The effect of corticosteroid and ozone injections alone and in combination on rotator cuff tendinopathy. Rotator cuff tear or rupture, not specified as traumatic
Conditions
Interventions
Intervention 1: Intervention Group 1: Ozone injection will be performed for patients in Group B. First, a shoulder ultrasound is performed, then, under ultrasound guidance, three sessions of ozone are
Sponsors
Hamedan University of Medical Sciences
Eligibility
Sex/Gender
All
Age
18 Years to 70 Years
Inclusion criteria
Inclusion criteria: Duration of diagnosis at least 3 months Rotator cuff tendinosis or incomplete supraspinatus tear
Exclusion criteria
Exclusion criteria: Intra-articular/subacromial injection within the last 3 months Patients treated with nonsteroidal anti-inflammatory drugs (NSAIDs)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Comparing the effectiveness of local corticosteroid injection (LCI) and ozone on improving the condition and pain of patients with rotator cuff tendinopathy. Timepoint: Determination and comparison of the average pain and disability (DASH) score before, one month after, and three months after treatment in patients with rotator cuff tendinopathy in three groups of local corticosteroid and ozone injection alone and in combination. Method of measurement: The visual analog scale (VAS) will be used to assess pain intensity. In the VAS scale, the patient expresses their pain level using a ruler and their tongue, with 0 being the most severe pain the patient can describe and 10 being the most severe pain they can describe. The scoring is as follows:Vas 0 = no painVas 1-3 = mild painVas 4-6 = moderate painVas 7-10 = severe pain. | — |
Secondary
| Measure | Time frame |
|---|---|
| Changes in the thickness of the rotator cuff muscle tendon (on ultrasound) before and three months after treatment in patients with rotator cuff tendinopathy in three groups of local corticosteroid and ozone injection alone and together, by age, gender, and dominant hand. Timepoint: Changes in the thickness of the rotator cuff muscle tendon (on ultrasound) before and three months after treatment in patients with rotator cuff tendinopathy in three groups of local corticosteroid and ozone injection alone and together, by age, gender, and dominant hand. Method of measurement: Ultrasound is used to assess tendon thickness. The thickness of the supraspinatus tendon and the thickness of the subacromial bursa at the thickest part in the short-axis position and with the hand in internal rotation are measured in all three groups by ultrasound at the beginning of the study (before treatment) and three months after injection. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactTahereh Esmaili
Hamedan University of Medical Sciences
Outcome results
None listed