Effectiveness and Safety of Hyaluronic Acid for Chronic Shoulder Pain

Abstract

Objective: To elucidate the functional outcomes of Hyaluronic acid for chronic painful shoulder with improvement of pain and functional scores Study Design: Descriptive study Place and Duration: Study was conducted in Dr.Sulaimanal HabibHospital, Riyadh, KSAfor period of one year June, 2019 to June, 2020. Methodology: Ninety patients with Tendinitis and Rotator cuff syndrome were included in this study. Patients demographics including age, sex, body mass index and complete medical profile were recorded after taking written consent. Injection was given in an aseptic technique in subacromial space in controlled setting with 1 ml of lignocaine 1 percent, 2 ml 0.5 percentmarcaine and 4 ml of hyaluronic acid. The functional outcomes were assessed by Constant Murley scoring. Follow-up was taken at 6 weeks and at 12 weeks and patients satisfaction was recorded. Results: Out of 90 patients 54 (60%) were males while 40% were females with mean age 49.8±10.283 years. Constant Murley score at baseline was 55.18±9.70 and at 6 weeks it was increased to 63.48±7.86 and at final follow-up it was 81.9±12.46. A significant improvement was found at 6 and 12 weeks with p-value <0.05. 5 (5.56%) patients showed complications. None of the patients had severe complication. 75 (83.33%) patients were satisfied. Conclusion: It is concluded that Hyaluronic acid action replaces the traditional form of corticosteroid treatment of chronic shoulders pain associated with Rotator cuff tear and tendinitis. Keyword: Tendinitis, Rotator cuff syndrome, Hyaluronic acid, Range of motion