Treatment of Adhesive Capsulitis of the Shoulder.

@article{Redler2019TreatmentOA,
  title={Treatment of Adhesive Capsulitis of the Shoulder.},
  author={Lauren H. Redler and Elizabeth R. Dennis},
  journal={The Journal of the American Academy of Orthopaedic Surgeons},
  year={2019},
  volume={27 12},
  pages={
          e544-e554
        }
}
Adhesive capsulitis presents clinically as limited, active and passive range of motion caused by the formation of adhesions of the glenohumeral joint capsule. Radiographically, it is thickening of the capsule and rotator interval. The pathology of the disease, and its classification, relates to inflammation and formation of extensive scar tissue. Risk factors include diabetes, hyperthyroidism, and previous cervical spine surgery. Nonsurgical management includes physical therapy, corticosteroid… 

Current Concepts in the Treatment of adhesive capsulitis of the Shoulder

Postoperative rehabilitation, arthroscopic release should be followed by early, diligent, and directed therapy to prevent recurrent stiffness, and there is a lack of high level studies comparing different techniques for capsular release.

Updates on Intra-articular Corticosteroid Injection for the Treatment of Adhesive Capsulitis

An overview of current corticosteroid injection methods for adhesive capsulitis is provided and there is no consensus as to the best injection site.

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VAS score as well as PROM were significantly improved 3 months after the treatment of frozen shoulder with manipulation under anaesthesia along with intracapsular steroid injection, indicating that this treatment modality can be used as a safe and effective method to reduce pain and stiffness in frozen shoulder.

Predictive Factors for Failure of Intraarticular Injection in Management of Adhesive Capsulitis of the Shoulder

IA corticosteroid injections are associated with increased rates of failure and progression to surgical management when patients present with increased pain levels as well as with less improvement in pain levels and ROM following injection.

A Case Report on the Use of a Conjugated System of Myofascial Release for Shoulder Capsulitis

This study evaluated the combined therapy of myofascial release and photobiostimulation, associating the action of mechanical traction with the fibres of the muscle fascia as well as the photobiomodulatory action of the therapeutic laser, showing a new and promising possibility of treatment for adhesive capsulitis.

A Review on Current Notion in Frozen Shoulder: A Mystery Shoulder

In conclusion, steroid injection along with physical therapy shows significant improvement in the range of motion and reduction in pain in the shoulder.

Glenohumeral Hydrodistension for Postoperative Stiffness After Arthroscopic Primary Rotator Cuff Repair

Glenohumeral hydrodistension can increase ROM and is a useful adjunct for patients with stiffness to limit secondary surgery.

Adhesive capsulitis

  • M. Ricci
  • Medicine
    JAAPA : official journal of the American Academy of Physician Assistants
  • 2021
ABSTRACT Adhesive capsulitis, a common primary care and orthopedic diagnosis often referred to as frozen shoulder, is a painful inflammatory process that leads to a mechanical block in active and

The Effects of Photobiomodulation on Shoulder Pain, Muscle Thickness, and Function in Subjects With Adhesive Capsulitis

The PBM revealed greater analgesic effects than routine physical therapy in the short term and one-month follow-up, however, the effects on a range of motion and muscle thickness and function were insignificant.

References

SHOWING 1-10 OF 44 REFERENCES

Adhesive Capsulitis of the Shoulder

Management is based on the underlying cause of pain and stiffness, and determination of the etiology is essential, and Diligent postoperative therapy to maintain motion is required to minimize recurrence of adhesive capsulitis.

Multi-modal imaging of adhesive capsulitis of the shoulder

Different imaging modalities including arthrography, ultrasound, magnetic resonance, and magnetic resonance arthography may help to confirm the diagnosis of adhesive capsulitis, detecting a number of findings such as capsular and coracohumeral ligament thickening, poor capsular distension, extracapsular contrast leakage, and synovial hypertrophy and scar tissue formation at the rotator interval.

Adhesive Capsulitis

The evidence for both nonsurgical and surgical management of adhesive capsulitis is reviewed with an emphasis on level I and II studies when available.

Calcitonin effects on shoulder adhesive capsulitis

Intranasal calcitonin spray could be an additional safe alternative in shoulder adhesive capsulitis with regard to the efficiency in alleviating pain and improving functional outcome.

Long-term outcomes after arthroscopic capsular release for idiopathic adhesive capsulitis.

Patients with idiopathic adhesive capsulitis treated with an arthroscopic capsular release had early significant improvements in shoulder range of motion, pain frequency and severity, and function, and these improvements were maintained and/or enhanced at seven years.

Arthroscopy and manipulation versus home therapy program in treatment of adhesive capsulitis of the shoulder: a prospective randomized study.

This prospective, randomized study, which compared arthroscopic capsular release to a gentle home stretching program, demonstrated both treatment options to be effective treatment modalities.

Arthroscopic arthrolysis for recalcitrant frozen shoulder: a lateral approach.

Adhesive capsulitis of the shoulder, treatment with corticosteroid, corticosteroid with distension or treatment-as-usual; a randomised controlled trial in primary care

This intention to treat RCT in primary care indicates that four injections with corticosteroid with or without distension, given with increasing intervals during 8 weeks, were better than treatment-as-usual in treatment of adhesive shoulder capsulitis, however, in the long run no difference was found between any of the groups, indicating that natural healing takes place independent of treatment or not.