A Retrospective Study of Ultrasound Guided Capsular Hydrodilatation with a Mixture of Normal Saline, Lidocaine and Triamcinolone Injection in Patient with Adhesive Capsulitis
การศึกษาย้อนหลังการใช้อัลตราซาวนด์ช่วยนำการฉีดน้ำเกลือ ยาชา และยาสเตียรอยด์เพื่อขยายเยื่อหุ้มข้อไหล่ในผู้ป่วยโรคไหล่ติด
Keywords:
Keywords: adhesive capsulitis, ultrasonography, capsular hydrodilatation with corticosteriod injectionAbstract
Objectives: To report change in pain of shoulder joint after ultrasound guided capsular hydrodilatation with corticosteriod injection.
Study design: Retrospective study
Setting: Chophraya Yommarat Hospital, Suphanburi
Subjects: Patients with a diagnosis of adhesive capsulitis who had pre-treatment subjective numeric pain rating scale (NPRS) at least 4 after physical therapy for at least a month; treated with an ultrasound guided capsular hydrodilatation with a mixture of 4 ml 10mg/mL triamcinolone acetonide, 6ml of 1% lidocaine, and 10 mL of normal saline by a physiatrist; and having at least 3 follow-up re-assessments, were recruited into the study.
Methods: Twenty patients’ medical records were retrospectively reviewed. Outcome measurement was the treated shoulder NPRS at weeks 1, 5, and 12-14 post-treatment; and the data were compared and analyzed by using the linear mixed model.
Results: There were statistically significant improvements in median (minimum, maximum) NPRS (p<0.001) from baseline 6 (4, 7) to 2 (0, 5) at week 1, 1 (0, 5) at week 5 and 0.5 (0, 3) at week 12-14 post treatment. No side effects were found.
Conclusion: This retrospective study demonstrated that the ultrasound guided capsular hydrodilatation with a mixture of normal saline, lidocaine and triamcinolone acetonide, injection done by a trained physiatrist could reduce shoulder pain in patients with adhesive capsulitis.
Keywords: adhesive capsulitis, ultrasonography, capsular hydrodilatation with corticosteriod injection, pain
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