Comparing Breathing Exercises and Local Anesthesia to Reduce Pain and Anxiety During Rheumatological Joint Injections

What this Trial Is About

This research aims to evaluate whether standardized breathing control exercises can reduce pain and anxiety during rheumatological joint or periarticular injections as effectively as local anesthesia with lidocaine. The study focuses on patients scheduled for therapeutic ultrasound-guided injections and explores the relationship between pain, anxiety, and cardiac coherence during the procedure. It is a randomized, single-blind, controlled, non-inferiority clinical trial assessing alternative pain management methods. Participants will be randomly assigned to one of two groups. The anesthesia group will receive 5 cc of lidocaine before the injection along with sham breathing instructions that do not promote cardiac coherence. The breathing group will perform 5-minute breathing exercises designed to achieve cardiac coherence before receiving a saline placebo injection instead of anesthesia. Continuous heart rate monitoring will be conducted during the procedure using the EmWave PRO device to measure cardiac coherence. Throughout the study, participants will be monitored for pain, anxiety, and satisfaction using the EVA scale immediately after infiltration. The study involves continuous heart rate recording during the injection to assess the correlation between cardiac coherence and pain or anxiety levels. The trial spans from the initial procedure through post-injection assessments, aiming to provide insights into non-pharmacological pain control methods during rheumatological injections.

The Value of Standardized Respiratory Rate Monitoring Exercises During Rheumatological Injection Procedures