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Patient presenting to chronic pain clinics frequently undergo diagnostic and therapeutic spinal injections as part of their treatment. These procedures can cause significant level of apprehension in patients, which can lead to increased procedural times, increased procedural pain and reluctance to continue with the treatment program. It appears that certain interventions could reduce the anxiety and catastrophization levels and modify pain perception during medical procedures. The investigators therefore sought to evaluate the effect of a single 30 minutes information session which includes relaxation training administered 5 to 6 days before the nerve block procedure on patient's anxiety and catastrophization levels prior to the procedure and pain scores during the procedure, as well as the overall level of satisfaction with care received.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| information and relaxation | Active Comparator | will receive the intervention that consist of information and relaxation |
|
| No intervention | No Intervention | No specific intervention before the medial branch block. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Relaxation and information session | Behavioral | Relaxation and information session before the medial branch block |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change in the anxiety level prior to the nerve block as per the state trait anxiety questionnaire | 5-7 days (Second visit and Day of block) |
| Measure | Description | Time Frame |
|---|---|---|
| Perceived pain as measured by NRS (numerical rating scale) | Throughout the study (Baseline, day of block and 1 month after) | |
| Unchanged catastrophization level | Baseline and day of block | |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| MUHC, Montreal General Hospital | Montreal | Quebec | H3G 1A4 | Canada |
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| ID | Term |
|---|---|
| D059350 | Chronic Pain |
| D001008 | Anxiety Disorders |
| ID | Term |
|---|---|
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| Satisfaction level of the overall experience |
| Day after the block |
| Ease of performing the nerve block | Day of block |
| D001523 | Mental Disorders |