Skip to main content

Advertisement

Log in

Improving the patient experience during musculoskeletal interventional procedures

  • Review Article
  • Published:
Skeletal Radiology Aims and scope Submit manuscript

Abstract

In the patient-centered practice of musculoskeletal interventional radiology, pre-procedure, intra-procedure, and post-procedure factors impact the patient’s overall experience. Opportunities to improve the patient experience begin before the patient procedure starts, with smooth scheduling of the appointment, a positive office environment, and appropriate communication by the musculoskeletal interventional radiology staff before the procedure, including clear expectations regarding wait times. The initial conversation between the radiologist and the patient, including the informed consent process, is a crucial opportunity for creating rapport with the patient and generating trust in the radiologist. Being able to interpret a patient’s verbal and non-verbal cues during this conversation can reduce anxiety and enhance relaxation. During the procedure, there are interventions which can decrease anxiety and reduce the perception of pain by the patient. These include psychological interventions such as self-induced hypnosis, communication-based interventions such as empathic communication to mold a patient’s interpretation of anxiety and painful stimuli, and the use of ancillary tools such as music or video stimulation. Finally, clear post-procedure expectations regarding post-procedure pain and its management and assurances of access to the musculoskeletal interventional radiology team can facilitate an uncomplicated post-procedure recovery.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  1. Obele CC, Duszak R Jr, Hawkins CM, Rosenkrantz AB. What patients think about their interventional radiologists: assessment using a leading physician ratings website. J Am Coll Radiol. 2017;14(5):609–14.

    Article  PubMed  Google Scholar 

  2. Chadderdon AL, Carns DR, Pudalov LR, McKernan LC, Honce JM. Underlying mechanisms of psychological interventions in magnetic resonance imaging and image-guided radiology procedures. Top Magn Reson Imaging. 2020;29(3):157–63.

    Article  PubMed  Google Scholar 

  3. Makary MS, da Silva A, Kingsbury J, Bozer J, Dowell JD, Nguyen XV. Noninvasive approaches for anxiety reduction during interventional radiology procedures. Top Magn Reson Imaging. 2020;29(4):197–201.

    PubMed  Google Scholar 

  4. Le TQ, Sanchez Y, Saini S, Sheridan R, Hirsch JA, Prabhakar AM. Improving the interventional radiology patient experience: effect of a phone communication system revision. J Am Coll Radiol. 2017;14(8):1045–8.

    Article  PubMed  Google Scholar 

  5. Cazzato RL, de Rubeis G, de Marini P, Auloge P, Dalili D, Weiss J, et al. Interventional radiology outpatient clinics (IROC): clinical impact and patient satisfaction. Cardiovasc Intervent Radiol. 2021;44(1):118–26.

    Article  PubMed  Google Scholar 

  6. Villarreal MC, Rostad BS, Wright R, Applegate KE. Improving procedure start times and decreasing delays in interventional radiology: a department’s quality improvement initiative. Acad Radiol. 2015;22(12):1579–86.

    Article  PubMed  Google Scholar 

  7. Davies L, Laasch HU, Wilbraham L, Marriott A, England RE, Martin DF. The consent process in interventional radiology: the role of specialist nurses. Clin Radiol. 2004;59(3):246–52.

    Article  CAS  PubMed  Google Scholar 

  8. Doyal L. Informed consent: moral necessity or illusion? Qual Health Care. 2001;10(Suppl 1):i29-33.

    Article  PubMed  PubMed Central  Google Scholar 

  9. Hopper KD, Houts PS, TenHave TR, Matthews YL, Colon E, Haseman DB, et al. The effect of informed consent on the level of anxiety in patients given i.v. contrast material. AJR Am J Roentgenol. 1994;162(3):531–5.

    Article  CAS  PubMed  Google Scholar 

  10. Kerrigan DD, Thevasagayam RS, Woods TO, Mc Welch I, Thomas WE, Shorthouse AJ, et al. Who’s afraid of informed consent? BMJ. 1993;306(6873):298–300.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  11. Forrow L, Kontrimas JC. Language barriers, informed consent, and effective caregiving. J Gen Intern Med. 2017;32(8):855–7.

    Article  PubMed  PubMed Central  Google Scholar 

  12. Schupp CJ, Berbaum K, Berbaum M, Lang EV. Pain and anxiety during interventional radiologic procedures: effect of patients’ state anxiety at baseline and modulation by nonpharmacologic analgesia adjuncts. J Vasc Interv Radiol. 2005;16(12):1585–92.

    Article  PubMed  Google Scholar 

  13. Sivaganesan A, Chotai S, Parker SL, Asher AL, McGirt MJ, Devin CJ. Predictors of the efficacy of epidural steroid injections for structural lumbar degenerative pathology. Spine J. 2016;16(8):928–34.

    Article  PubMed  Google Scholar 

  14. Ip HY, Abrishami A, Peng PW, Wong J, Chung F. Predictors of postoperative pain and analgesic consumption: a qualitative systematic review. Anesthesiology. 2009;111(3):657–77.

    Article  PubMed  Google Scholar 

  15. Lang EV, Benotsch EG, Fick LJ, Lutgendorf S, Berbaum ML, Berbaum KS, et al. Adjunctive non-pharmacological analgesia for invasive medical procedures: a randomised trial. Lancet. 2000;355(9214):1486–90.

    Article  CAS  PubMed  Google Scholar 

  16. Wampold BE. How important are the common factors in psychotherapy? An Update World Psychiatry. 2015;14(3):270–7.

    Article  PubMed  Google Scholar 

  17. Sven-Olof Trangeberg O, Stomberg MW. Listening to music during regional anesthesia: patients’ experiences and the effect on mood. J Perianesth Nurs. 2013;28(5):291–7.

    Article  PubMed  Google Scholar 

  18. Soo MS, Jarosz JA, Wren AA, Soo AE, Mowery YM, Johnson KS, et al. Imaging-guided core-needle breast biopsy: impact of meditation and music interventions on patient anxiety, pain, and fatigue. J Am Coll Radiol. 2016;13(5):526–34.

    Article  PubMed  Google Scholar 

  19. Cho SW, Choi HJ. Effect of music on reducing anxiety for patients undergoing transrectal ultrasound-guided prostate biopsies: randomized prospective trial. Urol J. 2016;13(2):2612–4.

    PubMed  Google Scholar 

  20. Kulkarni S, Johnson PC, Kettles S, Kasthuri RS. Music during interventional radiological procedures, effect on sedation, pain and anxiety: a randomised controlled trial. Br J Radiol. 2012;85(1016):1059–63.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  21. Mandle CL, Domar AD, Harrington DP, Leserman J, Bozadjian EM, Friedman R, et al. Relaxation response in femoral angiography. Radiology. 1990;174(3 Pt 1):737–9.

    Article  CAS  PubMed  Google Scholar 

  22. Koch ME, Kain ZN, Ayoub C, Rosenbaum SH. The sedative and analgesic sparing effect of music. Anesthesiology. 1998;89(2):300–6.

    Article  CAS  PubMed  Google Scholar 

  23. Hayes N, Garrett D. Value of music. Nurs Older. People. 2016;28(10):25.

    Google Scholar 

  24. Buffum MD, Sasso C, Sands LP, Lanier E, Yellen M, Hayes A. A music intervention to reduce anxiety before vascular angiography procedures. J Vasc Nurs. 2006;24(3):68–73.

    Article  PubMed  Google Scholar 

  25. Li W, Bryan RG 2nd, Kheterpal A, Simeone FJ, Chang CY, Torriani M, et al. The effect of music on pain and subjective experience in image-guided musculoskeletal corticosteroid injections: a randomized controlled trial. Skeletal Radiol. 2020;49(3):435–41.

    Article  PubMed  Google Scholar 

  26. Fang AS, Movva L, Ahmed S, Waldman D, Xue J. Clinical efficacy, safety, and feasibility of using video glasses during interventional radiologic procedures: a randomized trial. J Vasc Interv Radiol. 2016;27(2):260–7.

    Article  PubMed  Google Scholar 

  27. Al-Assam H, Azzopardi C, McGarry S, Botchu R. Vasovagal reactions in ultrasound guided musculoskeletal injections: a study of 2,462 procedures. J Clin Orthop Trauma. 2022;24:101706.

    Article  CAS  PubMed  Google Scholar 

  28. Botwin KP, Gruber RD, Bouchlas CG, Torres-Ramos FM, Freeman TL, Slaten WK. Complications of fluoroscopically guided transforaminal lumbar epidural injections. Arch Phys Med Rehabil. 2000;81(8):1045–50.

    Article  CAS  PubMed  Google Scholar 

  29. Botwin KP, Castellanos R, Rao S, Hanna AF, Torres-Ramos FM, Gruber RD, et al. Complications of fluoroscopically guided interlaminar cervical epidural injections. Arch Phys Med Rehabil. 2003;84(5):627–33.

    Article  PubMed  Google Scholar 

  30. Kennedy DJ, Schneider B, Casey E, Rittenberg J, Conrad B, Smuck M, et al. Vasovagal rates in flouroscopically guided interventional procedures: a study of over 8,000 injections. Pain Med. 2013;14(12):1854–9.

    Article  PubMed  Google Scholar 

  31. Stauber B, Ma L, Nazari R. Cardiopulmonary arrest following cervical epidural injection. Pain Physician. 2012;15(2):147–52.

    PubMed  Google Scholar 

  32. Santini M, Ammirati F, Colivicchi F, Gentilucci G, Guido V. The effect of atropine in vasovagal syncope induced by head-up tilt testing. Eur Heart J. 1999;20(23):1745–51.

    Article  CAS  PubMed  Google Scholar 

  33. Vazquez R, Hamilton C. Abstract No. 447 Quality improvement: creation and sustainability of an enhanced recovery after procedure initiative for hepatic microwave ablation. SIR 2021 Annual Scientific Meeting Program 20 March – 26 March 2021. Journal of Vascular and Interventional Radiology. 2021;32(5):S109.

  34. Palmer WE. Spinal Injections for Pain Management. Radiology. 2016;281(3):669–88.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Contributions

Both authors (JD and AJH) contributed to (1) conception and design, or acquisition, or analysis and interpretation of data (interpreted as review of literature), (2) drafting the article or revising it critically for important intellectual content, (3) final approval of the version to be published, and (4) agree to be accountable for all aspects of the work if questions arise related to its accuracy or integrity.

Corresponding author

Correspondence to Ambrose J. Huang.

Ethics declarations

Conflict of interest

The authors declare no competing interests.

Additional information

Publisher's note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Springer Nature or its licensor holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Delgado, J., Huang, A.J. Improving the patient experience during musculoskeletal interventional procedures. Skeletal Radiol 52, 889–895 (2023). https://doi.org/10.1007/s00256-022-04154-x

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00256-022-04154-x

Keywords

Navigation