“…Gejala umum penyakit ini berupa nyeri hebat dan memberat pada malam hari. 13 Pemeriksaan Fisik 12 Look: Inspeksi dilakukan dengan lengan dipegang dalam posisi aduksi dan rotasi internal. Dapat terlihat atrofi otot deltoid dan supraspinatus.…”
Section: Diagnosisunclassified
“…Diagnosis banding capsulitis adhesiva tampak pada Tabel 2. 13 Pemeriksaan Penunjang Pemeriksaan radiografi polos dilakukan untuk membedakan capsulitis adhesiva dengan glenohumeral osteoarthritis atau tendinosis kalsifikasi. 1 Diagnosis dapat dilakukan dengan pemeriksaan USG; peningkatan aliran vaskular, penebalan struktur interval rotator, dan efusi selubung tendon biseps merupakan temuan spesifik pada capsulitis adhesiva.…”
Capsulitis adhesiva atau frozen shoulder merupakan gangguan sendi bahu akibat proses peradangan lapisan kapsular sendi glenohumeral yang menyebabkan kekakuan dan nyeri. Kondisi ini relatif umum. Diagnosis melalui anamnesis, pemeriksaan fisik, dan pemeriksaan penunjang. Tatalaksana dilakukan secara non-operatif dan operatif.
Adhesive capsulitis or frozen shoulder is a disorder of the shoulder joint due to an inflammatory process in the capsular layer of the glenohumeral joint, resulting in stiffness and pain. This condition is relatively common. Diagnosis can be made through history, physical examination, and investigations. Management choices are non-operative and operative methods.
“…Gejala umum penyakit ini berupa nyeri hebat dan memberat pada malam hari. 13 Pemeriksaan Fisik 12 Look: Inspeksi dilakukan dengan lengan dipegang dalam posisi aduksi dan rotasi internal. Dapat terlihat atrofi otot deltoid dan supraspinatus.…”
Section: Diagnosisunclassified
“…Diagnosis banding capsulitis adhesiva tampak pada Tabel 2. 13 Pemeriksaan Penunjang Pemeriksaan radiografi polos dilakukan untuk membedakan capsulitis adhesiva dengan glenohumeral osteoarthritis atau tendinosis kalsifikasi. 1 Diagnosis dapat dilakukan dengan pemeriksaan USG; peningkatan aliran vaskular, penebalan struktur interval rotator, dan efusi selubung tendon biseps merupakan temuan spesifik pada capsulitis adhesiva.…”
Capsulitis adhesiva atau frozen shoulder merupakan gangguan sendi bahu akibat proses peradangan lapisan kapsular sendi glenohumeral yang menyebabkan kekakuan dan nyeri. Kondisi ini relatif umum. Diagnosis melalui anamnesis, pemeriksaan fisik, dan pemeriksaan penunjang. Tatalaksana dilakukan secara non-operatif dan operatif.
Adhesive capsulitis or frozen shoulder is a disorder of the shoulder joint due to an inflammatory process in the capsular layer of the glenohumeral joint, resulting in stiffness and pain. This condition is relatively common. Diagnosis can be made through history, physical examination, and investigations. Management choices are non-operative and operative methods.
“…The patient in this case should try conservative treatment with physiotherapy for six weeks before considering referral to secondary care, unless he is unable to tolerate the exercises, or the physiotherapist identifies a reason for earlier referral to secondary care 1. Hydrodilatation is a potential treatment for frozen shoulder, not subacromial pain syndrome, although evidence for its effectiveness is still under review 21…”
Section: How To Manage Chronic Shoulder Pain Lasting More Than Three ...mentioning
“…6 Some of the common therapies of this disorder consist of nonsteroidal anti-inflammatory drugs (NSAIDs), physiotherapy, corticosteroid injections, manipulation under anesthesia and arthroscopic capsular release. 6,7 The conventional treatment strategies have been found to have obvious toxic side effects, such as corticosteroid injections can affect glycemic control in patients with diabetes and manipulation under anesthetic may worsen pain symptoms, residual stiffness, and nerve pain. 7 Traditional Chinese medicine (TCM) has played and will continue to play an important role in managing frozen shoulder.…”
Section: Introductionmentioning
confidence: 99%
“…6,7 The conventional treatment strategies have been found to have obvious toxic side effects, such as corticosteroid injections can affect glycemic control in patients with diabetes and manipulation under anesthetic may worsen pain symptoms, residual stiffness, and nerve pain. 7 Traditional Chinese medicine (TCM) has played and will continue to play an important role in managing frozen shoulder. An increasing number of studies have shown that TCM can effectively improve the symptoms of patients with frozen shoulder and has high safety.…”
Background
Frozen shoulder is a common disorder that can lead to long‐lasting impairment in shoulder‐related daily activities. Traditional Chinese medicine (TCM) has played an important role in the effort to manage frozen shoulder.
Purpose
We aimed to develop an evidence‐based guideline for treating frozen shoulder with traditional Chinese medicine.
Study design
Evidence‐based guideline.
Methods
We developed this guideline based on internationally recognized and accepted guideline standards. The guideline development group used the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach to rate the certainty of evidence and the strength of recommendations. The benefits and harms, resources, accessibility, and other factors were fully taken into account, and the GRADE grid method was used to reach consensus on all recommendations.
Results
We established a multidisciplinary guideline development panel. Based on a systematic literature search and a face‐to‐face meeting, nine clinical questions were identified. Finally, twelve recommendations were reached by consensus, comprehensively considering the balance of benefits and harms, certainty of evidence, costs, clinical feasibility, accessibility, and clinical acceptability.
Conclusion
This guideline panel made twelve recommendations, which covered the use of manual therapy, acupuncture, needle knife, Cheezheng Xiaotong plaster, Gutong plaster, exercise therapy and integrated TCM and Western medicine, such as combined modalities and corticosteroid injections. Most of them were weakly recommended or consensus based. The users of this guideline are most likely to be clinicians and health administrators.
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