<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2695-463X</journal-id>
<journal-title><![CDATA[Revista Española de Podología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Esp Podol.]]></abbrev-journal-title>
<issn>2695-463X</issn>
<publisher>
<publisher-name><![CDATA[Inspira Network Group, S.L]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2695-463X2025000200126</article-id>
<article-id pub-id-type="doi">10.20986/revesppod.2026.1765/2025</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Evaluación del dolor y efectividad de los procedimientos anestésicos en pacientes con onicocriptosis sometidos a cirugía ungueal: ensayo clínico aleatorizado]]></article-title>
<article-title xml:lang="en"><![CDATA[Pain assessment and effectiveness of anesthetic procedures in patients with onychocryptosis undergoing nail surgery: a randomized clinical trial]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rayo Pérez]]></surname>
<given-names><![CDATA[Ana M.ª]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rayo Martín]]></surname>
<given-names><![CDATA[Rafael]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rayo Rosado]]></surname>
<given-names><![CDATA[Rafael]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Costa Martiniano]]></surname>
<given-names><![CDATA[Joao Miguel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García de la Peña]]></surname>
<given-names><![CDATA[Raquel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Sevilla Departamento de Podología ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Spain</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Escola Superior de Saúde da Cruz Vermelha Portuguesa  ]]></institution>
<addr-line><![CDATA[Lisboa ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2025</year>
</pub-date>
<volume>36</volume>
<numero>2</numero>
<fpage>126</fpage>
<lpage>130</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S2695-463X2025000200126&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S2695-463X2025000200126&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S2695-463X2025000200126&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción:  La anestesia local es fundamental en cirugía podológica, pero la infiltración anestésica suele generar dolor y ansiedad en los pacientes. La elección de la técnica de inyección y del método de administración puede influir en la percepción dolorosa, especialmente en el bloqueo digital del hallux.  Pacientes y métodos:  Se llevó a cabo un ensayo clínico aleatorizado y simple ciego con 120 pacientes sometidos a cirugía ungueal por onicocriptosis. Los participantes fueron asignados al azar a 4 grupos según la técnica anestésica (H de Frost o H de Frost modificada) y el método de administración (jeringa convencional o carpule). Se utilizó mepivacaína al 3 % y el dolor postinfiltración se midió mediante la Escala Visual Analógica (EVA). El análisis estadístico incluyó pruebas no paramétricas (Kruskal-Wallis y U de Mann-Whitney).  Resultados:  La técnica de H de Frost modificada presentó menor dolor en comparación con la técnica convencional (media EVA: 3.8 vs. 4.3; p = 0.045). El uso de carpule redujo significativamente la percepción dolorosa frente a la jeringa convencional (media EVA: 3.7 vs. 4.4; p = 0.023).  Conclusión:  La técnica de H de Frost modificada y el uso de carpule mejoran la tolerancia del paciente a la infiltración anestésica, constituyendo estrategias recomendables para optimizar la experiencia clínica en cirugía podológica.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction:  Local anesthesia is essential in podiatric surgery; however, anesthetic infiltration often causes pain and anxiety in patients. The choice of injection technique and administration method may influence pain perception, especially in digital hallux block.  Patients and methods:  A randomized, single-blind clinical trial was conducted with 120 patients undergoing nail surgery for onychocryptosis. Participants were randomly assigned to 4 groups based on the anesthetic technique (Frost&#8217;s H or modified Frost&#8217;s H) and the administration method (conventional syringe or carpule). 3 % mepivacaine was used, and postinfiltration pain was measured using the Visual Analog Scale (VAS). Statistical analysis included nonparametric tests (Kruskal-Wallis and Mann-Whitney U).  Results:  The modified H of Frost technique showed lower pain scores compared to the conventional technique (mean VAS: 3.8 vs. 4.3; p = 0.045). The use of carpule significantly reduced pain perception compared to the conventional syringe (mean VAS: 3.7 vs. 4.4; p = 0.023).  Conclusion:  The modified H of Frost technique and the use of carpule improve patient tolerance to anesthetic infiltration, representing useful strategies to optimize the clinical experience in podiatric surgery.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Anestesia local]]></kwd>
<kwd lng="es"><![CDATA[dolor]]></kwd>
<kwd lng="es"><![CDATA[infiltración anestésica]]></kwd>
<kwd lng="es"><![CDATA[analgesia tópica]]></kwd>
<kwd lng="es"><![CDATA[cirugía podológica]]></kwd>
<kwd lng="es"><![CDATA[dedo]]></kwd>
<kwd lng="es"><![CDATA[pie]]></kwd>
<kwd lng="es"><![CDATA[onicocriptosis]]></kwd>
<kwd lng="en"><![CDATA[First ray]]></kwd>
<kwd lng="en"><![CDATA[foot]]></kwd>
<kwd lng="en"><![CDATA[plantar flexion]]></kwd>
<kwd lng="en"><![CDATA[dorsal flexion]]></kwd>
<kwd lng="en"><![CDATA[total mobility]]></kwd>
<kwd lng="en"><![CDATA[low back pain]]></kwd>
</kwd-group>
</article-meta>
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<label>19</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hayward]]></surname>
<given-names><![CDATA[SC]]></given-names>
</name>
<name>
<surname><![CDATA[Landorf]]></surname>
<given-names><![CDATA[KB]]></given-names>
</name>
<name>
<surname><![CDATA[Redmond]]></surname>
<given-names><![CDATA[AC]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Ice reduces needle-stick pain associated with a digital nerve block of the hallux]]></article-title>
<source><![CDATA[Foot]]></source>
<year>2006</year>
<volume>16</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>145-8</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
