Abstract: Introduction: Adhesive capsulitis of shoulder is a condition characterised by painful restriction of active and passive glenohumeral range of motion in at least two directions most notably shoulder abduction and external rotation. [1] Therapeutic options for the management of adhesive capsulitis are NSAIDs, intra-articular steroid injections, Suprascapular nerve block (SSNB), platelet rich plasma Injection (PRP), manipulation under general anaesthesia or arthroscopic capsular release. SSNB is an old and effective method for the treatment of adhesive capsulitis. Recently USG guided nerve blocks have been found to be safer and more efficacious compared to blind, landmark guided nerve blocks. PRP is newer modality of treatment in regenerative medicine to enhance the healing process in adhesive capsulitis.
AIM: To evaluate & compare the outcome of adhesive capsulitis after either injection of PRP or SSNB.
Materials and Methods: Patients with Adhesive capsulitis either received single injection of SSNB (n=45) (40 mg methylprednisolone + 5ml 2% lignocaine) or PRP (n=45) after randomization. All participants were also advised to perform a home based 10 minute exercise therapy after injection. The outcome were measured by using Constant and Murley shoulder score. Participants were evaluated at 0 (post-procedure), 3rd day,1 and 6 month. One way ANOVA-F has been used to compare between groups.
Results: PRP showed significant difference in improvement than SSNB. No major adverse effect were seen in both groups.
Conclusion: Both treatment modalities are effective with better result in PRP group than SSNB in long term follow-ups.
