EFFECTIVENESS OF ULTRASOUND GUIDED CRYOABLATION OF SUPRASCAPULAR NERVE IN COMPARISON WITH STEROID AND LOCAL ANAESTHETIC BLOCK FOLLOWED BY MANIPULATION FOR REDUCTION OF PAIN AND FUNCTIONAL DISABILITY IN PATIENT WITH ADHESIVE CAPSULITIS OF THE SHOULDER: A RANDOMISED CONTROLLED TRIAL

Adhesive capsulitis is an idiopathic, painful, regular restriction of all shoulder movements with normal radiographs and is self-limiting in nature, affecting activities of daily living (ADL) and reducing the quality of life. Treatment should aim to relieve pain, improve function, limit disabilities and improve quality of life but the best treatment is still subject to debate. Due to the recent emergence of the effectiveness of cryoablation of nerves in the treatment of various painful musculoskeletal conditions and the background of inconclusive evidence for treatment modalities for AC, and due to the limited number of studies available for cryoablation in the management of adhesive capsulitis, there is a need to examine the role of cryoablation of suprascapular nerve in adhesive capsulitis. Thus a randomized controlled trial shall be conducted in the Department of Physical Medicine and Rehabilitation, RIMS, Imphal to compare the effectiveness of ultrasound-guided cryoablation of suprascapular nerve with steroid and local anaesthetic for reduction of pain and functional disabilities in patients with adhesive capsulitis of the shoulder. The outcome variables will be measured at baseline and 1, 4, 12 and 24 weeks post-intervention follow-up. For calculation, the Chi-square test, independent t-test, and repeated measure ANOVA will be used and a p-value <0.05 will be considered statistically significant.