ISSN 2458-7834
 

Original Article 


Combined Suprascapular Nerve Blocage and Intraarticular Corticosteroid Injection Achieved Higher Patient Complience to Physiotheraphy in Stage 2 Adhesive Capsulitis

sema ertan birsel, Muhammed Taha Demir, Yusuf Pirincci, Muhammet Salih, Hayrettin Kesmezacar.


Abstract
Objective: Physical therapy (PT) is strongly recommended for improving pain and function in adhesive capsulitis (AC) patients, however success of PT depends on tolerablity by patients. The purpose of this study was to asses the efficacy of combined ultrasound guided Suprascapular nerve blocage (SSNB) and intraarticular corticosteroid injection (IACI) protocol, on pain and function in stage 2 AC patients which is the most painful stage.
Methods: Medical records of 38 patients who were met the inclusion criteria and treated with SSNB and IACI have been retrospectiely reviewed. Patients’ demographic datas, ROM values and The American Shoulder and Elbow Surgeons (ASES) score, Constant Murray shoulder score and pain visual analog scale (PVAS) were examined in medical records of assessments before the intervention, at weeks 3, months 3 and months 6 after the intervention.
Results: The frequencies of both night and resting pain were higher at pre-treatment than at follow-up controls (p<0.001). Change of PVAS scores from baseline to follow-up scores, there was significant decrease (p<001). The median values of ASES and Constant Scores measured at pre-treatment were significantly lower than measured at follow-up controls (p<001). Change of ROM angles from baseline to follow-up scores, was significantly improved.
Conclusions: Since the stage 2 AC is most painful and debiliating stage, reducing pain and maintaining it must be the mainstay of treatment in this stage. SSNB together with IACI is a safe and successfull treatment method that prompts faster and sustained symptom resolution by increasing patient compliance to PT.

Key words: Adhesive Capsulitis, Suprascapular Nerve Blogace, Intraarticular Corticostreoid Injection, Physical Theraphy,Frozen shoulder


 
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How to Cite this Article
Pubmed Style

birsel se, Demir MT, Pirincci Y, Salih M, Kesmezacar H. Combined Suprascapular Nerve Blocage and Intraarticular Corticosteroid Injection Achieved Higher Patient Complience to Physiotheraphy in Stage 2 Adhesive Capsulitis. Hand Microsurg. 2023; 12(3): 145-155. doi:10.5455/handmicrosurg.171771


Web Style

birsel se, Demir MT, Pirincci Y, Salih M, Kesmezacar H. Combined Suprascapular Nerve Blocage and Intraarticular Corticosteroid Injection Achieved Higher Patient Complience to Physiotheraphy in Stage 2 Adhesive Capsulitis. https://handmicrosurgeryjournal.com/?mno=171771 [Access: September 13, 2024]. doi:10.5455/handmicrosurg.171771


AMA (American Medical Association) Style

birsel se, Demir MT, Pirincci Y, Salih M, Kesmezacar H. Combined Suprascapular Nerve Blocage and Intraarticular Corticosteroid Injection Achieved Higher Patient Complience to Physiotheraphy in Stage 2 Adhesive Capsulitis. Hand Microsurg. 2023; 12(3): 145-155. doi:10.5455/handmicrosurg.171771



Vancouver/ICMJE Style

birsel se, Demir MT, Pirincci Y, Salih M, Kesmezacar H. Combined Suprascapular Nerve Blocage and Intraarticular Corticosteroid Injection Achieved Higher Patient Complience to Physiotheraphy in Stage 2 Adhesive Capsulitis. Hand Microsurg. (2023), [cited September 13, 2024]; 12(3): 145-155. doi:10.5455/handmicrosurg.171771



Harvard Style

birsel, s. e., Demir, . M. T., Pirincci, . Y., Salih, . M. & Kesmezacar, . H. (2023) Combined Suprascapular Nerve Blocage and Intraarticular Corticosteroid Injection Achieved Higher Patient Complience to Physiotheraphy in Stage 2 Adhesive Capsulitis. Hand Microsurg, 12 (3), 145-155. doi:10.5455/handmicrosurg.171771



Turabian Style

birsel, sema ertan, Muhammed Taha Demir, Yusuf Pirincci, Muhammet Salih, and Hayrettin Kesmezacar. 2023. Combined Suprascapular Nerve Blocage and Intraarticular Corticosteroid Injection Achieved Higher Patient Complience to Physiotheraphy in Stage 2 Adhesive Capsulitis. Hand and Microsurgery, 12 (3), 145-155. doi:10.5455/handmicrosurg.171771



Chicago Style

birsel, sema ertan, Muhammed Taha Demir, Yusuf Pirincci, Muhammet Salih, and Hayrettin Kesmezacar. "Combined Suprascapular Nerve Blocage and Intraarticular Corticosteroid Injection Achieved Higher Patient Complience to Physiotheraphy in Stage 2 Adhesive Capsulitis." Hand and Microsurgery 12 (2023), 145-155. doi:10.5455/handmicrosurg.171771



MLA (The Modern Language Association) Style

birsel, sema ertan, Muhammed Taha Demir, Yusuf Pirincci, Muhammet Salih, and Hayrettin Kesmezacar. "Combined Suprascapular Nerve Blocage and Intraarticular Corticosteroid Injection Achieved Higher Patient Complience to Physiotheraphy in Stage 2 Adhesive Capsulitis." Hand and Microsurgery 12.3 (2023), 145-155. Print. doi:10.5455/handmicrosurg.171771



APA (American Psychological Association) Style

birsel, s. e., Demir, . M. T., Pirincci, . Y., Salih, . M. & Kesmezacar, . H. (2023) Combined Suprascapular Nerve Blocage and Intraarticular Corticosteroid Injection Achieved Higher Patient Complience to Physiotheraphy in Stage 2 Adhesive Capsulitis. Hand and Microsurgery, 12 (3), 145-155. doi:10.5455/handmicrosurg.171771





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