- 1 – A patch of local anesthetic to apply before the infiltration
- 2 – Video. Top 3 express pain relievers
- 3 – Hypnosis if you are very anxious before the infiltration
- 4 – Apply cold before and after
- 5 – Relax during the infiltration
- 6 – Laughing gas as a mild sedation
- 7 – Do not force on his joint after an infiltration
- 8 – Local anesthesia before infiltration
A patch of local anesthetic to apply before the infiltration
A patch containing lidocaine can superficially anesthetize the area in which the infiltration is going to be made, as one can do before a vaccine or a blood test. “The patch is only useful for infiltrations in shallow areas, not too large, such as the hands or the feet” underlines Pr Paul Ornetti, rheumatologist at the Dijon University Hospital. This patch prescribed by your doctor can be purchased at a pharmacy and should be applied thirty minutes beforehand.
Video. Top 3 express painkillers
Hypnosis if you are very anxious before the infiltration
“It is possible to use hypnosis during an infiltration in very anxious people” informs Professor Ornetti. This technique has shown that it can reduce the pain threshold in addition to reducing anxiety. It requires two doctors (one for hypnosis, one for infiltration), which cannot easily be done in a private practice.
Apply cold before and after
One of the proven solutions against pain is the application of cold. You can put an ice pack bought in pharmacies before and after the infiltration. “It has been shown that this reduces painful stimuli because it anesthetizes the nerve receptors” informs Professor Ornetti. In some hospital departments with gas cryotherapy equipment, this technique is used 5 minutes before infiltration to anesthetize the joint.
Relax during the infiltration
If you are tense, the infiltration will seem more painful to you than if you are relaxed. “When the patient is tense, stressed, contracted, it is more difficult to enter the joint and the patient may make inappropriate movements making the gesture more risky” explains Professor Ornetti. Tell your doctor if you are distressed by this gesture so that your doctor can take the necessary steps to ensure that the gesture takes place in the best possible conditions.
Laughing gas as a mild sedation
Before a deep or difficult-to-access infiltration, it is possible to use an equimolar mixture of oxygen protoxide of nitrogen (MEOPA) as for children who must receive emergency care (such as stitches). “It puts the patients in a trance and some do not even feel the injection” explains Professor Ornetti. The administration of MEOPA must be carried out by specially trained caregivers.
Do not force on his joint after an infiltration
A period of rest (relative, it is not a question of lying down!) of 24 to 48 hours is essential after an infiltration. “The joint can be stretched for 24 to 48 hours” explains Professor Ornetti. The less you move it, the less pain you have. “The product diffuses better and therefore acts more effectively when the articular membrane is calm,” adds Prof. Ornetti. The beneficial effects of the infiltration then appear quickly (less pain, less stiffness, less inflammation).
Local anesthesia before infiltration
In some cases, doctors inject an anesthetic along the path of the infiltration that anesthetizes the skin and tissue around the joint. “It’s the same anesthesia as that performed at the dentist” informs Professor Paul Ornetti. It removes the painful sensation. “But the most common infiltrations, especially those of the knee, are not very painful gestures if they are carried out by experienced doctors. It is rather injections in the fingers or feet that can hurt” underlines the rheumatologist.