Parallel, minimal needle-insertion technique for achieving a painless injection of local anesthetic

To the Editor: Patients' experiences with dermatologic procedures might be influenced most substantially by pain or lack thereof; therefore, any techniques that minimize pain are tremendously important. The pain associated with injection of local anesthetic is often the only pain felt during these procedures. Investigators have described various methods to decrease injection pain, such as buffering and warming the anesthetic,1,2 using finer needles,3 injecting slowly,4 and altering insertion angle.

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