Suprascapular nerve block followed by Codman’s manipulation and exercise in the rehabilitation of idiopathic frozen shoulder

EL-Badawy, Mohja A.; Fathalla, Mahmoud M

doi:10.4103/1110-161x.147360

Cited by 4 publications

(14 citation statements)

References 24 publications

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“…30 It is however indispensable to initiate physiotherapy immediately after MUA to sustain the mobility acquired during manipulation in first few weeks otherwise significant stiffness quickly returns. 11,31 Kraal and coworkers found that Intra-articular corticosteroid infiltration with physiotherapy lead to superior Shoulder Pain and Disability Index scores and good range of motion early stage frozen shoulder during first three months. 9 One previous study reported that addition of physiotherapy after a shoulder joint injection leads to statistically significant outcome.…”

Section: Discussionmentioning

confidence: 99%

Functional outcome of manipulation under anaesthesia for the treatment of frozen shoulder

Arfat

Anwer²,

Imdad

et al. 2020

J Fatima Jinnah Med Univ

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Background: Frozen shoulder is defined as painful progressive loss of shoulder movements with unknown etiology. It is a self-limiting disease with the natural history of 18-30 months but with residual pain and restriction of shoulder movement. Its incidence is 2-5%. Various treatment modalities include benign neglect, physical therapy, non-steroidal anti-inflammatory medications, oral glucocorticoids, distention arthrography, intra articular steroid injections, closed manipulation under anaesthesia (MUA) and arthroscopic release of joint capsule. MUA regarding pain control and range of motion is safe, yields immediate results and is very cost effective. The purpose of this study was to ascertain the functional outcome of manipulation under anaesthesia and physiotherapy for the treatment of frozen shoulder in term of safety, cost effectiveness and immediate results. Patients and Methods: In the 6 months study period, 50 patients with adhesive capsulitis were included by non-probability purposive sampling. Manipulation of shoulders was done under general anaesthesia and after the MUA intra articular injection of a mixture of corticosteroid and local anaesthetic was injected. Postoperatively, all patients underwent physiotherapy. Functional outcome was measured using Shoulder Pain and Disability Index (SPADI) preoperatively and postoperatively at 1st, 2nd and 3rd week follow up. Results: Out of 50 patients, 32 (64%) were females and 18 (36%) were males having female to male ratio of 1.8:1. Average age was 51 years and average duration of symptoms preceding to MUA was 4 months and 27 days. The average pain score decreased from 92.52% to 18.08% and the average disability score reduced from 95% to 17.10%, both at 3rd week postoperative follow up. There were no procedure-related complications. Conclusion: Manipulation under anaesthesia along with physiotherapy diminishes pain and disability, improves range of motion and expedites early recovery of function in patients having frozen shoulder.

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Section: Discussionmentioning

confidence: 99%

Functional outcome of manipulation under anaesthesia for the treatment of frozen shoulder

Arfat

Anwer²,

Imdad

et al. 2020

J Fatima Jinnah Med Univ

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“…We found active range of motion increased significantly for flexion, abduction, internal rotation and external rotation. A significant decrease of visual analog scale and shoulder disability Questionnaire scores between baseline and follow-up assessments at 1, 6 and 12 weeks post manipulation was also observed [74]. Extension of pain relief for 12 weeks post injection is beyond the pharmacological effect of the drug.…”

Section: Combined Approach Of Ssnb Followed By Codman's Manipulation mentioning

confidence: 75%

“…We studied a combined approach including SSNB followed by Codman's manipulation of the glenohumeral joint and a home program of ROM exercises, pendulum exercises for the arm and stretching techniques for the shoulder joint in patients with idiopathic frozen shoulder [74]. We found active range of motion increased significantly for flexion, abduction, internal rotation and external rotation.…”

Section: Combined Approach Of Ssnb Followed By Codman's Manipulation mentioning

confidence: 98%

Suprascapular Nerve Block Followed by Codman s Manipulation and Home Exercises An Effective Combined Approach in the Rehabilitation of Idiopathic Frozen Shoulder : A Review

Ma¹,

Mm²

2016

Lupus Open Access

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Frozen shoulder is characterized by inflammation of the synovial lining and capsule, with subsequent generalized contracture of the glenohumeral joint causing shoulder pain and a gradual loss of both passive and active range of motion. The pathology of idiopathic frozen shoulder is defined as a self-limiting condition of unknown etiology. Pain relief through suprascapular nerve block (SSNB) followed by manipulation and home exercises may be a suitable treatment option in such patients.

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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%

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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Suprascapular nerve block followed by Codman’s manipulation and exercise in the rehabilitation of idiopathic frozen shoulder

Cited by 4 publications

References 24 publications

Functional outcome of manipulation under anaesthesia for the treatment of frozen shoulder

Functional outcome of manipulation under anaesthesia for the treatment of frozen shoulder

Suprascapular Nerve Block Followed by Codman s Manipulation and Home Exercises An Effective Combined Approach in the Rehabilitation of Idiopathic Frozen Shoulder : A Review

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

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