Abstract
Objectives:To investigate the effect of 1% procaine injection, which is used in neural therapy, on shoulder pain and dysfunction in patients diagnosed with supraspinatus tendinopathy.Methods:The Range of Motion values, Visual Analog Scale and the QuickDASH Scale scores of 70 patients, who were diagnosed with musculus supraspinatus tendinitis based on magnetic resonance imaging findings, were analyzed. The data of the scales obtained before neural therapy and at the follow-up visit at four weeks after the end of therapy were compared, and a p-value of <0.05 was considered statistically significant.Results:After neural therapy, a statistically significant increase was observed in Range of Motion values and there was a statistically significant decrease in both the Visual Analog Scale and QuickDASH score averages.Conclusion:This is one of the rare studies showing the effects of neural therapy application on shoulder pain severity and dysfunction in patients with supraspinatus tendinitis who are resistant to medical therapy.
Highlights
Shoulder impingement syndrome (SIS) is the most common cause of shoulder pain and dysfunction and typically results from the compression of the supraspinatus muscle tendon1
40 (57.1%) were women and 30 (42.9%) were men.A statistically significant increase was observed in ROM values evaluating shoulder joint range of motion after neural therapy (NT) in all movements compared to the baseline data (p < 0.001)
While an average decrease of 73.6% was observed in the Visual Analog Scale (VAS) score after treatment compared to pre-treatment, this rate was observed as 59.95% for the QuickDASH Scale (Q-DASH) score
Summary
Shoulder impingement syndrome (SIS) is the most common cause of shoulder pain and dysfunction and typically results from the compression of the supraspinatus muscle tendon1. Medical Education Department, Mersin University, Faculty of Medicine, Mersin, Turkey. Physical Medicine and Rehabilitation Department, University of Health Sciences, Adana City Hospital Adana, Turkey. Correspondence: June 6, 2021 November 3, 2021 November 18, 2021 below the acromion.[1,2] The initial treatment of SIS is conservative and aims to improve pain and inflammation with non-steroidal antiinflammatory drugs and controlled physical therapy regimens.[3] If symptoms persist, injections of subacromial local anesthetics and corticosteroids may be indicated to relieve pain.[4] despite their frequent use, a metaanalysis of randomized clinical trials evaluating subacromial corticosteroid injection showed that these injections might have limited short-term benefit.[5] Successful results have been reported regarding the effectiveness of neural therapy (NT) with 1% procaine or lidocaine injection in treatment-resistant musculoskeletal diseases.[6] It is suggested that local anesthetics achieve this effect by triggering parasympathetic stimuli and disrupting the vicious cycle in pain.[7] NT is a simple and effective method of treatment by injecting local anesthetics into the most commonly
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