Vibratory Anesthesia on Pain Following Corticosteroid Injections

Inclusion Criteria: * Any patient of the Principal Investigator who has clinically diagnosed bilateral arthritis, tendinopathy, arthropathy, or compression neuropathy of the hand, wrist, or elbow where treatment with corticosteroid injection is indicated. * Participants who voluntarily consent to participate in the study and sign consent forms. * Participants who complete all numeric pain rating scales * Patients aged ≥ 18 years old Exclusion Criteria: * Participants who opt out of the study or withdraw consent * Participants who are determined to be without capacity to consent to study participation or injection procedure by principal investigator * Participants with inability to complete numeric pain rating scales * Participants with known allergies to triamcinolone acetonide, lidocaine, or bupivicaine * Participants without clinically diagnosed bilateral arthritis, tendinopathy, arthropathy, or compression neuropathy of the hand, wrist, or elbow. * Participants where treatment with corticosteroid injection is not indicated bilaterally. * Patients ≤ 18 years old