Does Suprascapular Nerve Block Improve Shoulder Disability in Impingement Syndrome? A Randomized Placebo-Contolled Study

Bayram, Korhan Barış; Bal, Serpil; Satoğlu, İsmail Safa; Koçyiğit, Hikmet; Gürgan, Alev; Akçay, Serkan; Kazımoğlu, Cemal

doi:10.3109/10582452.2014.883026

Cited by 6 publications

(12 citation statements)

References 10 publications

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“…We included 53 studies from 14 different countries in this review (Table 1). Of which, 13 studies came from Turkey, [26][27][28][29][30][31][32][33][34][35][36][37][38] 7 each from Australia 20,23,39,38,39,[40][41][42][43] and India, [44][45][46][47][48][49][50] 6 from the United Kingdom, [51][52][53][54][55][56] 4 each from the United States [57][58][59][60] and South Korea, [61][62][63][64] 2 each from Brazil, 65,66 Canada, 67,68 Egypt 69,70 and Italy, 7...…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Surface land-marked methods without any use of guidance were used in 32 studies. Of these, the indirect surface land-marked approach was reported in 20 studies 20,36,[39][40][41][42][43][44]50,[53][54][55]57,65,68,69,72,[74][75][76] and the direct suprascapular notch surface land-marked approach was reported in 10 studies. 27,29,30,35,38,51,56,[59][60][61] In one study, the direct spinoglenoid notch method was used 45 and in one study, a combination of both the direct suprascapular notch and indirect method was used.…”

Section: Types Of Publicationmentioning

confidence: 99%

“…Local anaesthetic was used in all 53 studies. Local anaesthetics were used alone in 20 studies, 27,29,[58][59][60]62,63,67,68,70,74,76,30,33,37,38,46,49,54,57 used with steroid in 29 studies 20,23,26,28,32,[34][35][36][39][40][41][42][43][44][45]47,48,[50][51][52][53]55,56,64,66,69,71,73,75 and used with a combination of steroid and…”

Section: Medication Usedmentioning

confidence: 99%

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A systematic review of the methods and drugs used for performing suprascapular nerve block injections for the non-surgical management of chronic shoulder pain

Smith

Liew

Johnson

et al. 2021

British Journal of Pain

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Suprascapular nerve block (SSNB) injections are growing in popularity as a treatment option for people with chronic shoulder pain. The optimal method of injection and aftercare is unknown. This review describes the current methods and drugs used for performing SSNB injections in the non-surgical management of adults with chronic shoulder pain in order to inform future research in this area. Systematic searches of CINAHL, MEDLINE (OVID), AMED, Embase databases and the Cochrane Library were undertaken from inception to June 2020. Data on the method and drugs used for injection and aftercare were extracted and summarised for areas of commonality and discrepancy. We included 53 studies in this review. In total, eight different injection methods were reported within the included studies. Indirect surface land-marked methods were the most common method reported in 21 studies. Direct surface land-marked methods were reported in 12 studies. Ultrasound-guided methods used alone were reported in 16 studies. Both fluoroscopy and computed tomography methods used alone were reported in one study each. Electromyography was used in combination with other injection methods in nine studies. Wide variation in the composition of the injectate was observed between studies. Local anaesthetic was used within injectate preparations in all studies. Local anaesthetic used alone was reported in 20 studies, combined with steroid in 29 studies and combined with various other components in 5 studies. Physiotherapy following injection was reported in 26 studies. Reported details of physiotherapy varied considerably. This review identified substantial variation in the methods and drugs used to perform SSNB injection in clinical trials. Current literature demonstrates a wide range of methods used for SSNB injection administration. Consensus research defining standardised practice for SSNB injection is now needed to guide future clinical practice and research.

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Section: Study Characteristicsmentioning

confidence: 99%

Section: Types Of Publicationmentioning

confidence: 99%

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A systematic review of the methods and drugs used for performing suprascapular nerve block injections for the non-surgical management of chronic shoulder pain

Smith

Liew

Johnson

et al. 2021

British Journal of Pain

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“…Subacromial impingement syndrome is the most common cause of shoulder pain and restriction in range of motion[ 1 2 3 ] that leads to debility and decreased quality of life. [ 4 5 ] The pain is commonly resulting from subacromial bursitis and rotator cuff tendonitis. [ 6 ] Nonoperative treatment options for impingement syndrome have included rest, ice, physical therapy, ultrasound, electromagnetic radiation, corticosteroid injections, and systemic nonsteroidal anti-inflammatory drugs (NSAIDs).…”

Section: Introductionmentioning

confidence: 99%

Comparison of subacromial ketorolac injection zversus corticosteroid injection in the treatment of shoulder impingement syndrome

et al. 2017

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Objective:Subacromial impingement syndrome is the most common cause of shoulder pain and restriction in range of motion in the world. The aim of this study was to compare the efficacy of subacromial injection of ketorolac with the injection of corticosteroid for the treatment of subacromial impingement syndrome.Methods:A total of forty patients were randomly allocated into two groups. Group A received 40 mg of methylprednisolone and Group B received 60 mg of ketorolac as a subacromial injection along with lidocaine. Each patient was evaluated in terms of visual analog scale (VAS) for evaluating pain and Constant's score for function evaluation (pain, activity level, and range of motion with standard goniometry). The patients were re-examined 1 and 3 months after intervention. All the patients educated for simple home exercise.Findings:At 1 and 3 months of follow-up, both treatment arms resulted in an increased range of motion and decreased pain. The difference between the groups was not statistically significant (P > 0.05). In ketorolac group, mean pre- and post-treatment (at 12 weeks) VAS scores were 8.6 (range, 3–9) and 4.5 (range 2–4), respectively. In steroid group, mean pre- and post-treatment (at 12 weeks) VAS scores were 8.3 (range, 3–10) and 3.9 (range, 0–7), respectively. The difference was statistically significant within groups at baseline and 1 (P < 0.001) and 3 (P < 0.001) months after the injection.Conclusion:Subacromial injection of ketorolac has an equivalent outcome to subacromial injection of corticosteroid. The use of ketorolac injections can substantially decrease the pain and increase the range of motion of the shoulder and could be a reasonable alternative in case of corticosteroid contraindications.

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“…Manyconditions, such as adhesive capsulitis, tendinitis, and shoulderimpingement syndrome (SIS), can result in shoulder pain. 2 – 5 Inflammation, which causes glenohumeral pain and tissue degeneration, is usually the factor underlying this complaint.…”

Section: Introductionmentioning

confidence: 99%

Steroid Injection and Nonsteroidal Anti-inflammatory Agents for Shoulder Pain

Sun

Chen

et al. 2015

Medicine

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Does Suprascapular Nerve Block Improve Shoulder Disability in Impingement Syndrome? A Randomized Placebo-Contolled Study

Cited by 6 publications

References 10 publications

A systematic review of the methods and drugs used for performing suprascapular nerve block injections for the non-surgical management of chronic shoulder pain

A systematic review of the methods and drugs used for performing suprascapular nerve block injections for the non-surgical management of chronic shoulder pain

Comparison of subacromial ketorolac injection zversus corticosteroid injection in the treatment of shoulder impingement syndrome

Steroid Injection and Nonsteroidal Anti-inflammatory Agents for Shoulder Pain

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