Suprascapular Nerve Block versus Steroid Injection for Non-Specific Shoulder Pain

Taşkaynatan, Mehmet Ali; Yılmaz, Bilge; Özgül, Ahmet; Yazıcıoğlu, Kamil; Kalyon, Tunc Alp

doi:10.1620/tjem.205.19

Cited by 46 publications

(42 citation statements)

References 10 publications

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“…The active and passive abduction range improved in both groups with an average improvement of 50 0 to 60 0 . Our results were similar to that of study done by David et al and Taskaynatan et al 6,7 VAS score improved significantly in both groups. But Group A showed significance at all follow-up whereas, Group B showed significance after 1 week.…”

Section: Discussionsupporting

confidence: 93%

Comparative study of ultrasound guided supra-scapular nerve block versus intra-articular steroid injection in frozen shoulder

2016

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Background: Frozen shoulder is one of the most common musculoskeletal problems seen in orthopaedics. Many treatment modes are available however, it is difficult to treat and data on the comparative efficacy of various interventions are limited. Intra-articular corticosteroid injection (IASI) is a commonly used to treat frozen shoulder pain. Supra-scapular nerve block (SSNB) is also effective method to treat pain in chronic diseases that affect the shoulder. The present study was done to compare efficacy of ultrasound guided SSNB and IASI in management of painful frozen shoulder.Methods: 60 patients with painful frozen shoulder were divided in two groups, Group A received ultra-sound guided SSNB with 6 ml 0.5% Bupivacaine; Group B received IASI using 40 mg Triamcinolone. Outcome measures were shoulder ranges mainly lateral rotation and abduction, shoulder pain and disability index and visual analogue scale (VAS). Patients were followed-up on 2nd day, at 1st, 3rd and 6th week.Results: All baseline parameters improved significantly in both groups; however, on comparison Group A showed significant improvement in passive lateral rotation on 2nd day and 1st week follow up (P =0.038 and 0.040 respectively). VAS score showed significance at all follow-up in Group A, whereas, in Group B significance was seen after 1 week. On inter group comparison Group A shows significance on 2nd day (P =0.050), 1st week (P =0.042) and 3rd week (P =0.036).Conclusions:Both SSNB and IASI have efficacy in management of frozen shoulder. But supra-scapular nerve block is better than intra-articular injection and should be considered prior to steroid as it has early onset pain relief, early improvement in ranges, potentially lesser contraindications and side effects.

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Section: Discussionsupporting

confidence: 93%

Comparative study of ultrasound guided supra-scapular nerve block versus intra-articular steroid injection in frozen shoulder

2016

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“…A number of trials, which examined chronic shoulder pain in a heterogeneous group without looking at individual pathologic diseases, have been performed. 18,20,46,53,72 Of these trials, three were randomized. 18,53,72 Two of these randomized studies compared SSNB to intra-articular steroid for shoulder pain and function.…”

Section: Chronic Shoulder Pain: General Considerationsmentioning

confidence: 99%

Suprascapular Nerve Block

Chan

Peng

2011

Regional Anesthesia and Pain Medicine

133

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Suprascapular nerve blockade (SSNB) is a simple and safe technique for providing relief from various types of shoulder pain, including rheumatologic disorders, cancer, and trauma pain, and postoperative pain due to shoulder arthroscopy. Posterior, superior, and anterior approaches may be used, the most common being the posterior. Recently, an ultrasound-guided approach has been described. In this review, the basic anatomy of the suprascapular nerve will be described. The different techniques of SSNB and indications for SSNB will be discussed. The complications of SSNB and outcomes of SSNB on the management of acute and chronic shoulder pain will be reviewed.

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“…A comparison of IAI and SSNB for unspecified (not hemiplegic) shoulder pain reported both approaches, were effective, with no difference in the treatment. Better results were evident when both approaches for used [26]. However, the study involved non-hemiplegic patients, so the results cannot be applied on the patients with hemiplegic shoulder pain.…”

Section: Discussionmentioning

confidence: 99%

The Comparison of Effects of Suprascapular Nerve Block, Intra-articular Steroid Injection, and a Combination Therapy on Hemiplegic Shoulder Pain: Pilot Study

et al. 2014

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ObjectiveTo assess the relative effectiveness of three injections methods suprascapular nerve block (SSNB) alone, intra-articular steroid injection (IAI) alone, or both-on relief of hemiplegic shoulder pain.MethodsWe recruited 30 patients with hemiplegic shoulder pain after stroke. SSNB was performed in 10 patients, IAI in 10 patients, and a combination of two injections in 10 patients. All were ultrasonography guided. Each patient's maximum passive range of motion (ROM) in the shoulder was measured, and the pain intensity level was assessed with a visual analogue scale (VAS). Repeated measures were performed on pre-injection, and after injection at 1 hour, 1 week, and 1 month. Data were analyzed by Kruskal-Wallis and Friedman tests.ResultsAll variables that were repeatedly measured showed significant differences in shoulder ROM with time (p<0.05), but there was no difference according injection method. In addition, VAS was statistically significantly different with time, but there was no difference by injection method. Pain significantly decreased until a week after injection, but pain after a month was relatively increased. However, pain was decreased compared to pre-injection.ConclusionThe three injection methods significantly improved shoulder ROM and pain with time, but no statistically significant difference was found between them.

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Suprascapular Nerve Block versus Steroid Injection for Non-Specific Shoulder Pain

Cited by 46 publications

References 10 publications

Comparative study of ultrasound guided supra-scapular nerve block versus intra-articular steroid injection in frozen shoulder

Comparative study of ultrasound guided supra-scapular nerve block versus intra-articular steroid injection in frozen shoulder

Suprascapular Nerve Block

The Comparison of Effects of Suprascapular Nerve Block, Intra-articular Steroid Injection, and a Combination Therapy on Hemiplegic Shoulder Pain: Pilot Study

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