Turkish Journal of Physical Medicine and Rehabilitation 2002 , Vol 48 , Num 4
Omuz Sıkışma Sendromunda Konvansiyonel Fizik Tedavi ile Steroid Enjeksiyonunun Karşılaştırılması
Arif Kenan Tan 1 ,Ahmet Özgül 1 ,Tunç Alp Kalyon 2 ,Salim Göktepe 3 ,Rıdvan Alaca 4
1 GATA Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Ankara
2 T.C. Sağlık Bakanlığı Akupunktur Bilim Komisyonu Üyesi, Ankara
3 Gülhane Askeri Tıp Akademisi Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Türk Silahlı Kuvvetleri Rehabilitasyon Merkezi, Ankara, Türkiye
4 Gülhane Askeri Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Türk Silahlı Kuvvetleri Rehabilitasyon Merkezi, Ankara, Türkiye

Impingement syndrome is the leading cause of shoulder pain. We investigated the efficacies of physical agents, subacromial steroid injection and peroral acemetasin in this study. The patients were randomly divided into three groups. Physical agents consisting of ultrasound, interferential current and hotpack was performed to the first group besides peroral acemetasin 60 mg. A mixture of triamcinolon acetonid 40 mg /1 ml and prilocine 1 ml 2% was injected to the posterior subacromial region in the second group as well as peroral acemetasin 60 mg. The third group was only given peroral acemetasin 60 mg. The patients were evaluated prior to and 1, 3 and 6 weeks after the beginning of the therapy. Motion pain and rest pain as well as functional shoulder evaluation were used as parameters. Injection group showed statistically significant difference compared to other two groups for all parameters at the first and third week evaluations. We concluded that subacromial steroid injection caused faster improvement in pain and better activities of daily life than other modalities.

Keywords : Impingement syndrome, local steroid injection, physical therapy