BioMed Research Journal (ISSN:2578-8892)
Abstract
A Comparative Study of Steroid Injection with or without Lignocaine in Treating Frozen Shoulder
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Background: Frozen shoulder is due to stiffness of glenohumeral joint which is extremely painful condition. Intraarticular injection of methylprednisolone with lignocaine.
Materials and Methods: Total 112 patients were randomly divided in 2 equal groups: In Group A patients were injected 2 ml (80 mg) of methylprednisolone and 3 ml of 1% lignocaine and in Group B patients were injected with 2 ml (80 mg) of methylprednisolone and 3 ml of distilled water in the affected shoulder joint. After that half an hour of standard shoulder range of movement exercise regimen was performed under supervision.
Result: The mean visual analogue score for pain and shoulder pain and disability index were lower in Group A in comparison to Group B after half hour of drug injection, at the end of first week, at the end of third week and at the end of six week. All the parameters of range of movement were improved in Group A more then Group B after half hour of drug injection, at the end of first week, at the end of third week and at the end of six week.
Conclusion: Injection of methylprednisolone and lignocaine in the frozen shoulder joint can be a non-invasive, rapid safe and simple analgesic technique which reduces pain and improve the range of movement in shoulder joint.
Keywords: Frozen shoulder, Glenohumeral joint stiffness, Intraarticular injection, Methylprednisolone, Lignocaine (lidocaine), Shoulder exercises, Pain management
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