The use of steroids for the management of chronic shoulder pain by interventional techniques

Saadat Niaki, A. and Siaie, M. and Sadeghi, H. and Khatibi, H. (2005) The use of steroids for the management of chronic shoulder pain by interventional techniques. Archives of Iranian Medicine, 8 (2). pp. 127-130.

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Abstract

Background: Pain as a common symptom of shoulder disease, has diverse etiologies. NSAIDs, physiotherapy, neural blocks, intraarticular injections, and surgery are the most commonly used methods of treatment. The goals of this study were to reduce pain and improve the range of motion of the affected shoulder. Methods: Among 70 patients referred to a private pain clinic with chronic shoulder pain as their major complaint (duration of pain 21 mo), 63 patients were chosen for regional blocks as follows: suprascapular (25), sub-acromial bursa and suprascapular (40), sub-acromial bursa and field block (FB) (14), brachial plexus (11), cervical epidural (6), and FB (4). Pain relief evaluation was done according to Visual Analog Scale (VAS) (using a 100-segmented ruler). Pain relief > 50 was considered successful and special health-care and medical exercise therapy recommended. Results: Average age of patients was 49.2 ± 13.7 years (females = 64 and males = 34). Sixty-seven percent of patients had significant pain relief after a week, 73 after 4 weeks, and 81 after 12 weeks (P < 0.0001). Conclusion: Regarding the results of pain relief after 1, 4, and 12 weeks postinjection, it appears that the pain relief state is likely to be permanent after the first week.

Item Type: Article
Additional Information: cited By 2
Uncontrolled Keywords: bucain; bupivacaine; hydrocortisone; nonsteroid antiinflammatory agent; prednisolone; steroid; triamcinolone acetate; triamhexal, acromion; adult; analgesia; article; brachial plexus anesthesia; cervical spine; chronic pain; clinical trial; controlled clinical trial; controlled study; double blind procedure; epidural anesthesia; female; human; joint cavity; joint mobility; kinesiotherapy; local anesthesia; major clinical study; male; nerve block; pain assessment; physiotherapy; scapula; shoulder pain; side effect; visual analog scale
Subjects: WE Musculoskeletal System
QV Pharmacology
Depositing User: Librarian Farzaneh Dini
Date Deposited: 04 May 2019 06:11
Last Modified: 04 May 2019 06:11
URI: http://eprints.iums.ac.ir/id/eprint/12175

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