Supraspinatus Tendinopathy Clinical Trial
Official title:
Perineural Injection Therapy in Treatment of Chronic Supraspinatous Tendinopathy :A Randomized Clinical Trial Among Egyptian Patients .
Atotal of 150 consecutive patients with chronic supraspinatous tendinopathy were invited to
participate in the study .patients were recruited from the out patient clinic of rheumatology
and rehabilitation department,Mansoura university hospital
a. perineural injection therapy group (subcutaneous prolotherapy) This group included 30
patients aged from 18 to 60 years Deep prolotherapy injection group The injection fluid
contain 1 ml of 255 glucose and 1ml of lidocaine. The pathological area of the supraspinatous
tendon was identified and graded using ultrasound pathology rating scale guided by
ultrasonography (Simens Acuson p300 machine) Proper preparation with antiseptic solution of
skin overlying the point of injection .
Baseline Evaluation
All patients were subjected to the following:
1. Thorough History Taking
1. Personal history: collected data include: age, sex, marital status, handedness,
special habits and the current occupation.
2. Complaint in the patient's own words.
3. Present History he current symptoms, mode of onset, duration, , factors that may
aggravate or relieve pain Characters of pain (dull aching,sharp pain ,burning
sensation ,parasthesia). Distribution of pain . Review of systems: symptoms related
to rheumatic conditions in particular conditions with predilection for shoulder
joint affection.
Symptoms suggestive of medical disorders e.g. diabetes mellitus or thyroid
dysfunction.
4. Past History Previous significant trauma(direct or occupational) orsugery to
shoulder. Previous steroid injection to the shoulder. Previous injection of any
type of regenerative medicine (as prp)
2. Thorough General Examination
1. General condition.
2. Vital signs (pulse, blood pressure, respiratory rate, body temperature)
3. Examination of systems (chest,cardiovascular,abdominal,neurological) to identify
medical condition that may cause shoulder pain.
3-Muscloskeletal examination
1. General muscloskeletal examination
Examination of all joints for :
I.deformity,visible swelling or muscle atrophy II.Palpation for tenderness,warmth,palpable
swelling either bony enlargement or synovial effusion.
III.Abnormalities in range of motion. IV.Diffuse muscloskeletal pain. V.Abnormalities of
gait.
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Status | Clinical Trial | Phase | |
---|---|---|---|
Completed |
NCT02196948 -
Electrolysis Percutaneous Therapeutic (EPTE) for Supraspinatus Tendinopathy
|
N/A |