Shoulder Anterior Capsular Block and Intraarticular Steroid Injection Versus Intraarticular Steroid Injection for Enhancing Pain Relief in Adhesive Capsulitis
Comparative Study Between Shoulder Anterior Capsular Block Plus Steroid Injection Versus Steroid Injection Alone for Pain Management in Adhesive Capsulitis: A Randomized Trial
Zagazig University
50 participants
Oct 1, 2025
INTERVENTIONAL
Conditions
Summary
Improving pain in the patients with adhesive capsulitis by comparing the effect of combined shoulder anterior capsular block and intraarticular steroid injection versus intraarticular steroid injection.
Eligibility
Inclusion Criteria5
- Patients acceptance
- Age: 41-65 years old
- Sex: both sex (males or females).
- Physical status: American Society of Anesthesiologist (ASA) І, II.
- Patients attend orthopedic or pain clinic with complaint of shoulder pain and stiffness. These patients received conservative management of pain with no relief of symptoms for at least 2 weeks.
Exclusion Criteria5
- Shoulder pain due to secondary causes, e.g. acute trauma, fractures, bony deformity, glenohumeral joint pathology, acromioclavicular joint pathology and rotator cuff disorder.
- Patient with any contraindications of regional blocks (as coagulopathy or local infection at injection site)
- Patients with known history of allergy to the study drugs (bupivacaine and methylprednisolone).
- Advanced hepatic, renal, cardiovascular, neurologic and respiratory diseases, uncontrolled diabetes mellitus and thyroid.
- History of neuropathy in the involved limb or previous revision surgery.
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Interventions
patients will receive ultrasound guided (SHAC) block combined with intraarticular steroid injection of the affected shoulder joint followed by home exercise program.
patients will receive intraarticular steroid injection of the affected shoulder joint followed by home exercise program
Locations(1)
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NCT07235982