Pain experience during a shoulder joint injection
Research type
Research Study
Full title
AN INVESTIGATION TO DETERMINE FACTORS ASSOCIATED WITH A HIGHER SUBJECTIVE EXPERIENCE OF PAIN DURING STEROID INJECTIONS FOR ADHESIVE CAPSULITIS
IRAS ID
149929
Contact name
Chris Shannon
Contact email
Sponsor organisation
Humber NHS Foundation Trust
Duration of Study in the UK
0 years, 6 months, 30 days
Research summary
An investigation to determine factors associated with a higher subjective experience of pain during steroid injections for adhesive capsulitis.
Research questions:
To what extent are corticosteroid injection procedures for shoulder adhesive capsulitis painful?
Are variables such as gender, pre existing pain levels, chronicity, anxiety, diabetes and stage of adhesive capsulitis associated with experiencing higher levels of pain during a shoulder joint corticosteroid injection procedure?
Pain during steroid injections procedures for musculoskeletal conditions is under researched. It is not known if musculoskeletal injections are routinely painful. Current literature suggests the nature of musculoskeletal injections have potential to cause high levels of pain. Evidence exists among other specialities e.g. immunization, that supports concerns regarding pain during injection procedures. These specialities use treatments that could be implemented to reduce musculoskeletal injection pain.
This study will measure subjective pain experience with 60 patients receiving a routine steroid injection for a frozen shoulder. Attempts to standardise and control the injection procedure and environment will be made. The same therapist will be used throughout. Pain will be self assessed by subjects using a VAS score. The remaining necessary data will be gathered from patient records e.g. gender, chronicity, pre existing pain, diabetes and stage of the condition. Anxiety will be measured through the subjects completion of the GAD-7 outcome measure. A convenience sample of patients in primary care physiotherapy will be recruited. Data collection will be over 20 weeks. Multiple regression will be performed on the data to investigate the strength of each variable as a predictor for increased pain.
These answers have potential to change current practice allowing patients to be less sensitive to needles and better prepared for injections, improving patient experience .
The study will be funded by the Humber Foundation NHS trust's East Riding MSK service. It does not propose to alter normal practice except for recording pain scores.
REC name
West Midlands - Solihull Research Ethics Committee
REC reference
15/WM/0059
Date of REC Opinion
20 Mar 2015
REC opinion
Further Information Favourable Opinion