Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.Clinical diagnosis of primary adhesive capsulitis / frozen shoulder: shoulder pain and restriction of both active and passive ROM (especially external rotation) for more than or equal to 4 weeks and less than or equal to 12 months. 2.Pain interfering with ADLs and baseline SPADI more than 30. 3.Patients who have not improved with conservative treatment(analgesics and physiotherapy)for 6 weeks under orthopaedic department care 4.Able to give written informed consent and comply with follow-up and physiotherapy
Exclusion criteria
Exclusion criteria: 1.Prior shoulder surgery on affected side. 2.Full-thickness rotator cuff tear (on prior imaging) or by clinical examination or history wise or severe glenohumeral osteoarthritis. 3.Recent (less than 3 months) intra-articular steroid injection or hydrodilatation. 4.Neurological disorder affecting shoulder function. 5.Coagulopathy / on anticoagulants not eligible for injection or SSNB. 6.Active local or systemic infection, uncontrolled diabetes with blood sugar values more than 250mg/dL,HbA1c more than 8 percentage,pregnancy. 7.Allergy to study medications (local anesthetic, steroid).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To elicit the change in Shoulder Pain And Disability Index (SPADI) score from baselineTimepoint: Baseline and 12 weeks post intervention | — |
Secondary
| Measure | Time frame |
|---|---|
| 1.To compare change in pain (VAS) at rest and on movement at 1, 4 and 12 weeks. 2.To compare improvements in active and passive ROM (flexion, abduction, external rotation, internal rotation) at 1, 4 and 12 weeks. 3.To determine the time to clinically meaningful improvement more than or equal to 13-point SPADI change). 4.To assess patient global satisfaction and analgesic consumption. 5.To find out adverse events and complications (infection, steroid reactions, nerve injury).Timepoint: 1,4 and 12 weeks | — |
Countries
India
Contacts
Institute of Anaesthesiology, Madurai Medical College