title: Vibration for Pain Reduction in a Plastic Surgery Clinic.
abstract: Patients can experience significant pain during routine procedures in the plastic surgery clinic. Methods for clinical pain reduction are often impractical, time-consuming, or ineffective. Vibration is a safe, inexpensive, and highly applicable modality for pain reduction that can be readily utilized for a wide variety of procedures. This study evaluated the use of vibration as a viable pain-reduction strategy in the clinical plastic surgery setting. Patients requiring at least 2 consecutive procedures that are considered painful were enrolled in the study. These included injections, staple removal, and suture removal. In the same patient, one half of the procedures were performed without vibration and the other half with vibration. After completing the procedures, the patients rated their pain with vibration and without vibration. The patient and the researcher also described the experience with a short questionnaire. Twenty-eight patients were enrolled in the study. Patients reported significantly less pain on the Numeric Rating Scale pain scale when vibration was used compared with the control group (p < .001). The average pain score was 3.46 without vibration and 1.93 with vibration, and vibration with injections resulted in the greatest improvement. Eighty-six percent of the patients claimed that vibration significantly reduced their pain. Vibration is an effective method of pain reduction. It significantly reduces the pain experienced by patients during minor office procedures. Given its practicality and ease of use, it is a welcome tool in the plastic surgery clinic.
authors.affiliation: Mitchell George Eichhorn, MD, is at Grand Rapids Medical Education Partners/Michigan State University College of Human Medicine, Grand Rapids. Murad Jehad Karadsheh, MD, is at Michigan State University College of Human Medicine, Grand Rapids. Johanna Ruth Krebiehl, MD, is at Grand Rapids Medical Education Partners/Michigan State University College of Human Medicine, Grand Rapids. Dawn Marie Ford, BSN, RN, CANS, is at Elite Plastic Surgery, Grand Rapids, MI. Ronald D Ford, MD, is at Grand Rapids Medical Education Partners/Michigan State University College of Human Medicine, Grand Rapids.
authors.forename: Mitchell George
authors.initials: MG
authors.lastname: Eichhorn
authors.forename: Murad Jehad
authors.initials: MJ
authors.lastname: Karadsheh
authors.forename: Johanna Ruth
authors.initials: JR
authors.lastname: Krebiehl
authors.forename: Dawn Marie
authors.initials: DM
authors.lastname: Ford
authors.forename: Ronald D
authors.initials: RD
authors.lastname: Ford
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D013511:Minor Surgical Procedures / Q000379:methods; D059408:Pain Management / Q000295:instrumentation / Q000379:methods*; D013518:Surgery, Plastic / Q000379:methods*; D014732:Vibration / Q000627:therapeutic use*