Nonoperative treatment of frozen shoulder: oral glucocorticoids

Canbulat, Nazan; Eren, İlker; Atalar, Ata Can; Demirhan, Mehmet; Eren, Şule Meral; Uçak, Ayla

doi:10.1007/s00264-014-2650-1

Cited by 15 publications

(19 citation statements)

References 17 publications

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“…Oral administration of corticosteroid is also used in the treatment of FS. Canbulat et al16) reported that oral glucocorticoids (0.5 mg/kg/day methylprednisolone) in 33 FS patients improved clinical outcomes: the mean visual analog scale (VAS) score, from 6.3 initially to 0.2 at 6-month follow-up; the mean Constant score, from 28.3 initially to 94.8 at first-year follow-up; the mean American Shoulder and Elbow Surgeons score, from 25.9 initially to 98.7 at first-year follow-up. In one randomized clinical trial of 40 patients performed by Lorbach et al,17) patients with idiopathic FS were treated with an oral corticosteroid treatment regimen (20 patients) or intra-articular injection of corticosteroid (20 patients).…”

Section: Conservative Treatmentmentioning

confidence: 99%

Treatment Strategy for Frozen Shoulder

2019

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Frozen shoulder (FS) is a common shoulder disorder characterized by a gradual increase of pain of spontaneous onset and limitation in range of motion of the glenohumeral joint. The pathophysiology of FS is relatively well understood as a pathological process of synovial inflammation followed by capsular fibrosis, but the cause of FS is still unknown. Treatment modalities for FS include medication, local steroid injection, physiotherapy, hydrodistension, manipulation under anesthesia, arthroscopic capsular release, and open capsular release. Conservative management leads to improvement in most cases. Failure to obtain symptomatic improvement and continued functional disability after 3 to 6 months of conservative treatment are general indications for surgical management. However, there is no consensus as to the most efficacious treatments for this condition. In this review article, we provide an overview of current treatment methods for FS.

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Section: Conservative Treatmentmentioning

confidence: 99%

Treatment Strategy for Frozen Shoulder

2019

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“… 24 Other authors have demonstrated good outcomes in the early stages of frozen shoulder with oral steroids combined with neuropathic agents and a home exercise programme. 25 …”

Section: Current Treatment Optionsmentioning

confidence: 99%

Indications for hydrodilatation for frozen shoulder

Rymaruk

Peach

2017

EFORT Open Reviews

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Frozen shoulder causes significant functional disability and pain in a population group constituted by patients who are often middle-aged and working.Frozen shoulder remains poorly understood. The available literature is limited and often prone to bias.A rapid, non-surgical and cost-effective treatment that reduces pain and restores function is an attractive option.Hydrodilatation is a potential first-line treatment of frozen shoulder in secondary care.Cite this article: EFORT Open Rev 2017;2:462–468. DOI: 10.1302/2058-5241.2.160061

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“…Additionally, a review completed by Favejee et al supports the effectiveness of oral steroids compared with no treatment or placebo in the short term for adhesive capsulitis patients 11 . Canbulet et al completed a study of thirty-three patients who underwent oral steroid therapy combined with pregabalin and a home exercise program 19 . The study showed that patients had significant improvement in pain scores and ROM of the affected shoulder over a twenty-one month follow up period.…”

Section: Oral Pharmacological Therapymentioning

confidence: 99%

Current non-operative treatments for adhesive capsulitis: A Review

Chhatlani¹,

Oberle²,

Tekmyster³

2020

JRPMS

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This study aims to determine the best available non-operative approach for adhesive capsulitis and to create a guided treatment plan based on the research and evidence. An electronic search of multiple databases including PubMed, Cochrane Library, Wiley Online Library, Google Scholar, and Ovid Medline was completed. Search terms included “adhesive capsulitis”, “frozen shoulder”, “adhesive capsulitis treatments”, and “frozen shoulder treatments”. Exclusion criteria included articles that were published before the year 1984 and non-peer reviewed articles. Seventy-four articles were retrieved from the original search, and of those forty-nine articles were included and twenty-five were excluded. In the available research and literature, there is no clear consensus of one non-operative approach against the other. There is however clear evidence that intra-articular corticosteroid injections provide pain relief in the short term. There may be a role for the other non-operative interventions in the treatment for adhesive capsulitis but the current evidence does not support them being implemented as standalone treatment options. In order to determine the best available non-operative approach for adhesive capsulitis there is a need for higher quality randomized controlled trials moving forward. The available literature has limitations that would restrict one to formulate a consensus on a guided treatment plan.

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Nonoperative treatment of frozen shoulder: oral glucocorticoids

Abstract: Glucocorticoid therapy combined with pregabalin and a home exercise program is an effective treatment in the first stage of frozen shoulder.

Cited by 15 publications

References 17 publications

Treatment Strategy for Frozen Shoulder

Treatment Strategy for Frozen Shoulder

Indications for hydrodilatation for frozen shoulder

Current non-operative treatments for adhesive capsulitis: A Review

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