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      Subacromial corticosteroid injection versus subcutaneous 5% dextrose in patients with chronic rotator cuff tendinopathy: A short-term randomized clinical trial

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          Abstract

          Aim

          The aim of this study is to compare subcutaneous 5% dextrose versus subacromial corticosteroid injection for the treatment of chronic rotator cuff tendinopathy.

          Methods

          We carried out a randomized clinical trial with two parallel groups at a university hospital. Overall, 57 (32 women) were included in two groups of corticosteroid ( n = 29) and dextrose ( n = 28). The mean pain score was 6.6 (1.0). We used a visual analog scale for pain and goniometry for the range of motion. The measurements were repeated 1 month after the interventions. For corticosteroid, a single injection of triamcinolone and 1% lidocaine, and for dextrose, a mixture of 5% dextrose and 2% lidocaine three times weekly were prescribed.

          Results

          Both interventions were effective in decreasing pain compared to the baseline (both p < 0.001). The difference in pain between the two groups was nearly significant 1-month post-intervention ( p = 0.052). The comparison of the two groups in considerable pain reduction (≥2.8) was in favor of dextrose ( p = 0.046). The differences in the range of motion were not conclusive. None of the participants reported an important adverse effect.

          Conclusion

          The 5% dextrose treatment is at least as effective as corticosteroid for reducing pain in patients with rotator cuff tendinopathy.

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          Author and article information

          Journal
          imas
          1646
          Interventional Medicine and Applied Science
          IMAS
          Akadémiai Kiadó (Budapest )
          2061-1617
          2061-5094
          11 November 2019
          :
          :
          : 1-7
          Affiliations
          [ 1 ]Department of Physical Medicine and Rehabilitation, School of Medicine, Baqiyatallah University of Medical Sciences , Tehran, Islamic Republic of Iran
          [ 2 ]Exercise Physiology Research Center, Baqiyatallah University of Medical Sciences , Tehran, Islamic Republic of Iran
          Author notes
          [* ]Corresponding author: Mahsa Asheghan; Exercise Physiology Research Center, Baqiyatallah University of Medical Sciences, Mollasadra St., Tehran 1437773787, Islamic Republic of Iran; Phone/Fax: +98 21 8126 2112; E-mail: m_asheghan@ 123456bmsu.ac
          Article
          10.1556/1646.11.2019.18
          eeb4f8d3-8600-4a14-bdc5-a9cb25fcbb23
          © 2019 The Author(s)

          This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License, which permits unrestricted use, distribution, and reproduction in any medium for non-commercial purposes, provided the original author and source are credited, a link to the CC License is provided, and changes – if any – are indicated.

          Page count
          Figures: 1, Tables: 3, Equations: 0, References: 26, Pages: 7
          Funding
          Funding sources: The authors did not receive any financial support from any public or private sources.
          Categories
          ORIGINAL PAPER

          Medicine,Immunology,Health & Social care,Microbiology & Virology,Infectious disease & Microbiology
          corticosteroid injection,dextrose,prolotherapy,rotator cuff tendinopathy,shoulder,joint

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