Comparison of outcome of ultrasound-guided suprascapular nerve block versus intra-articular steroid injection in adhesive capsulitis of shoulder: A randomized control trial

Verma, Davinder Kumar; Neyaz, Osama; Nanda, Srishti; Handa, Gita

doi:10.4103/injr.injr_11_19

Cited by 7 publications

(32 citation statements)

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“…We included 53 studies from 14 different countries in this review (Table 1). Of which, 13 studies came from Turkey, 26–38 7 each from Australia 20,23,39,38,39,40–43 and India, 44–50 6 from the United Kingdom, 51–56 4 each from the United States 57–60 and South Korea, 61–64 2 each from Brazil, 65,66 Canada, 67,68 Egypt 69,70 and Italy, 71,72 and 1 each from Colombia, 73 Austria, 74 Nepal 75 and Thailand. 76…”

Section: Resultsmentioning

confidence: 99%

“…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%

“…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%

“…Bupivacaine was the most common local anaesthetic used at various concentrations and volumes in 30 studies. 20,31,46,47,[49][50][51][52][53]55,58,59,33,60,[64][65][66][68][69][70][71]73,75,34,[39][40][41][42][43][44] Of which, 24 studies reported using 0.5% bupivaca ine 20,31,46,49,[51][52][53]55,64,65,68,69,33,70,71,73,75,34,[39][40][41][42]…”

Section: Tablementioning

confidence: 99%

“…The use of physiotherapy as an adjunct intervention following SSNB injection was reported in 26 studies (Table 2). 23,[26][27][28][31][32][33][34]36,43,44,46,48,49,[55][56][57][58]63,64,[68][69][70]72,75,76 Most physiotherapy interventions included some aspect of shoulder exercises, either physiotherapy led or in the form of home exercises with written and verbal advice after SSNB injection. The specific details of the reported physiotherapy intervention and exercises varied considerably between studies.…”

Section: Additional Treatment Following Ssnb Injectionsmentioning

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: Resultsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

Section: Medication Usedmentioning

confidence: 99%

Section: Tablementioning

confidence: 99%

Section: Additional Treatment Following Ssnb Injectionsmentioning

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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Research trends and emerging treatment in frozen shoulder research: A bibliometric analysis and meta-analysis

Liu,

Yang,

Xie

et al. 2024

Asian Journal of Surgery

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Pharmacological interventions for early-stage frozen shoulder: a systematic review and network meta-analysis

Berner,

Nicolaides,

Ali

et al. 2024

Rheumatology

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Objectives To evaluate the efficacy of pharmacological interventions for treating early-stage, pain predominant, adhesive capsulitis, also known as frozen shoulder. Methods We performed a systematic review in accordance with PRSIMA guidelines. Searches were conducted on PUBMED, EMBASE and Cochrane Central Register of Controlled Trials on the 24th of February 2022. Outcomes were shoulder pain, shoulder function and range of movement. Synthesis involved both qualitative analysis for all studies and pairwise meta-analyses followed by a network meta-analysis for randomised controlled trials (RCTs). Results A total of 3,252 articles were found, of which 31 met inclusion criteria, and 22 of these were RCTs. Intraarticular (IA) injection of corticosteroids (8 RCTS, 340 participants) and IA injection of platelet-rich plasma (PRP) (3 RCTs, 177 participants) showed benefit at 12 weeks compared with physical therapy in terms of shoulder pain and function, while oral non-steroidal anti-inflammatories (NSAIDs) (2 RCTs, 44 participants) and IA injection of hyaluronate (2 RCTs, 42 participants) did not show a benefit. Only IA PRP showed benefit over physical therapy for shoulder range of movement. Conclusion These results shows that IA corticosteroids IA PRP injections are beneficial for early-stage frozen shoulder. These findings should be appraised with care considering the risk of bias, heterogeneity, and inconsistency of the included studies. We believe that research focused on early interventions for frozen shoulder could improve patient outcomes and lead to cost-savings derived from avoiding long-term disability. Further well-designed studies comparing with standardised physical therapy or placebo are required to improve evidence to guide management.

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Comparison of outcome of ultrasound-guided suprascapular nerve block versus intra-articular steroid injection in adhesive capsulitis of shoulder: A randomized control trial

Cited by 7 publications

References 0 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

Research trends and emerging treatment in frozen shoulder research: A bibliometric analysis and meta-analysis

Pharmacological interventions for early-stage frozen shoulder: a systematic review and network meta-analysis

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