Abstract:<p class="abstract"><strong>Background:</strong> Frozen shoulder is one of the most common musculoskeletal problems seen in orthopaedics. Many treatment modes are available however, it is difficult to treat and data on the comparative efficacy of various interventions are limited. Intra-articular corticosteroid injection (IASI) is a commonly used to treat frozen shoulder pain. Supra-scapular nerve block (SSNB) is also effective method to treat pain in chronic diseases that affect the shoulder… Show more
“…[16,17] The total number of right side shoulder affected was 47(78.3%) and left side was 13(21.7%) which was comparable to a study conducted by Sonune SP et al in 2016. [18] In the study 31 patients out of 60 (51.7%) had associated diabetes. Our finding was higher as compared to the study.…”
Section: Discussionmentioning
confidence: 83%
“…In the present study, passive range of motion improved from baseline to subsequent follow up which was similar with other study. [18] There were both statistically and clinically significant reduction in pain and disability. VAS score improved significantly in both groups however improvement was significantly more in the study group at 4 weeks follow-up as compared to the control group which was comparable with other studies.…”
Section: Discussionmentioning
confidence: 92%
“…Our finding was higher as compared to the study. [18] This could be because of the difference in settings and background characteristics of the study participants. In the present study, passive range of motion improved from baseline to subsequent follow up which was similar with other study.…”
Section: Discussionmentioning
confidence: 99%
“…VAS score improved significantly in both groups however improvement was significantly more in the study group at 4 weeks follow-up as compared to the control group which was comparable with other studies. [16][17][18] SPADI score improved significantly in both groups however improvement was significantly more in the study group at 4 weeks follow-up as compared to the control group. Our study results for SPADI score were comparable with other studies showing the efficacy of suprascapular nerve block in shoulder pain management.…”
Section: Discussionmentioning
confidence: 99%
“…Our study results for SPADI score were comparable with other studies showing the efficacy of suprascapular nerve block in shoulder pain management. [16,18,19]…”
Background: There is limited data on the comparative efficacy of various interventions used in the management of adhesive capsulitis. Recently intra-articular steroid injection and suprascapular nerve block have become popular in the management of adhesive capsulitis. Therefore, the objective of this study is to compare the efficacy of ultrasound-guided suprascapular nerve block and intra-articular shoulder joint steroid injection in the management of adhesive capsulitis. Methods: A randomised controlled trial was conducted among 60 patients having adhesive capsulitis attending PMR OPD, RIMS. The study group received USG-guided SSNB and control group received IASI. Outcome measures were shoulder range of motion, VAS and SPADI which were measured at baseline and at 4 week follow up. Inter group analysis was done using two-way repeated measures ANOVA and p-value <0.05 were considered as statistically significance. Results: During the subsequent follow-up at 4 weeks there was significant improvement in passive range of motion in both control and study group. The SPADI and VAS also improved significantly at 4 week in both groups. However, the mean change was statistically significant more in study group compared to control group (85.67±10.15 vs 16.9±1.73) respectively at 4 weeks follow-up. Conclusion: Both SSNB and IASI have efficacy in management of adhesive capsulitis. But suprascapular nerve block was more effective than intra-articular injection at 4 weeks follow up. Therefore, it should be considered prior to steroid injection as it has more pain relief, improvement in ranges and potentially lesser contraindications and side effects as compared to IASI.
“…[16,17] The total number of right side shoulder affected was 47(78.3%) and left side was 13(21.7%) which was comparable to a study conducted by Sonune SP et al in 2016. [18] In the study 31 patients out of 60 (51.7%) had associated diabetes. Our finding was higher as compared to the study.…”
Section: Discussionmentioning
confidence: 83%
“…In the present study, passive range of motion improved from baseline to subsequent follow up which was similar with other study. [18] There were both statistically and clinically significant reduction in pain and disability. VAS score improved significantly in both groups however improvement was significantly more in the study group at 4 weeks follow-up as compared to the control group which was comparable with other studies.…”
Section: Discussionmentioning
confidence: 92%
“…Our finding was higher as compared to the study. [18] This could be because of the difference in settings and background characteristics of the study participants. In the present study, passive range of motion improved from baseline to subsequent follow up which was similar with other study.…”
Section: Discussionmentioning
confidence: 99%
“…VAS score improved significantly in both groups however improvement was significantly more in the study group at 4 weeks follow-up as compared to the control group which was comparable with other studies. [16][17][18] SPADI score improved significantly in both groups however improvement was significantly more in the study group at 4 weeks follow-up as compared to the control group. Our study results for SPADI score were comparable with other studies showing the efficacy of suprascapular nerve block in shoulder pain management.…”
Section: Discussionmentioning
confidence: 99%
“…Our study results for SPADI score were comparable with other studies showing the efficacy of suprascapular nerve block in shoulder pain management. [16,18,19]…”
Background: There is limited data on the comparative efficacy of various interventions used in the management of adhesive capsulitis. Recently intra-articular steroid injection and suprascapular nerve block have become popular in the management of adhesive capsulitis. Therefore, the objective of this study is to compare the efficacy of ultrasound-guided suprascapular nerve block and intra-articular shoulder joint steroid injection in the management of adhesive capsulitis. Methods: A randomised controlled trial was conducted among 60 patients having adhesive capsulitis attending PMR OPD, RIMS. The study group received USG-guided SSNB and control group received IASI. Outcome measures were shoulder range of motion, VAS and SPADI which were measured at baseline and at 4 week follow up. Inter group analysis was done using two-way repeated measures ANOVA and p-value <0.05 were considered as statistically significance. Results: During the subsequent follow-up at 4 weeks there was significant improvement in passive range of motion in both control and study group. The SPADI and VAS also improved significantly at 4 week in both groups. However, the mean change was statistically significant more in study group compared to control group (85.67±10.15 vs 16.9±1.73) respectively at 4 weeks follow-up. Conclusion: Both SSNB and IASI have efficacy in management of adhesive capsulitis. But suprascapular nerve block was more effective than intra-articular injection at 4 weeks follow up. Therefore, it should be considered prior to steroid injection as it has more pain relief, improvement in ranges and potentially lesser contraindications and side effects as compared to IASI.
Introduction: Frozen shoulder is a debilitating problem that requires comprehensive diagnosis and management. Patients usually recover, but the possibility of not reobtaining a full range of motion exists. Thus, early shoulder exercises are necessary to achieve their full range of motion. This study aims to understand the effects of suprascapular nerve block (SSNB) augmentation at the spinoglenoid notch in hydrodilatation to treat frozen shoulder to facilitate early shoulder exercises. Methods: The current study retrospectively observed 31 patients, including 40–60-year-old patients diagnosed and treated with primary frozen shoulder. The participants were divided into groups A (hydrodilatation) and B (hydrodilatation and the augmentation of an SSNB). Shoulder function and pain scores were assessed before, during, and after the intervention (at months 1 and 6). Results: The result of this study shows that suprascapular nerve block plays a role in decreasing pain in intraintervention (0.69 vs. 5.73; p < 0.05), month 1 of follow-up (3.44 vs. 6.40; p < 0.05), but not significant on month 6 of group A and B after intervention (5.88 vs. 7.20; p > 0.05). Better delta functional scores were noted in the therapy group during month 1 of the follow-up (delta American shoulder and elbow surgeons [ASES]: 19.29 vs. 34.40, p < 0.05; delta disabilities of the arm, shoulder, and hand [DASH]: 17.88 vs. 38.15, p < 0.05). The difference in functional score on month 6 between both groups was not significantly different (delta ASES: 31.97 vs. 30.31, p > 0.05; delta DASH: 36.63 vs. 38.92, p > 0.05). Discussion: One rationale for using an SSNB augmentation at spinoglenoid notch in hydrodilatation for treating frozen shoulder was to obtain pain relief immediately to facilitate early manual exercise. SSNB has positive effects on short-term evaluation of shoulder pain and function after glenohumeral hydrodilatation, but not in the long term.
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