Suprascapular Nerve Radiofrequency versus Intraarticular Steroid Injection in Chronic Shoulder Pain | ||
| The Egyptian Journal of Hospital Medicine | ||
| Article 33, Volume 84, Issue 1, July 2021, Pages 1839-1845 PDF (720.13 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejhm.2021.177617 | ||
| Authors | ||
| Hamdy A. Youssef; Ossama H. Salman; Ahmed Y. Ahmed; Hesham H. Refae; Ghada Mahmoud Morsy* | ||
| Abstract | ||
| Background: Chronic shoulder pain is a frequent clinical condition that often reduces patient’s function and rehabilitation. Objectives: We aimed to compare efficacy of pulsed radiofrequency (PRF) to intra-articular steroid (triamcinolone acetonide) injection in controlling chronic shoulder pain as regard improvement of pain and function in six-month duration. Patients and Methods: We carried out a prospective, randomized, controlled, single-blinded study enrolled 60 patients with shoulder pain randomly divided into 2 groups. Group I: PRF group enrolled 30 patients who were treated by PRF neuromodulation to the suprascapular nerve under fluoroscopy and Group II: steroid group enrolled 30 patients who were treated with intra-articular injection of 5 ml of 2% lidocaine with triamcinolone acetonide 40 mg. Results: In Group 1 (PRF group) we reported statistically significant improvement of VAS, these positive effects lasted at least 6 months and the VAS decreased through 6 months from 6.5 to 3.5. In Group 2 VAS decreased through 6 months from 7 to 3.5. Both groups showed significant Oxford Shoulder Scale (OSS) improvement. Conclusion: Intra articular injection of triamcinolone acetonide is more effective in improvement of chronic shoulder pain and function than PRF. | ||
| Keywords | ||
| Intra-articular steroid injection; PRF; OSS; Shoulder pain; VAS | ||
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