weeks

  4. Pain Self-efficacy Questionnaire (PSEQ 2)

    A measure of effective coping strategies with a range of 0(no coping strategy) to 12(maximum coping strategies)

    Time frame: through study completion, an average of 6 weeks

Secondary outcomes

  1. Pain intensity 4 hours after injection

    11-point ordinal scale, with 0 for no pain at all and 10 for worst pain ever

    Time frame: 4 hours after injection

  2. Pain intensity 5 minutes after injection

    11-point ordinal scale, with 0 for no pain at all and 10 for worst pain ever

    Time frame: 5 minutes after injection

Other outcomes

  1. Jefferson scale of patient perception of physician empathy

    a 5 item questionnaire of patient's perceived empathy with a range of 5(minimum perceived empathy) to 35( maximum perceived empathy)

    Time frame: through study completion, an average of 6 weeks

07

Study locations

1 site
  • University of Texas Health Austin (UTHA)
    Austin, Texas 78701, United States
08

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Feb 2020 to primary completion in Jul 2023, 41 months.

Of 34 interventional studies with no phase under Trigger Finger Disorder, half reached primary completion within 21 months of starting (the median), counting those still running; a quarter within 7 and three quarters within 41. This study's 41 months is above that.

How these figures are worked out, and which studies are left out of them.

Registered
Jul 8, 2019
First posted
Jan 3, 2024
StartActual
Feb 1, 2020
Primary completionActual
Jul 1, 2023
CompletionActual
Jul 1, 2023
Last update
Jan 3, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jan 3, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06188221
Responsible party
David Ring (David Ring, MD, PhD Associate Dean for Comprehensive Care, Professor of Surgery and Psychiatry, University of Texas at Austin) — Principal investigator
First posted
Jan 3, 2024
Start date
Feb 1, 2020
Primary completion
Jul 1, 2023
Completion
Jul 1, 2023
Last update
Jan 3, 2024

Study contacts

David Ring, MD, PhD
principal investigator · UT Health Austin

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Dec 2023. You cannot join it, but the record below documents what was studied.

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Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

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Studies of the drug tested here: Lidocaine

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