medigraphic.com

2013, Number 5

AMC 2013; 17 (5)

Evaluation of the treatment with triamcinolone acetonide plus lidocaine for musculoskeletal pain in orthopedics

Hernández GEH, Pérez SG, Mosquera BG

Language: Spanish
References: 14
Page: 558-571
PDF size: 313.58 Kb.


ABSTRACT

Background: in 1949, an articulation was infiltrated with cortisone in a patient with rheumatoid arthritis for the first time with great results. Typical injections with steroids consist of the combination of a local anesthetic that provides immediate analgesia as well as confirmation of the exact area and a steroid with a prolonged antiinflammatory action.
Objective: to evaluate the results of the infiltrations with triamcinolone acetonide plus lidocaine in the treatment of musculoskeletal pain at the Armando Enrique Cardoso Hospital, Güaimaro between January and June, 2013.
Method: a prospective, analytical study was conducted. The nonprobabilistic sample was constituted by 104 patients selected fallowing certain criteria. Descriptive, statistical, and inferential techniques were used.
Results: female sex prevailed with a 68.8 % in the ages between 4564 years (51.8 %). Workers and housewives were the most affected and as a whole, represented the 84.9 % of the patients. Among the most frequently diagnosed diseases were scapulohumeral periarthritis (28.4 %) and lesions in the internal compartment of the knee (18.7 %). The application of a Visual Analog Scale at the end of the treatment showed an improvement of pain in more than the 80 % of the patients, in both sexes. Associate complications of the treatment were present in only five patients (3%).
Conclusions: infiltrations with triamcinolone acetonide plus lidocaine for the treatment of musculoskeletal pain provided satisfactory results along with a continuous, rapid clinical improvement and a minimum of complications.


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