In many instances , no or minimal attempts to screen were undertaken or reported .
Background Subacromial shoulder pain is a common clinical presentation with much diagnostic uncertainty .
Some of this uncertainty relates to the involvement of the cervical spine as a source or contribution to subacromial shoulder pain .
Currently , there is no accepted method of screening of the cervical spine in the presence of subacromial shoulder pain , which risks patients receiving misguided and /or ineffective interventions .
Objective To evaluate approaches used to screen the cervical spine in patients with subacromial shoulder pain .
Education and Visual Information Improves Effectiveness of Ultrasound-Guided Local Injections on Shoulder Pain and Associated Anxiety Level: A Randomized Controlled Study
Objective Local injections are widely used in patients with a painful shoulder . The aim of this study was to evaluate the possible impact of patients ’ visual information on the effectiveness of ultrasound (US)-guided local injections on anxiety levels and shoulder pain . Design A total of 151 patients , scheduled for local injection owing to shoulder pain , were r and omly assigned into two groups in a consecutive order . Patients in group I ( n = 72 ) were provided information related to US findings and allowed to watch the procedures from the monitor , whereas patients in group II ( n = 79 ) received the injection only without any collaboration . Data were collected from both groups immediately before and after injections through visual analog scale and question naire ( the State-Trait Anxiety Inventory [ STAI ] forms 1 and 2 ) . Results US-guided local injections provided significant improvement of anxiety and pain in both groups , irrespective of providing visual information . Group I and group II comparisons with respect to the visual analog scale , STAI 1 , and STAI 2 yielded significant difference only for postinjection STAI 2 in group I ( P = 0.006 ) . Intragroup comparisons revealed significant differences between preinjection and postinjection values ( group I : visual analog scale , P = 0.001 ; STAI form 1 , P = 0.001 ; STAI form 2 , P = 0.002 ; group II : visual analog scale , P = 0.001 ; STAI form 1 , P = 0.002 ; STAI form 2 , P = 0.042 ) . There was no significant difference between the groups in terms of postinjection satisfaction levels from the procedures ( P = 0.824 ) . Conclusions Performing US-guided shoulder injections with patient visual information provides positive contributions to coping with pain and anxiety . In particular , the patient collaboration – based US-guided injections have positive consequences on patients ’ long-st and ing “ trait-anxiety ” levels
In many instances , no or minimal attempts to screen were undertaken or reported .
Background Subacromial shoulder pain is a common clinical presentation with much diagnostic uncertainty .
Some of this uncertainty relates to the involvement of the cervical spine as a source or contribution to subacromial shoulder pain .
Currently , there is no accepted method of screening of the cervical spine in the presence of subacromial shoulder pain , which risks patients receiving misguided and /or ineffective interventions .
Objective To evaluate approaches used to screen the cervical spine in patients with subacromial shoulder pain .