How are you utilizing vibratory devices for reducing pain associated with injection or procedures?  

Specifically for intra-articular/bursal/tenosynovial/carpal tunnel injections: Our office purchased the vibration distraction devices over a decade ago based upon the promising use from the pediatric literature. Our providers were underwhelmed with their use in our adult patients and we all stopped...

I have found that buffering the lidocaine with bicarbonate is an extremely effective method of reducing the discomfort of injections.

Excellent question. I love to use numerous modalities to help with pain anesthesia. With injections such as lidocaine or ILK, tapping in the vicinity and using vibration tools can help distract the patient and reduce pain. Also, you can apply ice or PainEase prior to injection which can help reduce ...