ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
Local treatment of pain in Tietze syndrome: A single-center experience
Özgür Ömer Yıldız1, Kubilay İnan2, İsmail Ağababaoğlu3, Eray Çınar4
1Department of Thoracic Surgery, Yıldırım Beyazıt University, Faculty of Medicine, Ankara, Turkey
2Department of Thoracic Surgery, Ankara City Hospital, Ankara, Turkey
3Department of Thoracic Surgery, Yıldırım Beyazıt University, Yenimahalle Training and Research Hospital, Ankara, Turkey
4General Directorate of Emergency Medical Services, Republic of Turkey, Ministry of Health, Ankara, Turkey
DOI : 10.5606/tgkdc.dergisi.2021.21120
Background: In this study, we present our experiences with local injections of triamcinolone and prilocaine in patients diagnosed with Tietze syndrome.

Methods: Between January 2016 and January 2019, a total of 28 patients (12 males, 16 females; median age: 33 years; range, 21 to 51 years) who were diagnosed with TS in our clinic were retrospectively analyzed. Triamcinolone hexacetonide and prilocaine hydrochloride were injected into painful joints. At first week, pain sensation of the patients was recorded using the Pain Rating Scale developed by the British Pain Society. Pain was also assessed at one, two, and three weeks after injections qualitatively and based on physical examination.

Results: At one week, the pain severity before the local injection treatment was above average the pain-related discomfort rates, and the response was quite favorable after the treatment (p=0.005 and p=0.001, respectively). A statistically significant rating was observed for treatment response and success (p=0.003). Totally 75% of the patients experienced more than 70% reduction in pain level after the injection.

Conclusion: Our treatment approach involving injection of a mixture of steroid and a local anesthetic provides a rapid relief from pain, irrespective of age, sex, or employment status in patients diagnosed with Tietze syndrome.

Keywords : Arthralgia, chest pain, Tietze syndrome
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