Does ultrasound-guided continuous suprascapular nerve block affect frozen shoulder rehabilitation programme outcome?

Abstract

Background: Physical therapy (PT) is often recommended for patients with frozen shoulder. However, it could be painful for some patients, and this could hinder the rehabilitation programme. Some procedures like joint injection and suprascapular nerve block (SSNB) could alleviate pain during this setting. Objective: The purpose of this study was to compare the effectiveness of continuous SSNB plus PT compared to PT alone in managing frozen shoulder.
Patients and methods: A total of 76 patients with frozen shoulder were included in this study. They were divided into two groups: 38 patients in the injection group (IG) received SSNB via catheter before PT, while the remaining 38 participants in the control group (CG) received no block prior to PT (CG). The functional state of the shoulder joint was assessed via the constant shoulder scale before and just after PT, then one month later.
Results: General patient characteristics, including age, gender, BMI, comorbidities, and trauma history, were statistically comparable between the two groups. When we examined the constant scores of the two groups, we found that both had low scores before treatment, which increased immediately after treatment and then increased again one month later. Nonetheless, the injection group had a much greater increase than the control group.
Conclusion: When used with PT for the treatment of adhesive capsulitis, continuous SSNB is an effective option that enhances the response to PT. It is associated with better improvement in shoulder function.