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

Koh, Kim

doi:10.11622/smedj.2016146

Cited by 71 publications

(62 citation statements)

References 33 publications

(180 reference statements)

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“…6,[8][9][10] Intra-articular corticosteroid injections are known to be a superior alternative when used as such or in combination with physiotherapy as compared to physiotherapy alone. 8,9 This study was undertaken to determine which of the two approaches i.e., anterior or posterior was more effective on injecting intra-articular corticosteroids as well as to determine their efficacy in combination with physiotherapy.…”

Section: Discussionmentioning

confidence: 99%

Single intra-articular steroid injection of the glenohumeral joint in management of adhesive capsulitis: a comparison between approaches

2018

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Background: Adhesive capsulitis is a common, painful musculoskeletal condition of the shoulder associated with loss of range of motion in the glenohumeral joint resulting from contraction of the glenohumeral joint capsule and adherence to the humeral head. Earlier stages of adhesive capsulitis can be treated by intra-articular steroid injections into the glenohumeral joint. This study was designed to study the role of long acting intra-articular corticosteroid injections in combination with simple therapeutic exercises while comparing the outcome of blinded anterior and posterior injection approaches in the management of adhesive capsulitis.Methods: The study comprised of 60 subjects aged 18 years and above who were diagnosed with primary adhesive capsulitis. They were randomly divided into 2 groups i.e., Group A who received blind intra-articular steroid injections via standard anterior approach and group B who received blind intra-articular steroid injection via standard posterior approach. Both groups followed up with a simple home based exercise program. Outcome measures assessed were visual analog scale (VAS) score, shoulder pain assessment disability index (SPADI) and passive shoulder range of motion (ROM).Results: At last follow up, both groups showed statistically significant improvements in all outcome measures i.e., VAS score, SPADI, shoulder ROM. However, comparison between groups did not reveal any statistically significant differences between the two groups.Conclusions: Intra-articular steroid injections into the glenohumeral joint in conjunction with simple physiotherapy are effective in improving pain, function and shoulder ROM in adhesive capsulitis. Both the anterior and posterior injection approaches provide good results.

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Section: Discussionmentioning

confidence: 99%

Single intra-articular steroid injection of the glenohumeral joint in management of adhesive capsulitis: a comparison between approaches

2018

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“…Its incidence is approximately 3%-5% in the general population (1). Clinical presentation may progress with spontaneous remission within 2-4 years, but it is refractory in 40% of cases (2).…”

Section: Introductionmentioning

confidence: 99%

Effects of Platelet Rich Plasma Injection on Adhesive Capsulitis: An Interventional Case Series

Çalış¹

2019

Erciyes Med J

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The aim of this case series was to present the effectiveness of platelet-rich plasma (PRP) on pain, range of motion (ROM), and functionality in patients with frozen shoulder and chronic shoulder pain. The study included 9 patients aged 18-75 years who had shoulder pain for at least 3 months with 50% limited ROM in at least one direction and Visual Analog Scale (VAS) score >5. Under sonography guidance, PRP injection was performed into the glenohumeral joint at baseline and on week 2. Concurrently, proprioceptive neuromuscular facilitation stretching and Codman exercises were given to all patients. Significant improvements were detected in VAS scores on weeks 2, 6, and 12 when compared with baseline (p<0.05) and Shoulder Pain and Disability Index scores in all time points when compared with baseline (p<0.05). There was a significant improvement in active and passive ROMs on weeks 2, 6, and 12 when compared with baseline (p<0.05). Treatment of adhesive capsulitis with PRP may be an alternative treatment method for patients.

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“…Frozen shoulder or adhesive capsuli s has been defined as a common condi on of uncertain ae ology characterized by significant restric on of both ac ve and passive shoulder mo on that occurs in the absence of a known intrinsic shoulder disorder. The term "frozen shoulder" was coined 1 by Codmen in 1934. It can be classified into primary and secondary types.…”

Section: Introductionmentioning

confidence: 99%

“…The primary frozen shoulder is idiopathic whereas the secondary frozen shoulder includes an associa on with a primary cause which may be any trauma, a rotator cuff tear, hemiparesis, cardiovascular disease or diabetes mellitus etc. As the defini on suggests, idiopathic frozen shoulder is characterized by spontaneous chronic pain in the shoulder accompanied by gradual loss in both the ac ve and passive range of mo ons and fibrosis of the capsule of the shoulder joint ul mately leading to s ffness 1,2,3 and disability.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Intra-articular Steroid Injection in Treatment of Idiopathic Frozen Shoulder Followed by Physiotherapy and Home Exercise Program.

Sah¹,

Karn²,

Sigdel³

et al. 2019

Birat J. Health Sci.

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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-articular steroid injection followed by five days of oral NSAIDS along with five days regime of physical therapy at the physiotherapy centre, followed by home exercise program. Each patient was followed up at every two weeks interval from intra-articular injection till 6th week. Each patient was evaluated for range of motion (ROM), Numerical Pain Rating Scale (NPRS) and Shoulder Pain and Disability Index (SPADI) before the treatment protocol and at every follow up visit. Data was analyzed using Microsoft Excel Program. Results: All patients enrolled for the study had satisfactory response. The mean age of the patient was 51.8 years (range 40-65 years). The mean age of the 26 male patients was 54 years (range 45-65), whereas the mean age of 44 female patients was 50.5 years (range 45-60). Mean duration of illness was 26.5 weeks (range 18-32 weeks), SPADI before medication was 83.14, at 2nd week was 50.92, at 4th week was 38.63 and at 6th week was 27.22. Conclusion: Combination of intra-articular methylprednisolone injection, physiotherapy and home exercise program is effective in IFS for rapid improvement in pain and ROM.

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

Cited by 71 publications

References 33 publications

Single intra-articular steroid injection of the glenohumeral joint in management of adhesive capsulitis: a comparison between approaches

Single intra-articular steroid injection of the glenohumeral joint in management of adhesive capsulitis: a comparison between approaches

Effects of Platelet Rich Plasma Injection on Adhesive Capsulitis: An Interventional Case Series

Effectiveness of Intra-articular Steroid Injection in Treatment of Idiopathic Frozen Shoulder Followed by Physiotherapy and Home Exercise Program.

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