The Efficacy of Suprascapular Nerve Radiofrequency and Intra-articular Steroid Injection in Frozen Shoulder Treatment

Browse trials for

• Bursitis 411

Keywords

• frozen shoulder
• radiofrequency ablation treatment
• intra-articular injection

Bursitis

411 studies on the registry are indexed under Bursitis; 112 are open to participants now.

This study's enrollment of 80 is above the median of 45 across 371 interventional studies indexed under Bursitis.

Lead sponsor

Ankara University is the lead sponsor of 312 studies on the registry; 68 are open to participants now.

Study arms

• Experimental
  suprascapular nerve radiofrequency group (SCNRFT)

  SCNRFT+intra-articular steroid and local anesthesic injection with physiotherapy. Suprascapular nerve RFT: Ultrasound-guided SCNRFT 42ºC, 360ms. Ultrasound-guided intraarticular injection with 40mg triamcinolone+3 cc %0.5 bupivacaine. Physiotherapy: The physiotherapy program includes physical modalities (heat therapy and electric therapy) and therapeutic exercise. (stretching, mobilization and ROM exercise, and strengthening)

  Procedure: suprascapular nerve radiofrequency group (SCNRFT)

• Active comparator
  intra-articular corticosteroid injection (IACI) group

  IACI with physiotherapy. Intra-articular steroid+local anesthesic injection: Receive intra-articular corticosteroid injection. Ultrasound-guided IACI with 3c.c. 0.5% bupivacaine and 40mg triamcinolone. Physiotherapy: The physiotherapy program includes physical modalities (heat therapy and electric therapy) and therapeutic exercise. (stretching, mobilization and ROM exercise, and strengthening)

  Other: intra-articular corticosteroid injection (IACI) group

Interventions

• Otherintra-articular corticosteroid injection (IACI) group

  IACI can provide rapid effect in pain reliving, reducing inflammation and improving ROM that could increase the compliance of exercise therapy.

• Proceduresuprascapular nerve radiofrequency group (SCNRFT)

  SCNRFT is a new choice for treatment of frozen shoulder. The suprascapular nerve is the nerve that is most commonly affected in the condition of a frozen shoulder and it is for this reason that the suprascapular nerve is directly targeted by pulsed radiofrequency treatment. As radiology techniques advance, ultrasound-guided SCNB becomes more popular. It provides a cost and time-effective way to "tag" the nerve accurately without injury to the nerves or vessels.

Primary outcomes

1. Change of The Visual Analogue Scale (VAS)

   The Visual Analogue Scale (VAS) measures pain intensity. The VAS consists of a 10cm line, with two end points representing 0 ('no pain') and 10 ('pain as bad as it could possibly be'). Ask the patient to rate their current level of pain by placing a mark on the line.

   Time frame: baseline and at 4 weeks and 12 weeks after the beginning of the treatment.

Secondary outcomes

1. The active ROM

   The maximal active ROMs of the affected shoulder will be measured using a goniometer under the guidelines of the American Academy of Orthopedic Surgeons. These measurements included abduction in the frontal plane, forward flexion, internal rotation, and external rotation with the arm at 0 degrees of abduction.

   Time frame: Baseline and at 4 weeks and 12 weeks after the beginning of the treatment.

2. Change of scores of the Shoulder Pain and Disability Index (SPADI)

   The total SPADI score, which ranges between 0 and 100, is calculated by averaging the scores from the pain and disabilities subclasses.

   Time frame: Baseline and at 4 weeks and 12 weeks after the beginning of the treatment.