Trends in Clinical and Medical Sciences

Special issue: Indian Medical Research Views and Findings on Last 5 years (2023), pp. 223 – 228
ISSN: 2791-0814 (online) 2791-0806 (Print)
DOI: 10.30538/psrp-tmcs2023.si-imrv034

Fluroscopic guided capsular distention with and without suprascapular nerve block in frozen shoulder patients a prospective comparative study

Dr. Digember Peepra\(^{1}\), Dr. Jeetendra Singh Lodhi\(^{2}\), Dr. Sachin Gajbhiye\(^{3}\), Dr. Ashok Vidyarthi\(^{4}\) and Dr. Hemendra Chauhan\(^{5,*}\)
\(^{1}\) Associate Professor, Department of Orthopaedics, N.S.C.B. Medical College and Hospital, Jabalpur.
\(^{2}\) Assistant Professor, Department of Orthopaedics, N.S.C.B. Medical College and Hospital, Jabalpur.
\(^{3}\) Assistant Professor, Department of Anaesthesiology, N.S.C.B. Medical College and Hospital, Jabalpur.
\(^{4}\) Professor & Head, Department of Orthopaedics, N.S.C.B. Medical College and Hospital, Jabalpur.
\(^{5}\) Post Graduate Resident, Department of Orthopaedics, N.S.C.B. Medical College and Hospital, Jabalpur.
Correspondence should be addressed to Dr. Hemendra Chauhan at hscmgm84@gmail.com

Copyright © 2023 Dr. Digember Peepra, Dr. Jeetendra Singh Lodhi, Dr. Sachin Gajbhiye, Dr. Ashok Vidyarthi and Dr. Hemendra Chauhan. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: March 23, 2023 – Accepted: May 17, 2023 – Published: May 24, 2023

Abstract

Background: In general practise, frozen shoulder is a common condition, in which pain and gross restriction of movement around affected shoulder joint occur.
Aim: To compare the effectiveness of fluoroscopic guided capsular distension with and without suprascapular nerve block to relieve pain and improve range of movement.
Method: An observational study of 60 patients to compare capsular distension with steroid,local anaesthetic and normal saline in 30 patients with suprascapular nerve block (group A). Capsular distension with steroid, local anaesthetic and normal saline without suprascapular nerve block in 30 patients (Group B). After capsular distension all patients advised physiotherapy, ranges of movement and pain over shoulder joint were assessed over a 12-week period.
Results: In comparison to fluoroscopic guided capsular distension without suprascapular block (Group B), fluoroscopic guided capsular distension with suprascapular block (group A) has a more decreased SPADI and VAS score.
Conclusions: According to this study, suprascapular nerve block is a more safe and effective method of treating frozen shoulder than distension with no nerve block.

Keywords:

Adhesive capsulitis; Frozen shoulder; Suprascapular nerve block.