Intra-articular steroid using lor technique in managing frozen shoulder (original) (raw)
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Birat Journal of Health Sciences
Introduction: Idiopathic frozen shoulder (IFS) is a common chronic and disabling condition of shoulder pain characterized by progressive loss of active and passive range of motion (ROM) with unclear pathogenesis. The ideal treatment protocol is still controversial but commonly used treatment includes single agent or combination of oral non-steroid anti- inflammatory drugs (NSAIDS), oral steroids, intra-articular steroid injection and physiotherapy. Objective: The objective of this study was to evaluate the effectiveness of intra-articular methylprednisolone injection for pain and ROM in patients suffering from idiopathic frozen shoulder who did not respond to oral NSAIDS with or without oral steroid. Methodology: A total of 70 patients suffering from IFS were enrolled in this cross sectional study from May 2017–October 2018 from outpatient department of orthopaedic and physiotherapy of Koshi Zonal Hospital. All the patients underwent treatment protocol that comprised of Intra-articu...
Idiopathic frozen shoulder is one of the common problems in orthopedic outpatient department. It is characterized by gradually progressive pain and stiffness of the shoulder followed by spontaneous recovery over the period of time.. Many different modalities are available for the treatment of Idiopathic frozen shoulder, but no one is universally accepted. The purpose of this study was to compare the outcome of hydroplasty with intra-articular steroid injection.
International Journal of Health Sciences (IJHS), 2023
Adhesive capsulitis (AC) is a painful frozen shoulder disease that continues for more than 3 months, is also known as frozen shoulder. The glenohumeral joint capsule fibrosis that results from this inflammatory disease is accompanied by substantial range of motion limitation and gradually advancing stiffness (typically external rotation). The findings of this study will support better outcomes for adhesive capsulitis patients in our local population in terms of pain reduction and a decline in SPADI score. Objective: To compare functional outcome of steroid injection vs intra-articular 6935 steroid injection in rotator interval in the treatment of early frozen shoulder.
Asian Journal of Pharmaceutical and Clinical Research Journal, 2022
Objective: In our study, we will compare the efficacy of intra-articular steroid injection with hydrodilatation (with steroid) with regards to Shoulder Pain and Disability Index (SPADI), visual analog scale (VAS), and range of motion (ROM) in patients of adhesive capsulitis. Methods: The study is a prospective study carried out on 36 patients in Department of Orthopaedics, Government Medical College, Jammu, from August 2021 to July 2022. The patients were evaluated in terms of SPADI, VAS, and ROM (flexion, abduction, and external rotation) at 0-, 6-, 12-, and 24-week interval. Results: Hydro-dilatation has better results in comparison to intra-articular steroid injection. The patients with hydrodilatation fared with better scores in terms of SPADI as well as VAS with significant p-value (≤0.05). In addition, the patients also had better ROM in the former group. Conclusion: Hydrodilatation with corticosteroid provides better relief in terms of pain as well as ROM for frozen shoulder when compared to intraarticular CSI. The predictability of results with hydrodilatation is excellent and hence it is a better modality of treatment compared to intra-articular CSI.
Introduction: Symptomatic improvement after sub-acromial steroid injections, in the initial part of treatment, has led us to conduct this study that compares the effects of physiotherapy alone, and combined with sub-acromial injection and also combined with both intra-articular and sub-acromial steroid injections for primary frozen shoulder. Material and Method: 75 patients with primary frozen shoulder were randomly divided into 3 groups: group 1 for physiotherapy only, group 2 for the sub-acromial injections followed by physiotherapy and group 3 for sub-acromial and intra-articular injections followed by physiotherapy. Patients were evaluated using a visual analog scale for pain, Constant score, range of motion and American Shoulder and Elbow Surgeons Score at 3, 6 and 12 weeks after starting treatment. Results: There was significant improvement in all parameters in Group 2 and 3 at 3 & 6 weeks. There was no difference between the groups at 12 weeks follow up. Group 2 and 3 were similar in outcomes at all follow ups. Conclusion: Steroid injections followed by physiotherapy were superior to physiotherapy alone for patients with primary frozen shoulder as they led to earlier pain relief. Steroid injection combined with physiotherapy is an alternative modality for treatment of primary frozen shoulder.
Medicinus, 2024
Background: Frozen shoulder is a common problem in general orthopaedic practice, affecting about 2% of the population. Intraarticular corticosteroids (IA) and hydrodilatation have been reported as more effective among other conservative treatments. However, it is unclear which treatment is superior for frozen shoulder, and the hydrodilatation procedure leads to more discomfort in patients since it involves stretching of joint capsule. In this case series, we present 10 cases of frozen shoulder that were treated with hydrodilatation or IA steroid injection. The purpose of this study is to show the effectiveness of hydrodilatation and IA steroid injection in managing patient with frozen shoulder. Methods: This study was a retrospective case series of patients who received IA steroid injection or hydrodilatation. Five patients underwent IA steroid injection, and another five patients underwent hydrodilatation. The American Shoulder and Elbow Score (ASES) was used to evaluate each patient before and six months after treatment. Result: Hydrodilatation and IA steroid injection showed significant improvement in ASES score assessed at 6-month follow-up. Conclusions: Hydrodilatation and IA steroid injection are both effective to treat frozen shoulder in long term follow up.
The Professional Medical Journal
Objective: To compare efficacy of intra-articular steroid (IAS) injection with manipulation under anesthesia (MUA) in idiopathic FS. Study Design: Randomized Control Trail. Setting: Department of Orthopedic, Independent University Hospital, (IMC) Faisalabad. Period: 1st January 2021 to 30th June 2021. Material & Methods: Diagnosis of FS was based upon detailed history and proper physical. Group A (n=50) included intra-articular injection patients and Group B (n=50) was patients receiving MUA. Pain was measured by VAS and disability was measured by Disability Index (SPADI) scale. Results: Mean age of sample was 37 ± 10.52 in group A and 39.14± 9.48 in group B. Age of patients ranges from 35 to 50 years. Female patients were greater in both the groups. Most of the patients have duration of disease for more than 1 month. The ratio of patients with right side disease was more than 50% in both the groups as compared to left side. In group A. there was a significant decrease in mean pain ...
International Journal of Research in Orthopaedics, 2016
Frozen shoulder is an insidious painful condition with gradual restriction of all planes of movement in the shoulder. The current consensus definition of the American Academy of Orthopaedic Surgeons is a condition of uncertain aetiology characterized by significant restriction of both active and passive shoulder motion that occurs in the absence of a known intrinsic shoulder disorder. 1 Several terms are used to define this condition like adhesive capsulitis, periarthritis shoulder, etc. It is the main cause of shoulder pain and dysfunction in middle aged and elderly populations. 2 It most commonly affects women aged between 40 and 60 years. Frozen shoulder has been shown to have an incidence of 3% to 5% in the general population and up to 20% in those with diabetes. This disorder is one of the most common musculoskeletal problems seen in orthopaedics. 3 Many treatments have been reported in the literature including rest, non-steroidal anti-inflammatory drugs (NSAIDs), active and passive mobilization, intra-articular ABSTRACT Background: Frozen shoulder is one of the most common musculoskeletal problems seen in orthopaedics. Many treatment modes are available however, it is difficult to treat and data on the comparative efficacy of various interventions are limited. Intra-articular corticosteroid injection (IASI) is a commonly used to treat frozen shoulder pain. Supra-scapular nerve block (SSNB) is also effective method to treat pain in chronic diseases that affect the shoulder. The present study was done to compare efficacy of ultrasound guided SSNB and IASI in management of painful frozen shoulder. Methods: 60 patients with painful frozen shoulder were divided in two groups, Group A received ultra-sound guided SSNB with 6 ml 0.5% Bupivacaine; Group B received IASI using 40 mg Triamcinolone. Outcome measures were shoulder ranges mainly lateral rotation and abduction, shoulder pain and disability index and visual analogue scale (VAS). Patients were followed-up on 2 nd day, at 1 st , 3 rd and 6 th week. Results: All baseline parameters improved significantly in both groups; however, on comparison Group A showed significant improvement in passive lateral rotation on 2 nd day and 1 st week follow up (P =0.038 and 0.040 respectively). VAS score showed significance at all follow-up in Group A, whereas, in Group B significance was seen after 1 week. On inter group comparison Group A shows significance on 2 nd day (P =0.050), 1 st week (P =0.042) and 3 rd week (P =0.036). Conclusions: Both SSNB and IASI have efficacy in management of frozen shoulder. But supra-scapular nerve block is better than intra-articular injection and should be considered prior to steroid as it has early onset pain relief, early improvement in ranges, potentially lesser contraindications and side effects.