COMPARISON BETWEEN SUPRASCAPULAR NERVE BLOCK AND INTRA ARTICULAR STEROID IN PAIN MANAGEMENT FOR FROZEN SHOULDER (ADHESIVE CAPSULITIS) PATIENTS.

Dr. Sandeep kumar; Dr. P. S. Lamba

Volume : VI, Issue : I, January - 2017

COMPARISON BETWEEN SUPRASCAPULAR NERVE BLOCK AND INTRA ARTICULAR STEROID IN PAIN MANAGEMENT FOR FROZEN SHOULDER (ADHESIVE CAPSULITIS) PATIENTS.

Dr. Sandeep Kumar, Dr. P. S. Lamba

Abstract :

Objective: The objective of this study was to compare the effect of supra scapular nerve block and intra articular injection to relieve pain and reduce disability in the patients of frozen shoulder.

Materials and Methods: Patients diagnosed as the cases of frozen shoulder in outpatient department of anaesthesia irrespective of their gender were included in the study.52 patients were divided into two groups by randomization, one group received supra scapular nerve block and second group received intra–articular steroid injection. Both groups were advised for supervised physiotherapy after procedures. Patient�s pain levels and ranges of movement were assessed over a period of twelve weeks.

Results. The study included total 52 patients to a supra scapular nerve block and intra articular steroid injection, 26 in each group .The mean age of the patients was 53.92 �8.64 years and the range was 18 to 80 years. There were 21 females and 31 males patients. Post injection assessment of patients was done at one, three, seven and twelve weeks. There was a significant decrease in pain and marked improvement in range of movement with supra scapular nerve block and intra articular injection, but supra scapular nerve block given earlier and fast improvement .Patient�s pain levels and ranges of movement were assessed over a twelve week period.

Conclusion: Suprascapular nerve block produced a faster and more complete resolution of pain and restoration of range of movement than intra articular injection.