Frozen shoulder

Corticosteroid injection for adhesive capsulitis in primary care: a systematic review of randomised clinical trials

“…This may be explained by histologic studies that showed that contracture of the coracohumeral ligament, which lies in the subacromial space, is a main lesion in adhesive capsulitis. (5) A previous study also found that the accuracy of blind intra-articular glenohumeral injections by experienced orthopaedic surgeons was less than 30%. (32) Hence this review's fi nding may be of clinical value in primary care, given the evidence that glenohumeral and subacromial injections have similar effi cacy; the former, however, is technically more diffi cult to perform when conducted blindly, as the glenohumeral joint lies deep within the shoulder.…”

“…This is consistent with our fi ndings. Oral NSAIDs for adhesive capsulitis have not been shown to improve pain or function when compared with a placebo, (5) although they are often prescribed in early infl ammatory phases of the disease to provide pain relief. In some studies, (21) NSAIDs were also used in control groups but were not considered to alter the course of the disease.…”

“…(8) As adhesive capsulitis is postulated as an infl ammatory and fi brotic disease, early treatment with intra-articular corticosteroid injections may reduce synovitis, limit the development of capsular fi brosis and alter the natural history of the disease. (5,8,9) Despite the multiple treatment options available for adhesive capsulitis, evidence for their effi cacy is not well established, and it remains unclear whether it is better to use several interventions in combination. (4,6) Previous systematic reviews on the use of corticosteroid in adhesive capsulitis mostly found evidence of its short-term effectiveness.…”

An observational study to compare the outcome of local steroid injections and ultrasonic wave therapy in frozen shoulder patients

“…Adverse effects of both the interventions were also taken into consideration. Difference in results may be attributed to the dose of pain killers Nonsteroidal anti-inflammatory agents taken by the patients [6] . Analgesic dose was not considered in any of the meta-analysis or study.…”

Frozen Shoulder

“…The incidence of frozen shoulder in people with diabetes is reported to be 10% to 36%, and these tend not to respond as well to treatment as in nondiabetics. 1 Clinical presentation is typically in three overlapping phases: 1 . Phase 1 -lasting 2 months to 9 months.…”