Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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Abstract
Chronic shoulder impingement syndrome (CSIS) is a prevalent and debilitating condition characterized by pain and restricted shoulder movement. Conventional treatments, including physical therapy, NSAIDs, corticosteroid injections and surgical intervention, often fail to provide satisfactory or long‐term relief. Recently, regenerative medicine techniques such as platelet‐rich plasma (PRP) therapy have gained interest for treating musculoskeletal disorders. This study aimed to assess the effect of subacromial injection of PRP, steroids and normal saline on pain in shoulder impingement syndrome. The study included 150 patients with suspected chronic shoulder impingement syndrome attending a tertiary care hospital. Patients were divided into three groups of 50 each: PRP group, steroid group and normal saline group. Patients were observed for 30 minutes in a lying down position following injections. Follow‐up examinations were conducted at 4, 12 and 24 weeks. The main outcome measure was pain with overhead activities, assessed using a visual analog scale (VAS). Changes in VAS scores were compared among the three groups. The groups were comparable in terms of demographic data, comorbidities and symptom duration (p>0.05). There was a dominance of right‐sideinvolvement (64%, 60% and 68% respectively) compared to the left side (36%, 40% and 32%respectively), which was not statistically significant (p>0.05). VAS scores improved significantly in both the PRP and steroid groups compared to the normal saline group at 4th, 12th and 24thweeks post‐injection (p<0.05). PRP injection was more effective than corticosteroid and normal saline injections for long‐term pain relief in shoulder impingement syndrome. PRP can be considered an effective and less invasive treatment option compared to surgical interventions, improving pain and shoulder function.
How to cite this article:
Sanjay Vitthal Popere, Geeta B. Shinde and Rushan A. Khan. Evaluation of Clinical Outcomes Following Single Injection of Platelet Rich Plasma in Chronic Shoulder Impingement Syndrome.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.1.499.503
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.1.499.503