Chronic Shoulder Pain
Conditions
Keywords
Shoulder, Mesotherapy, Pain, Steroid Injection
Brief summary
Patients with chronic shoulder pain will be divided randomly into mesotherapy and intra-articular steroid injection groups. Pain severity, range of motion and functional impairment will evaluated before treatment, 30 minutes and 4 weeks after the injections.
Detailed description
The study will include 84 patients aged 18-75 who applied to physical medicine and rehabilitation out-patient clinic with chronic shoulder pain between May and July 2024. Patients will be randomly divided into two groups: a mesotherapy group and steroid injection group, using the closed-envelope method. In the first group, a total of 3 sessions of mesotherapy are applied to the shoulder areas of the patients, 7 days apart. A single-session intra-articular 20 mg triamcinolone hexacetonide injection will be administered for patients in group 2. Pain severity, range of motion and functional impairment will evaluated before treatment, 30 minutes and 4 weeks after the injections.
Interventions
A total of 3 sessions of mesotherapy will be applied to the shoulder area of the patients, 7 days apart in group 1.
Single session intra-articular 20 mg triamcinolone hexacetonide injection will be applied for patients in group 2.
Sponsors
Study design
Eligibility
Inclusion criteria
1. Ages 18-75 2. Having shoulder pain for 6 months 3. VAS (Visual Analog Scale) > 4 4. Patients who can receive verbal instructions and do not have cognitive deficits
Exclusion criteria
1. Physical therapy applied to the shoulder area in the last 3 months 2. Having had a shoulder joint injection in the last 3 months 3. History of previous upper extremity surgery 4. History of drug allergy 5. Use of anticoagulant drugs (warfarin, low molecular weight heparin), patients with coagulation disorder 6. History of malignancy 7. Psychiatric illness 8. A rheumatological diagnosis such as Polymyalgia Rheumatica, Rheumatoid Arthritis, Ankylosing Spondylitis 9. Kidney failure 10. Liver disease 11. Heart failure 12. Pregnancy 13. Presence of infection, wound, allergy, burn-like lesions in the application area
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| VAS (Visual Analouge Scale) | Patients will be evaluated before treatment, 30 minutes and 4 weeks after the injections. | Pain Severity evaluation ((0 (no pain)-10 (unbearable pain)) |
| Shoulder Disability Questionnaire' (OSS) form | Patients will be evaluated before treatment, 30 minutes and 4 weeks after the injections. | Functional Disability evaluation (0-100) |
| Goniometric shoulder range of motion | Patients will be evaluated before treatment, 30 minutes and 4 weeks after the injections. | shoulder range of motion evaluation |
Countries
Turkey (Türkiye)