| Injection Treatment for Frozen Shoulder ; Trigger Point Injection and Neruologic Blockade |
| Chang-Wug Oh, M.D., Joo-Chul Ihn, M.D., Jung-Gil Hong, M.D.* and Chan-Sik Park, M.D. |
| Department of Orthopdedic Surgery, School of Medicine, Department of Anesthesiology, School of Medicine*
Kyungpook National University, Taegu, Korea |
| 동결견에 대한 주사요법; 통증유발부위 주사 및 신경 차단술 |
| 오창욱, 인주철, 박찬식, 홍정길 |
| 경북대학교 의과대학 정형외과학교실. 마취과학교실* |
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| Abstract |
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Frozen shoulder is known as a self-limited disease. But, its long duration and pain nature can make the patients debilitative. And most patients cannot tolerate a chronically painful extremity and are concerned about the possibility of developing permanent dysfunction. In painful phase of frozen shoulder, some aggressive mordalties as like trigger point injection or suprascapular nerve block can beneficial to: reduce discomfort and pain. In order to document clinical results, we evaluated the results of 134 frozen shoulders treated with trigger point injection and/or suprascapular nerve block at Kyungpook National University Hospital, from January 1995 to April 1997. The treatment group was divided into 3 modalities: 17 cases in trigger point injection(TPI), 39 cases in suprascapular nerve block(SSB), and 78 cases in both methods. The supportive treatment including oral medication, heat and stretching exercise was also applied. The average age at the time of diagnosis was 57 years old and average follow-up time was 18 months. The results were as follows: Average time of significant improvement in pain was 9 days. Eighty-eight percent (119 cases) was improved in pain and range of motion after injecllion treatments; 82%(14/17) with TPI, 85%(33/39) with SSB, and 92%(72/78) with both. Early improvement of paih within 1 week was 72% in the treatment-responsive group, in which TPI group has 100% response(14/14) and sse has 94% response(31/33) |
| Key Words:
Frozen shoulder; Trigger point injection(TPI); Suprascapular nerve block(SSB) |
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