Intra-Articular 0.5 % Lidocaine Injection for Osteoarthritis
Study Details
Study Description
Brief Summary
In this study, investigators compared the efficacy of intra-articular 0.5% lidocaine and saline injection on pain, stiffness and physical function in patients with osteoarthritis.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
Phase 4 |
Detailed Description
Patients with osteoarthritis were randomly allocated into two groups. Group I (n=26) received intra-articular injection of 7 mL 0.5% lidocaine and Group II (n=26) received 7 mL saline into painful knee for 3 times with one week intervals under USG guidance. VAS and WOMAC scale including pain, stiffness and physical function was used for the assessment of patients with osteoarthritis. Analgesic requirements were also recorded.
The primary outcome parameter of this study was the pain scores. The sample size for the primary variable was calculated based on a standard deviation of 20 mm estimated from a previous study. A power analysis with a type II error of 20% at a two-sided 5% significance level estimated 22 patients per group to be included. Investigators included 26 patients per groups for possible missing date. χ2 test for categorical data and independent samples t-test for the comparison of VAS and WOMAC scores between groups were used for statistical analysis.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Active Comparator: intra-articular 0.5% lidocaine intra-articular 7 mL 0.5% lidocaine injection for 3 times with one week intervals |
Drug: Lidocaine
|
Active Comparator: intra-articular saline intra-articular 7 mL saline injection for 3 times with one week intervals |
Drug: Saline
|
Outcome Measures
Primary Outcome Measures
- Pain scores according to visual analog scale [3 months after the treatment]
Eligibility Criteria
Criteria
Inclusion Criteria:
-
knee pain for more than 25 of the past 30 days, morning stiffness or less than 30 minutes, crepitation in the knee
-
pain for more than 25 of the past 30 days and osteophytes on x-ray examination of the knees indicating knee OA
Exclusion Criteria:
- the knees with a history of mechanical derangement, fibromyalgia, skin lesions and other risk factors of infection, therapy with anticoagulants and trauma/surgery
Contacts and Locations
Locations
No locations specified.Sponsors and Collaborators
- H. Evren Eker
- Baskent University
Investigators
- Study Chair: Anis Aribogan, Prof, Coordinator
Study Documents (Full-Text)
None provided.More Information
Publications
- Elhakim M, Nafie M, Eid A, Hassin M. Combination of intra-articular tenoxicam, lidocaine, and pethidine for outpatient knee arthroscopy. Acta Anaesthesiol Scand. 1999 Sep;43(8):803-8.
- Pietruck C, Grond S, Xie GX, Palmer PP. Local anesthetics differentially inhibit sympathetic neuron-mediated and C fiber-mediated synovial neurogenic plasma extravasation. Anesth Analg. 2003 May;96(5):1397-1402. doi: 10.1213/01.ANE.0000060454.34258.D3.
- KA08/83