Suprascapular nerve block and steroid injection in nonspecific shoulder pain Nonspesi̇fi̇k omuz aǧrisinda supraskapular si̇ni̇r blokaji ve steroi̇d i̇njeksi̇yonu
Journal of Rheumatology and Medical Rehabilitation, cilt.15, sa.1, ss.9-15, 2004 (Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 15 Sayı: 1
- Basım Tarihi: 2004
- Dergi Adı: Journal of Rheumatology and Medical Rehabilitation
- Derginin Tarandığı İndeksler: Scopus
- Sayfa Sayıları: ss.9-15
- Anahtar Kelimeler: Corticosteroid injection, Shoulder pain, Suprascapular nerve block
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
The objective of this study was to compare the efficacy of suprascapular nerve block (SScN) and steroid injection (SI) in non-specific shoulder pain originating from the soft tissue. Sixty consecutive patients with shoulder pain were included in the study. After 1:1 randomization, 30 were included in SI group, 30 were included in SScN group. Single injection was performed in both groups. All patients were evaluated pretreatment, posttreatment and one month later in terms of pain (in rest, activity and strenuous activity with 0-10 cm numeric scale); range of motion (ROM) (flexion, abduction, internal and external rotations, and total Constant shoulder ROM score); satisfaction (0-10 numeric scale), and disability (Pennsylvania shoulder scale function score). SI was performed with lateral and anterior approach. SScN including only lidocaine but not steroid, was applied at the suprascapular notch. Difference between groups, difference within groups, and difference in improvement between groups were assessed with Student-t test, t-test, and multivariate analyse respectively. The difference in all follow-up parameters was statistically important in all assessment periods (p<0.05). Statistically neither method was superior to each other (p>0.05). In conclusion SI and SScN block both are found to be effective in non-specific shoulder pain. We suggest that SScN block can be offered more priorly because of being as effective as SI with neglectable side effects. According to our results since bisipital lesions accompany the shoulder pain very often; adding anterior injection besides lateral approach may increase the benefit.