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  • Suprascapular nerve block reduced chronic shoulder pain and disability in degenerative disease or rheumatoid arthritis

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Therapeutics
Suprascapular nerve block reduced chronic shoulder pain and disability in degenerative disease or rheumatoid arthritis

https://doi.org/10.1136/ebm.9.2.50

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    Shanahan EM, Ahern M, Smith M, et al. Suprascapular nerve block (using bupivacaine and methylprednisolone acetate) in chronic shoulder pain. Ann Rheum Dis 2003;62:400–6.
    OpenUrlAbstract/FREE Full Text

    
 
 Q In patients with chronic shoulder pain from degenerative disease or rheumatoid arthritis, is suprascapular nerve block (SNB) effective for reducing the resulting pain and disability?

    Clinical impact ratings GP/FP/Primary care ★★★★★☆☆ Rheumatology ★★★★★★☆

    METHODS

    Embedded ImageDesign:

    randomised placebo controlled trial.

    Embedded ImageAllocation:

    concealed.*

    Embedded ImageBlinding:

    patients and outcome assessors.*

    Embedded ImageFollow up period:

    12 weeks.

    Embedded ImageSetting:

    St Vincent’s University Hospital in Dublin, Ireland and the Repatriation Hospital in Adelaide, South Australia.

    Embedded ImagePatients:

    83 unselected patients (108 shoulders) (mean age 73 y, 52% men) with chronic shoulder pain of ⩾3 months’ duration resulting from degenerative disease (43 patients, 56 shoulders) or rheumatoid arthritis (40 patients, 52 shoulders). Exclusion criteria included a known allergy …

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    Footnotes

    • ↵* See glossary.

    • For correspondence: Dr M Shanahan, Repatriation General Hospital, Daw Park, South Australia, Australia. michael.shanahanrgh.sa.gov.au

    • Sources of funding: National Health and Medical Research Council of Australia and the Arthritis Foundation of Australia.

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      BMJ Publishing Group Ltd
      BMJ Evidence-Based Medicine 2004; 9 64-64 Published Online First: 16 Apr 2004. doi: 10.1136/ebm.9.2.64