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Related Experiment Videos

[Interscalene plexus block for mobilizing chronic shoulder stiffness]

P Lierz1, P Hoffmann, P Felleiter

  • 1Abteilung für Allgemeine Anästhesie und Intensivmedizin B, Universität Wien, Osterreich. peter.lierz@univie.ac.at

Wiener Klinische Wochenschrift
|January 1, 1999
PubMed
Summary

Interscalene brachial plexus block effectively mobilizes frozen shoulders with minimal need for additional pain relief. This regional anesthesia technique offers comfortable pain management during shoulder rehabilitation, with high patient satisfaction.

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Area of Science:

  • Anesthesiology
  • Orthopedics
  • Pain Management

Context:

  • Frozen shoulder (adhesive capsulitis) requires intensive physiotherapy post-mobilization.
  • Pain often limits patient adherence to crucial home exercise programs.
  • Effective analgesia is vital for successful shoulder mobilization and recovery.

Purpose:

  • To evaluate the efficacy of interscalene brachial plexus blockade for frozen shoulder mobilization.
  • To assess the need for additional analgesics post-mobilization using this regional anesthesia technique.
  • To document patient outcomes and satisfaction with the interscalene block procedure.

Summary:

  • Interscalene brachial plexus block with continuous catheter infusion enabled shoulder mobilization in 92% of patients without general anesthesia.

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  • 89% of patients required no additional analgesics, indicating effective pain control during mobilization.
  • The procedure was associated with transient side effects like Horner's syndrome and nerve paresis, but patients reported high willingness to repeat the treatment.

    • Impact:

    • Provides a viable regional anesthesia strategy for facilitating pain-free frozen shoulder mobilization.
    • Reduces reliance on systemic analgesics, potentially minimizing side effects.
    • Enhances patient compliance with physiotherapy by ensuring adequate pain relief during the critical mobilization phase.