IP International Journal of Orthopaedic Rheumatology
Official Publication of Indian Orthopaedic Rheumatology Association
Official Publication of Indian Orthopaedic Rheumatology Association
Print ISSN:-2581-8112
Online ISSN:-2581-9151
CODEN : IIJOAT
Original Article
Author Details :
Volume : 10, Issue : 2, Year : 2024
Article Page : 77-82
https://doi.org/10.18231/j.ijor.2024.015
Abstract
Background: Adhesive capsulitis, another name for periarthritis or frozen shoulder. Periarthritis affects over 2–5% of people, with a higher prevalence in those between the ages of 40 and 60. It is managed using a variety of therapy approaches.This study compared the effects of PRP and suprascapular nerve block versus steroid and suprascapular nerve block in the treatment of periarthritis.
Aim and Objectives: To compare the efficacy of PRP and suprascapular nerve block VS steroid and suprascapular nerve block in the management of periarthritis shoulder joint.
Materials and Methods: 60 patients who were clinically diagnosed with periarthritis shoulder and willing to participate were divided into two groups at random from the outpatient department (OPD) of the orthopedic department at Tezpur Medical College and Hospital. Prior to recruiting, a formal informed consent form was acquired
Results: Significant clinical improvement was found in the study comparing the effectiveness of PRP and suprascapular nerve block versus steroid and suprascapular nerve block in treating frozen shoulder. Group 1 (the steroid group) had better early outcomes at 4 and 12 weeks based on VAS scores (p = 0.0048, p = 0.0001), while Group 2 (the PRP group) had better results at 24 weeks in both VAS and DASH scores (p = 0.0001). Periarthritis was more common in females and primarily affected the non-dominant side in both groups.
Conclusion: For periarthritis, intra-articular injections of PRP and suprascapular nerve block, as well as steroid and suprascapular nerve block, are useful in lowering pain and disability scores as measured by VAS and DASH ratings. While PRP demonstrated superior results in long-term outcomes (24th week analysis), the triamcinolone group demonstrated superior effects in short-term outcomes (12th week analysis). Future studies comparing single versus numerous injections, as well as simultaneous steroid and PRP injections, must have a large sample size in order to improve the study's power and robust design.
Keywords: PRP, Steroid, Suprascapular nerve block
How to cite : Das C, Das P P, Hazarika A, Rahman H M, A comparative study between combination of platelet rich plasma (PRP) and suprascapular nerve block vs steroid and suprascapular nerve block in management of periarthritis of shoulder joint. IP Int J Orthop Rheumatol 2024;10(2):77-82
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