Comparison of the analgesic efficacy of intra-articular steroid injections and its combination with suprascapular nerve block for adhesive capsulitis of the shoulder joint: a randomized clinical trial
Authors' conclusion
Both IAS and IAS+SSNB improved analgesia, reduced disability and enhanced ROM. However, adding SSNB to IAS did not yield a clinically meaningful benefit in the study outcomes.
Study context
- Population
- Patients with adhesive capsulitis of the shoulder
- Participants
- 96 patients
- Comparison
- Intra-articular steroid (IAS)+SSNB vs IAS vs physical therapy (PT)
- Primary endpoint
- Improvement in Shoulder Pain and Disability Index (SPADI) scores
- Follow-up
- Week 12 postintervention
Methodological detailsthree-arm
- Three-arm
Primary result
As reported in the abstract
SPADI score · week 12
- Adding SSNB to IAS: no significant Shoulder Pain and Disability Index (SPADI) improvement beyond week 2; no clinically significant difference in study outcomes
Secondary outcomes
| Outcome | IAS | IAS+SSNB | P value |
|---|---|---|---|
| SPADI score · week 2IAS+SSNB vs IAS | 38.3 ± 8.9 | 33.6 ± 8.0 | P = 0.04 |
SPADI, Visual Analog Scale (VAS), Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) and Constant-Murley Range of Motion (ROM) scores within groups · day 0 and weeks 2, 6 and 12
- Significant reduction in SPADI, VAS and QuickDASH and improvement in ROM in both IAS and IAS+SSNB
- P < 0.05
Medication Quantification Scale (MQS) 3 scores · up to week 6
- Significantly decreased up to week 6 in both IAS and IAS+SSNB
VAS · immediate postintervention
- Notable decrease in VAS with SSNB added to IAS
Quality of life
- No significant changes among the groups
- P > 0.05
Original publication
Comparison of the analgesic efficacy of intra-articular steroid injections and its combination with suprascapular nerve block for adhesive capsulitis of the shoulder joint: a randomized clinical trial. Reg Anesth Pain Med. Published 20 December 2024. doi:10.
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