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Revista Archivo Médico de Camagüey
On-line version ISSN 1025-0255
Abstract
HERNANDEZ GONZALEZ, Erick Héctor; PEREZ SOSA, Guillermo and MOSQUERA BETANCOURT, Gretel. Evaluation of the treatment with triamcinolone acetonide plus lidocaine for musculoskeletal pain in orthopedics. AMC [online]. 2013, vol.17, n.5, pp. 558-571. ISSN 1025-0255.
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 anti-inflammatory 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 non-probabilistic 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 45-64 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.
Keywords : TRIAMCINOLONE ACETONIDE [therapeutic use]; MUSCULOSKELETAL PAIN; TREATMENT OUTCOME; SEEPAGE; PROSPECTIVE STUDIES.
