Effects of local anesthetics and contrast agents on musculoskeletal regenerative medicine procedures

Regen Med. 2022 Nov;17(11):845-853. doi: 10.2217/rme-2021-0176. Epub 2022 Sep 6.

Abstract

In regenerative medicine, cells, tissues and organs are often replaced, engineered or regrown in order to restore their function after they have been damaged or lost. Local anesthetics, corticosteroids and contrast agents are commonly employed for both diagnostic and therapeutic objectives in interventional pain and musculoskeletal treatments for regenerative medicine. There is growing evidence that routine injectables promote catabolism and disease processes. Thus, understanding the effects of these compounds on regenerative medicine injectates and target tissues such as tenocytes, chondrocytes, nucleus pulposus and ligamentous tissue is critical. This review includes the current research on the effects of local anesthetics and contrast agents, as well as their use and recommendations in regenerative medicine operations.

Keywords: anesthetic; cartilage; contrast agent; lidocaine; ligament; musculoskeletal; nucleus pulposus; regenerative procedure; safety; tendon.

Plain language summary

In regenerative medicine, various human organs are often modified to restore their function after being damaged. Various substances are commonly injected in pain and musculoskeletal treatments for regenerative medicine. A growing body of literature indicates that common injectable substances may promote cellular destruction and pathologies. Therefore, understanding their effects on various musculoskeletal tissue and cellular components is critical. This review includes the current research on the effects of local anesthetics and contrast agents, as well as their use and recommendations in regenerative medicine operations.

Publication types

  • Review

MeSH terms

  • Anesthetics, Local* / pharmacology
  • Chondrocytes
  • Contrast Media
  • Humans
  • Pain
  • Regenerative Medicine* / methods

Substances

  • Anesthetics, Local
  • Contrast Media