Syed Kashif Mehdi, Rana Dilawaiz Nadeem, Bilal Qazi, Omer Iqbal Cheema, Shahzad Anver Qureshi.
Comparison of The Mean Decrease Of Pain Score (According To ULCA Shoulder Rating Scale) With Intra Articular NSAID Injection Versus Steroid Injection For The Management Of Adhesive Capsulitis.
Esculapio J Services Inst Med Sci Jan ;11(3):1-4.

Objective: Adhesive capsulitis is a common condition in which the shoulder capsule swells and stiffens, restricting its mobility. It is a common cause of shoulder pain and disability, estimated to affect 25% of the general population. The objective of the study was to compare the mean decrease of pain scores (according to ULCA shoulder rating scale) with intra-articular nonsteroidal anti inflammatory (NSAID) injection versus steroid injection for the management of adhesive capsulitis of the shoulder. Material and Methods: A Randomized controlled trial was carried out in Department of Orthopedic Surgery at Services Hospital Lahore from September 2012 to March 2013. A total of 150 patients with adhesive capsulitis of the shoulder were included in the study and were assigned into two groups using random number table. Group A patients received intra-articular NSAID (Ketorolac) and Group B patients were treated with intra-articular steroid (Triamcinolone) injection for the treatment of adhesive capsulitis. The pain scores were recorded before and four weeks after the intra-articular injections using ULCAshoulder rating scale. Results: The age distribution of the 150 patients shows that majority of the patients i.e. 37.33% (n=28) in Group A and 33.33% (n=25) in Group B were between 51-60 years, mean and SD was calculated as 53.55+5.11 and 55.21+5.76 years respectively. In Group-A 45.33% (n=34) and in Group-B 48% (n=36) were males whereas 54.67% (n=41) and 52% (n=39) were females. The pre-treatment pain score in both groups was recorded as 4.43+1.76 in Group Aand 5.92+1.31 in Group B. The post-treatment pain score was 7.95+0.32 in Group A and 6.76+0.63 in Group B (p=0.01), showing significant difference in both groups. Conclusion: The intra-articular NSAIDs injection is a more effective treatment option compared to intra-articular steroid injection for the management of adhesive capsulitis of the shoulder.

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