Comparison of suprascapular block with physiotherapy for the treatment of adhesive capsulitis of shoulder

Frozen shoulder or adhesive capsulitis, is a common problem in general practice presenting as pain that may be severe, accompanied by progressive loss of movements resulting function.In 1934 Codman introduced the term “frozen shoulder”, stating it was characterized insidious onset, near insertion deltoid, inability to sleep on affected side, painful and restricted elevation external rotation, but normal radiological appearance. Later 1945, based upon his findings synovial changes glenohumeral joint, Neviaser “adhesive capsulitis” Methodology: This present observational study carried out SKIMS Medical College Hospital, Bemina, Srinagar from November 2020 June 2022. A total 50 patients with capsulitis were included study. Ethical clearance obtained Institutional Committee proper informed consent taken all patients. Patients explained detail about procedure need for follow up. Diagnosis made clinically and/or imaging.Each participant research provided written permission. SPSS Version 20 used analyze data. Result: The conducted equally distributed two groups. Group (SSNB, n=25) B (Physiotherapy, n=25).Patients aged between 40-59 years mean age 50.2+5.37 while ranged 40-58 49.9+5.31 years. duration illness 4.79+2.041 months compared 4.84+2.095 an insignificant statistical difference (p 0.946). Pre intervention range motion (ROM) relation found statistically > 0.05). Mean abduction 70.6+15.43 70.8+15.05. internal rotation 34.2+8.25 against 33.8+8.20 23.1+8.28 22.6+8.43 B. post at 1 week 84.2+16.74 85.0+16.33 At 4 weeks, 97.6+16.46 97.2+16.14 Group, respectively 12 weeks 108.4+13.60 108.2+13.68 37.4+8.05 37.2+7.65 45.0+8.16 44.8+7.70 53.6+9.30 53.0+8.90 Conclusion: current supports suprascapular nerve block safe well-tolerated method. Physiotherapy effective reducing severity functional disability, addition physiotherapy improved status levels capsulitis.