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This study investigated whether triamcinolone injection + pulsed radiofrequency (PRF) provides more sustained pain relief than triamcinolone injection alone in frozen shoulder pain.
Injection of triamcinolone combined with pulsed radiofrequency improves pain, disability, and range of motion in patients with frozen shoulder.
This study investigated whether triamcinolone injection + pulsed radiofrequency (PRF) provides more sustained pain relief than triamcinolone injection alone in frozen shoulder pain.
In this randomized clinical trial, 41 patients presenting with frozen shoulder were enrolled. Volunteers were randomly segregated into two groups. The first group received only triamcinolone injection while the other group received triamcinolone + PRF. Pain intensity, disability, and shoulder joint mobility were assessed using the visual analog scale (VAS), Shoulder Pain and Disability Index (SPADI), and goniometric range of motion (ROM) measurements at baseline and during follow-up over 6 months.
Baseline VAS scores were comparable across both groups (p=0.213). However, the combination group exhibited a substantial reduction in mean VAS scores at all follow-up intervals (p=0.032). Functional improvements, reflected in SPADI scores, were also more pronounced in the combination group (p<0.05). Additionally, the combination group exhibited greater improvement in shoulder range of motion at each follow-up point, which was statistically significant.
Combining triamcinolone injection with PRF for suprascapular nerve intervention offered superior and longer-lasting pain relief when compared to triamcinolone alone. This synergistic approach also markedly reduced disability and improved shoulder joint mobility.
Indian Journal of Clinical Anaesthesia
A comparative study of triamcinolone injection alone versus combined triamcinolone injection with pulsed radiofrequency for frozen shoulder pain: A randomized controlled study
Deepti Sharma et al.
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