Adding an anterior capsular block to a steroid injection for frozen shoulder pain

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

Participants with adhesive capsulitis will receive either a combined shoulder anterior capsular block plus intraarticular steroid injection or an intraarticular steroid injection alone and will be followed for eight weeks. Pain will be tracked with a Visual Analogue Scale at baseline and during follow-up, and total rescue ibuprofen use will be recorded. Secondary measures include the Shoulder Pain and Disability Index, recording of block- or injection-related complications, and a five-point patient satisfaction rating. The procedures are performed at a single center (Zagazig University Faculty of Medicine) by clinical staff experienced in injections and regional blocks.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* 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 Criteria:

* 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.

Where it's running

• Faculity of Medicine, Zagazig University
  Zagazig, Egypt Recruiting

Study contacts

• Principal investigator: Dina Salem, MD — Faculty of Medicine, Zagazig University
• Study coordinator: Dina Salem, MD
• Email: dinamaghraby@yahoo.com
• Phone: 01099333513

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.