The effectiveness of ultrasonogram guided intervention in chronic shoulder pain cases attending pain clinic of a government hospital of East zone, India: a prospective observational study

Background: Ultrasonogram guided intervention in chronic shoulder pain is well known for relief of pain and improvement of range of movement (ROM) of affected shoulder joint. Ultrasonogram gives accuracy helps in localized corticosteroid delivery. Corticosteroids relieve the pain by its anti-inflammatory effect. There is conflicting evidence available regarding the effectiveness of the intervention in chronic shoulder pain, questioned in many studies. We planned this study to evaluate the efficacy of ultrasonogram guided intervention in chronic shoulder pain in a tertiary teaching hospital of rural Bengal.Methods: The prospective observational study was carried out in 100 patients with chronic shoulder pain attending pain clinic who fulfilled predetermined inclusion criteria. Patients were injected with 40 mg of depomethyl prednisolone and 10 ml of 1% preservative free lignocaine via standard posterior approach. Then half an hour of standard shoulder range of motion (ROM) exercise regimen was performed under supervision. Pre injection and post injection pain level were scored by visual analogue score (VAS) shoulder exercises were taught and home-based physiotherapy was carried out by patients themselves. Patient were followed at 4, 8, and 12 weeks.Results: The mean age of patients was 53.23±5.680 years with 63 % male study subjects, After the intervention, excellent result in VAS score and improvement of ROM observed in patients. There was statistically significant difference from baseline in both pain relief and shoulder movement.Conclusions: USG guided intervention is effective in pain relief and in improvement in ROM in chronic shoulder pain in long term.