Indian Journal of Clinical Anaesthesia
Official Publication of Innovative Education and Scientific Research Foundation
Official Publication of Innovative Education and Scientific Research Foundation
Print ISSN:-2394-4781
Online ISSN:-2394-4994
CODEN : IJCACT
Original Article
Author Details :
Volume : 12, Issue : 1, Year : 2025
Article Page : 66-72
https://doi.org/10.18231/j.ijca.2025.010
Abstract
Background: Frozen shoulder is a progressively restrictive condition characterized by a gradual onset of pain, stiffness, and limited mobility in the shoulder joint. Among the different treatment modalities available, minimally invasive treatments include Suprascapular nerve (SSN) interventions using steroids with local anesthetics and pulsed radiofrequencytreatment. This study aims to evaluate whether combining a triamcinolone injection with pulsed radiofrequency can provide more prolonged pain relief compared to triamcinolone injection alone. A comparative study was designed to assess the effects of these two treatment approaches in patients with frozen shoulder.
Materials and Methods: A randomized, open-level clinical trial was conducted on 41 patients suffering from frozen shoulder pain in the Pain Medicine outpatient department. These patients were evaluated for pain, disability, and range of motion using various scales such as (the visual analog scale (VAS), Shoulder Pain and Disability Index score (SPADI), and range of motion (ROM) by Goniometry. They were randomly allocated into two groups: Triamcinolone groups (T Group) and combined groups (C Group). All patients were evaluated pre-procedure and post-procedure for six months using the VAS, SPADI, and active ROM of the shoulder joint.
Results: The pre-procedural VAS scores between the Triamcinolone and the combined Group were comparable (p=0.213). A statistically significant reduction in mean VAS score was found in the combined Group at each interval (p=0.032). Similarly, the reduction in SPADI score was also significant (p< 0>
Conclusion: Injection of Triamcinolone combined with pulsed radiofrequency for suprascapular nerve intervention gives better and longer-lasting pain relief. This combined approach also reduces disability and provides an improved range of motion at the shoulder joint.
Keywords: Frozen shoulder, Pulsed radiofrequency, Range of motion, Shoulder pain, Suprascapular nerve, Triamcinolone.
How to cite : Rastogi S, Sharma D, Agrawal A, Rai S, Mahapatra S, Khan I A, A comparative study of triamcinolone injection alone versus combined triamcinolone injection with pulsed radiofrequency for frozen shoulder pain: A randomized controlled study. Indian J Clin Anaesth 2025;12(1):66-72
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