Predictors of Pain During and the Day After Corticosteroid Injection for Idiopathic Trigger Finger

Julka, Abhishek; Vranceanu, Ana‐Maria; Shah, Apurva S.; Peters, Frank T.; Ring, David

doi:10.1016/j.jhsa.2011.10.055

Cited by 26 publications

(19 citation statements)

References 22 publications

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“…However, in the setting of hand and upper extremity surgery, biopsychosocial factors may ubiquitously influence outcomes following surgical and nonsurgical treatments. 14,15 Therefore, elucidating whether these factors influence outcomes as measured with the PROMIS PF and UE CATs is clinically important.…”

Section: Introductionmentioning

confidence: 99%

Association of Physical Function, Anxiety, and Pain Interference in Nonshoulder Upper Extremity Patients Using the PROMIS Platform

Kazmers

Hung

Rane

et al. 2017

The Journal of Hand Surgery

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Purpose The relationship between psychosocial factors and self-reported physical function among hand and upper extremity patients is complex. The Patient-Reported Outcomes Measurement Information System (PROMIS) platform has attempted to create a variety of specifically-targeted metrics which can be administered using computer adaptive testing (CAT). Three metrics measuring self-reported physical function (herein referred to in combination as “functional” metrics) include the PROMIS Physical Function (PF) CAT, PROMIS Upper Extremity (UE) CAT, and the quick-Dash (qDASH). Two metrics assessing psychosocial factors include the PROMIS Anxiety and Pain Interference (PI) CATs (“non-functional” metrics). This study evaluates whether the functional metrics were correlated with non-functional metrics. Methods The five questionnaires were administered prospectively on a tablet computer to all consecutive adult patients presenting to outpatient hand and upper extremity (non-shoulder) clinic at a tertiary academic medical center from 1/1/2014 – 11/1/2014. For patients with multiple visits during the study period, only the first was included. Data were evaluated retrospectively to assess the relationship between functional and non-functional measures, with Pearson correlation coefficients to understand the relationship between continuous variables, and one-way ANOVAs to examine for differences in outcome measures across demographic groups. Multivariable linear regression analyses were performed to determine factors predicting functional disability. Results We included 1299 patients: mean age was 46.8 years, 53% were female, and 23% were unemployed or on disability. The PROMIS PF CAT, PROMIS UE CAT, and qDASH scores were all significantly correlated with PROMIS Anxiety CAT (Pearson correlation coefficients −0.46, −0.48, and 0.53, respectively) and PROMIS PI CAT (−0.60, −0.65, and 0.76, respectively) scores. Multivariable regression analyses demonstrated that increased PROMIS Anxiety and Pain Interference CAT scores each independently and adversely influenced PROMIS PF CAT, PROMIS UE CAT, and qDASH scores. Conclusions Increasing levels of patient anxiety and pain interference are independently associated with decreased patient-reported upper extremity function. Clinical Relevance Statement This study provides further support of the biopsychosocial model by highlighting that increased anxiety is associated with decreased self-reported function using the PROMIS platform.

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Section: Introductionmentioning

confidence: 99%

Association of Physical Function, Anxiety, and Pain Interference in Nonshoulder Upper Extremity Patients Using the PROMIS Platform

Kazmers

Hung

Rane

et al. 2017

The Journal of Hand Surgery

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“…[1][2][3] Specifically, catastrophic thinking (and its counterpart, self-efficacy), kinesiophobia, heightened illness concern, and symptoms of depression are strong correlates of pain intensity and magnitude of disability. [4][5][6] Good health is not having a certain type of body. Good health is being able to depend on the body you have.…”

Section: Introductionmentioning

confidence: 99%

Does Verbal and Nonverbal Communication of Pain Correlate With Disability?

et al. 2015

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“…This was expected provided the subjective nature of pain, and previous studies investigating pain associated with injections using an analog or numeric ordinal scale report comparable variability (10,16). Pain experienced during trigger finger corticosteroid injections are influenced by expectations, the presence of absence of depression, and sex, all of which can account for variability in reported pain scores (16). Psychological and sociological factors also play a role (17,18).…”

Section: Discussionmentioning

confidence: 56%

The Efficacy of 95-Hz Topical Vibration in Pain Reduction for Trigger Finger Injection: A Placebo-Controlled, Prospective, Randomized Trial

Park

Boyer

Calfee

et al. 2014

The Journal of Hand Surgery

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PURPOSE To determine if vibratory stimulation would decrease the pain experienced by patients during corticosteroid injectionfor trigger finger. METHODS A total of 90 trigger finger injections were randomized to one of 3 cohorts. With their injection, patients received either no vibration (control group), ultrasound vibration (sham control group), or vibration (experimental group). A commercial hand-held massaging device was used to provide a vibratory stimulus for the experimental group. Visual analog scale (visual analog scale) pain scores were obtained before and after the injection to assess the anticipated pain and actual pain experienced. RESULTS Anticipated pain and actual pain did not significantly differ among the groups. Anticipated VAS pain scores were 45, 48, and 50 and actual VAS pain scores were 56, 56, and 63 for the vibration, control, and sham control groups, respectively. When normalized using anchoring VAS pain scores for “stubbing a toe” or “paper cut,” there remained no between-group differences in injection pain scores. CONCLUSIONS Concomitant vibratory stimulation does not reduce the pain experienced during corticosteroid injections for trigger finger.

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Predictors of Pain During and the Day After Corticosteroid Injection for Idiopathic Trigger Finger

Cited by 26 publications

References 22 publications

Association of Physical Function, Anxiety, and Pain Interference in Nonshoulder Upper Extremity Patients Using the PROMIS Platform

Association of Physical Function, Anxiety, and Pain Interference in Nonshoulder Upper Extremity Patients Using the PROMIS Platform

Does Verbal and Nonverbal Communication of Pain Correlate With Disability?

The Efficacy of 95-Hz Topical Vibration in Pain Reduction for Trigger Finger Injection: A Placebo-Controlled, Prospective, Randomized Trial

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