A retrospective study assessing different techniques for Suprascapular Nerve Block for chronic shoulder pain

I. Azher, S. Bustamante
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Abstract

Shoulder pain is a common complaint associated with significant pain and disability. Chronic shoulder pain is common cause of functional disability in the community. A supra scapular nerve block is a safe and effective technique for treatment of both acute and chronic shoulder pain, resulting from inflammatory and degenerative disorders. It can be done using a number of different techniques including but not limited to landmark technique, USG guided, X-ray guided and CT guided and PRF. Methods: We did a retrospective study looking at efficacy of supra-scapular nerve block done in our centre over the last 2 years using different techniques. We audited a total of 80 procedures over two years. We looked at effective pain relief and any potential complications over 3- 6 months. Result and conclusion: This was a retrospective study looking at a number of patients over 2 years having had multiple procedures. Because of the nature and the limitations of an audit, it was not possible to suggest that any particular technique is superior over the other. We need to do at prospective study with better randomization, follow up and more specific disability and pain scoring tools like shoulder pain and disability index (SPADI) and VAS scoring systems.
一项回顾性研究评估肩胛上神经阻滞治疗慢性肩痛的不同技术
肩痛是与严重疼痛和残疾相关的常见主诉。慢性肩痛是社会上功能性残疾的常见原因。肩胛上神经阻滞是一种安全有效的治疗急性和慢性肩痛的技术,由炎症和退行性疾病引起。它可以使用许多不同的技术来完成,包括但不限于地标技术、USG引导、x线引导、CT引导和PRF。方法:我们做了一项回顾性研究,观察在过去的2年中,我们中心使用不同的技术进行肩胛上神经阻滞的疗效。我们在两年内共审核了80个程序。我们观察了3- 6个月的有效疼痛缓解和任何潜在的并发症。结果和结论:这是一项回顾性研究,观察了2年多来接受过多次手术的患者。由于审计的性质和局限性,不可能建议任何特定技术优于其他技术。我们需要进行前瞻性研究,采用更好的随机化、随访和更具体的残疾和疼痛评分工具,如肩痛和残疾指数(SPADI)和VAS评分系统。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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