Abstract | BACKGROUND:
Frozen shoulder is a common problem in general practice, but its treatment is difficult since none of the currently used therapies are proven to be effective. AIM: To assess the effectiveness of suprascapular nerve block to relieve pain and improve range of movement, and its suitability for use in primary care. This small study by a single practitioner aims to justify a larger multicentred trial. METHOD: A randomized trial of 30 patients to compare a single suprascapular nerve block with a course of intra-articular injections. Patients' pain levels and ranges of movement were assessed over a 12-week period. RESULTS: Suprascapular nerve block produced a faster and more complete resolution of pain and restoration of range of movement than a series of intra-articular injections. These differences were confirmed by statistical analysis using the Mann-Whitney U-test (P < 0.01 for pain levels and P < 0.05 for range of abduction and external rotation.) CONCLUSIONS: This study suggests that suprascapular nerve block is a safe and effective treatment for frozen shoulder in primary care, and justifies a larger multicentred trial using independent blinded assessment. Such a study should include a third group treated by suprascapular nerve block without steroid; a more comprehensive assessment of patient debility.
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Authors | D S Jones, C Chattopadhyay |
Journal | The British journal of general practice : the journal of the Royal College of General Practitioners
(Br J Gen Pract)
Vol. 49
Issue 438
Pg. 39-41
(Jan 1999)
ISSN: 0960-1643 [Print] England |
PMID | 10622015
(Publication Type: Clinical Trial, Journal Article, Randomized Controlled Trial, Research Support, Non-U.S. Gov't)
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Chemical References |
- Anesthetics, Local
- Anti-Inflammatory Agents
- Triamcinolone Acetonide
- Bupivacaine
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Topics |
- Anesthetics, Local
- Anti-Inflammatory Agents
- Bupivacaine
- Bursitis
(drug therapy)
- Female
- Humans
- Male
- Nerve Block
(methods)
- Range of Motion, Articular
- Shoulder Pain
(drug therapy)
- Treatment Outcome
- Triamcinolone Acetonide
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