Comparison between Intra-Articular Steroid Injection and Supra-Scapular Nerve Block in the Management of Frozen Shoulder

To compare the efficacy of intra-articular steroid injection with ultrasound-guided supra-scapular nerve block in the management of frozen shoulder in terms of shoulder pain and disability index score and range of motion. This randomized controlled trial was conducted in orthopedic department, PIMS,...

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Bibliographic Details
Published in:Pakistan journal of medical sciences 2024-08, Vol.40 (7), p.1415-1419
Main Authors: Nazim, Zeeshan Khan, Farhat, M Farhan, Abbasi, Saleem
Format: Article
Language:English
Subjects:
Analysis
Bupivacaine
Clinical trials
Intervention
Original
Orthopedics
Pain
Physical therapy
Quality of life
Range of motion
Shoulder
Steroids
Surgery
Ultrasonic imaging
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Summary:To compare the efficacy of intra-articular steroid injection with ultrasound-guided supra-scapular nerve block in the management of frozen shoulder in terms of shoulder pain and disability index score and range of motion. This randomized controlled trial was conducted in orthopedic department, PIMS, Islamabad from 1 January, 2020 to 30 June, 2020. A total of 72 patients were randomly equally (n=36 each) allocated to Group-A (intra-articular steroid injection) and Group-B (supra-scapular nerve block). Adults above 18 years of both genders having diffuse shoulder pain were included. Cases of shoulder pain localized because of bicipital tendinitis, rotator cuff tear, pain due to acute trauma and those with osteoarthritis were excluded. Data was analyzed in SPSS version 22.0. Patients average age was 60.1 ± 6.29 in IASI and 58.0 ± 5.83 years in SSNB Group-And there were 19 (52.8%) males in IASI group compared to 15 (41.7%) in SSNB. At three weeks mean pain was significantly less in SSNB (57.1 ± 9.53 vs 49.4 ± 9.02) compared to IASI group (p-value,
ISSN:1682-024X
1681-715X
DOI:10.12669/pjms.40.7.8531