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British Journal of General Practice
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Research Article

Suprascapular nerve block for the treatment of frozen shoulder in primary care: a randomized trial.

D S Jones and C Chattopadhyay
British Journal of General Practice 1999; 49 (438): 39-41.
D S Jones
Wrightington Hospital, Wigan.
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C Chattopadhyay
Wrightington Hospital, Wigan.
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Abstract

BACKGROUND: Frozen shoulder is a common problem in general practice, but its treatment is difficult since none of the currently used therapies are proven to be effective. AIM: To assess the effectiveness of suprascapular nerve block to relieve pain and improve range of movement, and its suitability for use in primary care. This small study by a single practitioner aims to justify a larger multicentred trial. METHOD: A randomized trial of 30 patients to compare a single suprascapular nerve block with a course of intra-articular injections. Patients' pain levels and ranges of movement were assessed over a 12-week period. RESULTS: Suprascapular nerve block produced a faster and more complete resolution of pain and restoration of range of movement than a series of intra-articular injections. These differences were confirmed by statistical analysis using the Mann-Whitney U-test (P < 0.01 for pain levels and P < 0.05 for range of abduction and external rotation.) CONCLUSIONS: This study suggests that suprascapular nerve block is a safe and effective treatment for frozen shoulder in primary care, and justifies a larger multicentred trial using independent blinded assessment. Such a study should include a third group treated by suprascapular nerve block without steroid; a more comprehensive assessment of patient debility.

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British Journal of General Practice: 49 (438)
British Journal of General Practice
Vol. 49, Issue 438
January 1999
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Suprascapular nerve block for the treatment of frozen shoulder in primary care: a randomized trial.
D S Jones, C Chattopadhyay
British Journal of General Practice 1999; 49 (438): 39-41.

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Suprascapular nerve block for the treatment of frozen shoulder in primary care: a randomized trial.
D S Jones, C Chattopadhyay
British Journal of General Practice 1999; 49 (438): 39-41.
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