The operative treatment of shoulder pain in patients with a concurrent diagnosis of cervical spondylosis and shoulder dysfunction

Objectives: To investigate the effect of 1% procaine injection, which is used in neural therapy, on shoulder pain and dysfunction in patients diagnosed with supraspinatus tendinopathy. Methods: The Range of Motion values, Visual Analog Scale and the QuickDASH Scale scores of 70 patients, who were diagnosed with musculus supraspinatus tendinitis based on magnetic resonance imaging findings, were analyzed. The data of the scales obtained before neural therapy and at the follow-up visit at four weeks after the end of therapy were compared, and a p-value of <0.05 was considered statistically significant. Results: After neural therapy, a statistically significant increase was observed in Range of Motion values and there was a statistically significant decrease in both the Visual Analog Scale and QuickDASH score averages. Conclusion: This is one of the rare studies showing the effects of neural therapy application on shoulder pain severity and dysfunction in patients with supraspinatus tendinitis who are resistant to medical therapy. doi: https://doi.org/10.12669/pjms.38.3.4823 How to cite this:Bashan I, Ozturk GY. Effect of Neural Therapy on shoulder dysfunction and pain in supraspinatus tendinopathy. Pak J Med Sci. 2022;38(3):---------. doi: https://doi.org/10.12669/pjms.38.3.4823 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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NON-OPERATIVE TREATMENT IN SHOULDER PAIN. EVIDENCE BASED MEDICINE APPROACH

Issues of Rehabilitation, Orthopaedics, Neurophysiology and Sport Promotion – IRONS ◽

10.19271/irons-00007-2016-14 ◽

2016 ◽

pp. 7-12

Author(s):

Bręborowicz, Ewa ◽

Bręborowicz, Maciej

Keyword(s):

Shoulder Pain ◽

Operative Treatment ◽

Evidence Based Medicine ◽

Evidence Based ◽

Based Medicine

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Unrecognized Shoulder Disorders in Treatment of Cervical Spondylosis Presenting Neck and Shoulder Pain

Korean Journal of Spine ◽

10.14245/kjs.2012.9.3.223 ◽

2012 ◽

Vol 9 (3) ◽

pp. 223 ◽

Cited By ~ 5

Author(s):

Hyun-Jin Jo ◽

Myung-Hoon Shin ◽

Jung-Woo Hur ◽

Jin-Sung Kim ◽

Kyeong-Sik Ryu ◽

...

Keyword(s):

Shoulder Pain ◽

Cervical Spondylosis ◽

Neck And Shoulder Pain ◽

Shoulder Disorders

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The relationships between shoulder pain, range of motion, and disability in patients with shoulder dysfunction

Journal of Back and Musculoskeletal Rehabilitation ◽

10.3233/bmr-169762 ◽

2018 ◽

Vol 31 (1) ◽

pp. 163-167 ◽

Cited By ~ 5

Author(s):

Shahnawaz Anwer ◽

Ahmad H. Alghadir ◽

Einas S. Al-Eisa ◽

Zaheen Ahmad Iqbal

Keyword(s):

Range Of Motion ◽

Shoulder Pain ◽

Shoulder Dysfunction

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Rehabilitation Interventions for Shoulder Dysfunction in Patients With Head and Neck Cancer: Systematic Review and Meta-Analysis

Physical Therapy ◽

10.1093/ptj/pzaa147 ◽

2020 ◽

Vol 100 (11) ◽

pp. 1997-2008

Author(s):

Kleicyane Aguiar Meireles Almeida ◽

Aline Pereira Rocha ◽

Nelson Carvas ◽

Ana Carolina Pereira Nunes Pinto

Keyword(s):

Head And Neck Cancer ◽

Resistance Training ◽

Head And Neck ◽

Shoulder Pain ◽

Neck Cancer ◽

Conventional Treatment ◽

Risk Of Bias ◽

Progressive Resistance Training ◽

Shoulder Dysfunction ◽

Progressive Resistance

Abstract Objective Shoulder pain and dysfunction are highly prevalent after neck dissection in the treatment of head and neck cancer (HNC). They can lead to muscle weakness, limited range of motion, and shoulder tilt and pain, which can reduce patient functioning. The purpose of this study was to evaluate the effectiveness of rehabilitation interventions for shoulder dysfunction in patients with surgically treated HNC. Methods A search of principal databases (MEDLINE, Embase, CENTRAL, LILACS, IBECS, PEDro, and SciELO) was conducted, in addition to hand searches and a search of gray literature, for all randomized clinical trials (RCTs) published before February 2020. Two authors independently selected all relevant studies. The 7 RCTs fulfilling all inclusion and exclusion criteria were assessed for risk of bias and certainty of evidence using the Cochrane Collaboration risk-of-bias tool and the Grading of Recommendations Assessment, Development and Evaluation (GRADE) tool, respectively. Results Moderate-certainty evidence suggests that progressive resistance training is better than conventional treatment for improving pain and dysfunction in patients with HNC (pooled data from 214 participants; mean difference = −5.92; 95% CI = −11.38 to −0.45). Low-certainty evidence (data from 2 RCTs with 106 participants that could not be combined) suggests that acupuncture seems to be more effective than conventional treatment. Conclusions Progressive resistance training is effective for improving shoulder pain and dysfunction in patients with HNC. Further high-quality RCTs are needed to examine the effectiveness of acupuncture for improving shoulder pain and dysfunction in these patients. Future studies with longer follow-up times are needed to clarify the effects of early postoperative intervention. Impact Clinicians can have confidence that progressive resistance training in patients with surgically treated HNC is effective. Lay Summary These study results show that people with head and neck cancer can benefit from gradually increased resistance training to reduce shoulder pain and improve function. This study will help researchers design clinical trials to determine whether treatments such as acupuncture and early physical therapy also could be effective in treating this population.

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The effectiveness of ultrasound guided hydrodistension and physiotherapy in the treatment of frozen shoulder/adhesive capsulitis in primary care: a single centre service evaluation

Shoulder & Elbow ◽

10.1177/1758573217701063 ◽

2017 ◽

Vol 9 (4) ◽

pp. 292-298 ◽

Cited By ~ 3

Author(s):

Michael Bryant ◽

Andrew Gough ◽

James Selfe ◽

Jim Richards ◽

Elizabeth Burgess

Keyword(s):

Primary Care ◽

Shoulder Pain ◽

Operative Treatment ◽

Treatment Strategy ◽

External Rotation ◽

Adhesive Capsulitis ◽

Frozen Shoulder ◽

Exercise Programme ◽

Service Evaluation ◽

Stage Ii

Background Evidence for optimal non-operative treatment of frozen shoulder is lacking. The present study aimed to evaluate a treatment strategy for stage II to III frozen shoulder provided by the current primary care musculoskeletal service. Methods General practioner referrals of shoulder pain to the musculoskeletal service diagnosed with stage II to III frozen shoulder and who opted for a treatment strategy of hydrodistension and guided physiotherapy exercise programme over a 12-month period were evaluated for 6 months. Thirty-three patients were diagnosed with stage II to III frozen shoulder by specialist physiotherapists and opted for the treatment strategy. Outcome measures included Shoulder Pain Disability Index (SPADI) and Shortened Disabilities of the Arm, Shoulder and Hand (QuickDASH), pain score and range of movement. Data were collected at baseline, as well as at 6 weeks, 12 weeks and 6 months. Results All patients significantly improved in shoulder symptoms on the SPADI and QuickDASH scores ( p < 0.001). Pain scores and range of shoulder movement flexion, abduction, external rotation showed significant improvement at all time points ( p < 0.001). Conclusions This service evaluation demonstrates that management of frozen shoulder stage II to III, as conducted by physiotherapists in a primary care setting utilizing hydrodistension and a guided exercise programme, represents an effective non-operative treatment strategy.

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Shoulder pain in a patient with renal cell carcinoma? Suprascapular neuropathy caused by bone metastasis of renal cell carcinoma: A case report

Palliative Medicine ◽

10.1177/02692163211024104 ◽

2021 ◽

Vol 35 (8) ◽

pp. 1629-1633

Author(s):

Jeong-Se Noh ◽

Dong Hyun Kim ◽

Seong-Min Chun ◽

Yoon-Hee Choi

Keyword(s):

Renal Cell Carcinoma ◽

Pain Management ◽

Bone Metastasis ◽

Range Of Motion ◽

Cell Carcinoma ◽

Shoulder Pain ◽

Advanced Cancer ◽

Renal Cell ◽

Shoulder Dysfunction ◽

Suprascapular Neuropathy

Background: Pain management is crucial in palliative care for patients with advanced cancer. Here, we report a case of shoulder pain in a patient with renal cell carcinoma. Case presentation: A 36-year-old male diagnosed metastatic renal cell carcinoma presented with pain and weakness on left shoulder for more than 6 months. Physical examination showed limited range of motion and atrophic changes on supraspinatus and infraspinatus muscles. Weakness in shoulder abduction and external rotation was also noted. Possible courses of action: In this case, suprascapular neuropathy, adhesive capsulitis of shoulder and metastatic lesions involving shoulder joint were suspected. Formulation of a plan: We planned imaging studies including X-ray, bone scan, magnetic resonance imaging, and electrodiagnostic studies. Outcome: Imaging and electrodiagnostic studies showed suprascapular neuropathy by bone metastasis. Conservative treatment including injection and rehabilitation therapy reduced the patient’s pain and improved the range of motion limitation. Lessons from the case: Clinicians should be aware that bone metastasis in patients with advanced cancer can cause suprascapular neuropathy, shoulder pain and shoulder dysfunction. View on research problems, objectives, or questions generated by the case: More research is expected on development of an early surveillance model, barriers to cancer pain management, communication from patients’ perspectives.

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Effects of neuromuscular taping on muscular strength, range of motion and pain intensity in the glenohumeral joint in professional handball athletes: blinded randomized clinical trial

Manual Therapy Posturology & Rehabilitation Journal ◽

10.17784/mtprehabjournal.2017.15.480 ◽

2020 ◽

pp. 1-9 ◽

Cited By ~ 1

Author(s):

Cristiane Rissatto Jettar Lima ◽

Paulo Fernandes Pires ◽

Charlini Simoni Hartz ◽

Ester Moreira de Castro ◽

Elisa Bizetti Pelai ◽

...

Keyword(s):

Pain Intensity ◽

Range Of Motion ◽

Shoulder Pain ◽

Repeated Measures ◽

Muscular Strength ◽

Glenohumeral Joint ◽

Pressure Pain Threshold ◽

Short Term ◽

Shoulder Dysfunction ◽

Time Interaction

Background: Recent investigations in handball athletes point to the need to carry out rehabilitation programs that aim to improve the instability of the glenohumeral joint, widely used in the various tasks of this modality. Objectives: To evaluate the immediate and short‑term effects of a neurofunctional elastic bandage (NEB) on muscular strength, range of motion and pain intensity in the glenohumeral joint in handball athletes with shoulder dysfunction. Method: This study was composed of 20 professional male handball athletes who presented shoulder pain at rest and dysfunction of the shoulder, divided into two groups; experimental (n = 10) and placebo (n = 10). Before and one hour after the application of NEB the following were evaluated: maximal isometric muscular strength during movements of the glenohumeral joint (load cell), the range of motion (ROM) of the glenohumeral joint (fleximetry), pain intensity in the shoulder at rest and during movement, and the pressure pain threshold (algometry). NEB was maintained for 72 hours in all volunteers, during which a diary of shoulder pain was recorded for the short-term assessment. We used the ANOVA two-way repeated measures considering the possibility of group by time interaction, adopting a 5% level for significant differences. The treatment effect size was analyzed by means of Cohen’s d values. Results: There was no group by time interaction for any of the variables (p> 0.05), however, there was a large effect of the treatment for reducing pain in the experimental group after the application of NEB in the short-term period (d = 0.83). Conclusion: There were no significant effects on muscular strength, range of motion or pain intensity in the shoulder in handball athletes immediately after implementation of NEB.

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Neuro Developmental Techniques with Functional Electrical Stimulation reduces shoulder dysfunction in young stroke population : A quasi-experimental novel rehabilitative approach

International Journal of Research in Pharmaceutical Sciences ◽

10.26452/ijrps.v11ispl4.4352 ◽

2020 ◽

Vol 11 (SPL4) ◽

pp. 1650-1656

Author(s):

Poonam I. Thakre ◽

Mohd. Irshad Qureshi ◽

Waqar M. Naqvi

Keyword(s):

Shoulder Pain ◽

Control Group ◽

Motor Impairments ◽

Shoulder Dysfunction ◽

Significant Difference ◽

Quasi Experimental ◽

Group A ◽

Group B ◽

Experimental Novel ◽

Experimental Group

Stroke is the third-largest common cause of death and is the leading cause of adult impairment. Shoulder subluxation is a common complication after a stroke and has always been a challenge, making the motor and functional recovery more complicated. Sixty-nine per cent of people affect with an arm in stroke, and the critical aim of stroke therapy is to recover their arm function. Motor impairments such as flaccidity and spasticity may make a patient functionally dependent on another person for their ADL, particularly in the upper extremity for a long time. Also, these motor impairments can address other problems such as subluxation of the shoulder and pain. To evaluate the effect of NDT along with FES in the management of shoulder dysfunction following stroke. A quasi-experimental study involved 70 consecutive subjects age (30-60 years) affected by stroke recruited in the study. They are divided into two groups Group A (experimental group, N=35) and Group B (control group, N=35). Group A received NDT along with FES, and Group B received NDT treatment. Treatment was given five days a week for six weeks. The analysis of the study showed a statistically significant difference in shoulder pain, and subluxation in the experimental group (Group A) compared to the control group (Group A). FES is effective in reducing shoulder pain and subluxation early after stroke. Hence NDT along with FES is more effective than NDT alone.

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