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Table 2 Techniques to alleviate pain associated with subcutaneous injections of methotrexate

From: Procedural pain and patient-reported side effects with weekly injections of subcutaneous Methotrexate in children with rheumatic disorders

Method

Examples

Participants who tried method

Participants who found method effective

Ice

Before and/or after injection

14 (34.1%)

10 (71.4%)

Comfort Positions

Hugging, holding hands

21 (51.2%)

14 (66.7%)

Rewards

Food treats, toys, fun activities

20 (48.8%)

13 (65.0%)

Reassurance

“It will be fast”, “Don’t worry”

22 (53.6%)

11 (50.0%)

Distraction

Music, TV, video games

21 (51.2%)

10 (47.6%)

Medicinal

Advil, Tylenol, EMLA, anesthetic spray

9 (22.0%)

4 (44.4%)