Author: Li W1, Bryan RG 2nd2, Kheterpal A3, Simeone FJ3, Chang CY3, Torriani M3, Huang AJ4
Affiliation: <sup>1</sup>Department of Radiology, Massachusetts General Hospital, Boston, MA, 02114, USA.
<sup>2</sup>Santa Barbara Radiology Medical Group, Santa Barbara, CA, 93105, USA.
<sup>3</sup>Department of Radiology, Division of Musculoskeletal Imaging and Intervention, Massachusetts General Hospital, 55 Fruit Street, Yawkey 6E, Boston, MA, 02114, USA.
<sup>4</sup>Department of Radiology, Division of Musculoskeletal Imaging and Intervention, Massachusetts General Hospital, 55 Fruit Street, Yawkey 6E, Boston, MA, 02114, USA. ajhuang@mgh.harvard.edu.
Conference/Journal: Skeletal Radiol.
Date published: 2019 Aug 21
Other:
Special Notes: doi: 10.1007/s00256-019-03298-7. [Epub ahead of print] , Word Count: 258
PURPOSE: To investigate the role of music on subjects undergoing routine image-guided musculoskeletal corticosteroid injections and its effect on post-procedure pain and subjective overall experience.
MATERIALS AND METHODS: This prospective study was IRB-approved and HIPAA-compliant. A total of 126 subjects referred for outpatient image-guided musculoskeletal corticosteroid injections were enrolled in the study and randomized into a music offered group ((+)MO) and a no music offered group ((-)MO). (+)MO subjects were given the opportunity to listen to music during their corticosteroid injection. All subjects were then given an anonymous survey on which they recorded their pre-procedural and post-procedural pain on a scale from 0 to 9 and rated their overall experience and how likely they were to recommend our department for musculoskeletal procedures on scales from 1 to 5.
RESULTS: (+)MO subjects had significantly lower post-procedural pain (p = 0.013) and significantly greater decrease in pain (p = 0.031) compared to (-)MO subjects. Among the (+)MO subjects, there was no statistically significant difference in post-procedure pain (p = 0.34) or change in pain (p = 0.62) if music was accepted or declined. However, subjects who listened to music did have lower post-procedural pain compared to those who did not listen to music (p = 0.012), although the differences in the decrease of pain between the two groups did not quite reach statistical significance (p = 0.062).
CONCLUSIONS: Playing music during image-guided musculoskeletal corticosteroid injections may reduce patients' post-procedure pain. Offering patients some measure of control over their procedure may be a factor that contributes to decreased post-procedure pain as well.
KEYWORDS: Corticosteroid; Fluoroscopy; Joints; Music; Osteoarthritis; Spine; Steroid
PMID: 31435716 DOI: 10.1007/s00256-019-03298-7