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Suprascapular nerve block followed by Codman’s manipulation and exercise in the rehabilitation of idiopathic frozen shoulder

Abstract

Background

Frozen shoulder is characterized by inflammation of the synovial lining and capsule, with subsequent generalized contracture of the glenohumeral joint causing shoulder pain and a gradual loss of both passive and active range of motion. Pain relief through suprascapular nerve block (SSNB) followed by manipulation and home exercises may be a suitable treatment option in such patients.

Objective

The aim of this study was to evaluate the role of SSNB followed by Codman’s shoulder manipulation and home exercises in the management of idiopathic frozen shoulder.

Patients and methods

Twenty patients with idiopathic unilateral frozen shoulder underwent SSNB followed by Codman’s manipulation of the glenohumeral joint and a home exercise program. Differences in range of motion, visual analog scale for pain, and Shoulder Disability Questionnaire were assessed before manipulation and at 1, 6, and 12 weeks after manipulation.

Results

The mean age of the patients was 52.1 years. Active range of motion increased significantly for flexion, abduction, internal rotation, and external rotation. Significant decrease in visual analog scale and Shoulder Disability Questionnaire scores between baseline and follow-up assessments was observed.

Conclusion

Manipulation under SSNB is a safe, effective, and minimally invasive procedure for relieving pain, improving range of motion, and decreasing disability in patients with idiopathic frozen shoulder.

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Correspondence to Mohja A. El-Badawy MD.

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El-Badawy, M.A., Fathalla, M.M. Suprascapular nerve block followed by Codman’s manipulation and exercise in the rehabilitation of idiopathic frozen shoulder. Egypt Rheumatol Rehabil 41, 172–178 (2014). https://doi.org/10.4103/1110-161X.147360

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Keywords

  • adhesive capsulitis
  • Codman’s manipulation
  • frozen shoulder
  • manipulation
  • suprascapular nerve block