Suprascapular nerve block for the treatment of frozen shoulder

Özkan, Korhan; Ozcekic, Ali Nadir; Sarar, Serhan; Çift, Hakan; Özkan, Feyza Ünlü; Unay, Koray

doi:10.4103/1658-354x.93061

Cited by 32 publications

(13 citation statements)

References 9 publications

(4 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Therefore, an IAI or SSNB may be beneficial before physical therapy. 6,27,37 An IAI, one of the most common procedures, can lead to satisfactory results in the treatment of adhesive capsulitis, with improved ROM and prompt pain reduction. 3,4,6,15,21,23,30 Previous studies have shown that an SSNB is also safe and effective, with faster and more efficient resolution of pain and restoration of ROM.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Does Combining a Suprascapular Nerve Block With an Intra-articular Corticosteroid Injection Have an Additive Effect in the Treatment of Adhesive Capsulitis? A Comparison of Functional Outcomes After Short-term and Minimum 1-Year Follow-up

Jung

Lee

Min

et al. 2019

Orthopaedic Journal of Sports Medicine

View full text Add to dashboard Cite

Background: No therapeutic intervention is universally accepted as the most effective treatment for adhesive capsulitis. An intra-articular corticosteroid injection (IAI) with a suprascapular nerve block (SSNB), a common treatment for this disease, is a safe and effective method for the resolution of pain and restoration of shoulder range of motion (ROM). Purpose: To compare the efficacy of combined SSNB and IAI with that of IAI alone in the treatment of adhesive capsulitis. Study Design: Cohort study; Level of evidence, 3. Methods: We performed a retrospective review of 102 patients with adhesive capsulitis who were treated at an outpatient clinic from July 2016 to January 2017. A combined SSNB with IAI was performed in 48 patients (SSNB + IAI group), and an IAI alone was performed in 54 patients (IAI group). Patients were assessed before the intervention and at 2 weeks and 2 months after the intervention. ROM and pain and function visual analog scales (PVAS and FVAS, respectively), the American Shoulder and Elbow Surgeons (ASES) score, the Korean Shoulder Scoring System (KSS), the Constant score, the Simple Shoulder Test (SST), and the Shoulder Pain and Disability Index (SPADI) were used for clinical assessments. PVAS, FVAS, and ASES scores at a minimum of 1 year after the intervention were assessed for 82 patients. Results: At the 2-month assessment, all parameters significantly improved in both the SSNB + IAI and IAI groups ( P < .05), however, improvements in forward flexion (FF) and abduction (ABD) between the 2-week and 2-month assessments were better in the SSNB + IAI group. At the 2-month assessment, improvements in the FVAS, ASES, SST, and SPADI scores and FF and ABD values were statistically significantly greater in the SSNB + IAI group compared with the IAI group. Improvements in FVAS and ASES scores were significantly greater in the SSNB + IAI group at a minimum of 1 year. Conclusion: Both a combined SSNB and IAI and an IAI alone significantly improved pain and functional outcomes in patients with adhesive capsulitis. The use of an SSNB with an IAI further increased treatment efficacy, as per the FVAS, ASES, SST, and SPADI scores and FF and ABD values. Patients who underwent SSNB combined with an IAI showed better improvements in the FVAS and ASES scores compared with IAI alone at a minimum of 1 year after the intervention. Therefore, an SSNB combined with an IAI may be a good treatment choice for adhesive capsulitis.

show abstract

mentioning

confidence: 99%

“…3,4,6,15,21,23,30 Previous studies have shown that an SSNB is also safe and effective, with faster and more efficient resolution of pain and restoration of ROM. 11,27,37…”

mentioning

confidence: 99%

Does Combining a Suprascapular Nerve Block With an Intra-articular Corticosteroid Injection Have an Additive Effect in the Treatment of Adhesive Capsulitis? A Comparison of Functional Outcomes After Short-term and Minimum 1-Year Follow-up

Jung

Lee

Min

et al. 2019

Orthopaedic Journal of Sports Medicine

View full text Add to dashboard Cite

show abstract

“…[ 24 25 ] Suprascapular injection has shown to be effective in reducing shoulder pain and improving functional status for as long as 3 months, and ultrasound is the preferred mode of guidance. [ 26 27 ] Physical therapy is better tolerated after the procedure, and appropriate and regular physiotherapy can result in prolonged improvement in functional status and long-term reduction in pain; such an effect has especially been found in our experience in patients with adhesive capsulitis. In spite of the fact that there are other nerves that supply the shoulder capsule, suprascapular block-induced pain relief is profound.…”

Section: Introductionmentioning

confidence: 61%

Ultrasound-guided peripheral nerve interventions for common pain disorders

Prasad

Joy

Raghavendra

et al. 2018

Indian Journal of Radiology and Imaging

View full text Add to dashboard Cite

There are a number of common pain disorders that can be managed effectively by injections around or ablation of peripheral nerves. Ultrasound is a universally available imaging tool, is safe, cost-effective, and is excellent in imaging many peripheral nerves and guiding needles to the site of the nerves. This article aims to present an overview of indications and techniques of such procedures that can be effectively performed by a radiologist.

show abstract

“…administered SSNB under fluoroscopic guidance using a nerve stimulator needle in patients with frozen shoulder and diabetes mellitus unresponsive to intraarticular steroid injections. [ 6 ]…”

Section: Discussionmentioning

confidence: 99%

“…[ 4 ] SSNB has been found to be effective in common conditions that result in chronic shoulder pain which include rotator cuff lesions, adhesive capsulitis (frozen shoulder), calcifying tendinitis, shoulder arthritis, rheumatoid arthritis, and stroke sequel. [ 5 6 7 8 9 ] The surface landmark technique of SSNB has undergone several modifications since it was first described by Wertheim and Rovenstien in 1941. [ 10 ] The most commonly used surface landmark technique of SSNB is the one described by Dangoisse et al .…”

Section: Introductionmentioning

confidence: 99%

Comparative study of anatomical landmark-guided versus ultrasound-guided suprascapular nerve block in chronic shoulder pain

et al. 2018

View full text Add to dashboard Cite

Background:Suprascapular nerve block (SSNB) is an effective method for the treatment of shoulder disorders. The present study was conducted to evaluate and compare the effectiveness of SSNB under ultrasonographic guidance with anatomical landmark-guided (LMG) technique in the treatment of chronic shoulder pain.Materials and Methods:A total of fifty patients with shoulder pain were enrolled in the present prospective randomized study. Patients in Group I (n = 25) received SSNB using the anatomical LMG as technique described by Dangoisse, in whom a total of 6 ml of drug (5 ml of 0.25% bupivacaine and 40 mg methylprednisolone) was injected. Group II patients (n = 25) were given SSNB using the ultrasound guidance with the same amount of drug. Pain was measured using visual analog scale (VAS), range of motion and Shoulder Pain and Disability Index (SPADI) were recorded. Observations were recorded before the block, immediately after the block, and 1 and 4 weeks after the block.Results:There was no statistically significant difference between the VAS score, range of motion and SPADI before the procedure (P > 0.05) in both the groups. Both the groups showed statistically similar improvement of VAS, range of motion and SPADI at 4-week (P > 0.05) follow-up. In Group I, VAS decreased from baseline value of 6.64 ± 1.50–2.04 ± 0.94 at 4 weeks (P < 0.001). In Group II, the VAS decreased from 6.92 ± 1.00 to 1.84 ± 1.03 at 4 weeks (P < 0.01).Conclusion:In our study, both the techniques have produced comparable relief of pain, improvement in shoulder movement, and decreased SPADI 4 weeks after the block.

show abstract

Suprascapular nerve block for the treatment of frozen shoulder

Cited by 32 publications

References 9 publications

Does Combining a Suprascapular Nerve Block With an Intra-articular Corticosteroid Injection Have an Additive Effect in the Treatment of Adhesive Capsulitis? A Comparison of Functional Outcomes After Short-term and Minimum 1-Year Follow-up

Does Combining a Suprascapular Nerve Block With an Intra-articular Corticosteroid Injection Have an Additive Effect in the Treatment of Adhesive Capsulitis? A Comparison of Functional Outcomes After Short-term and Minimum 1-Year Follow-up

Ultrasound-guided peripheral nerve interventions for common pain disorders

Comparative study of anatomical landmark-guided versus ultrasound-guided suprascapular nerve block in chronic shoulder pain

Contact Info

Product

Resources

About