Primary Frozen Shoulder can it be Treated with Hydrodilatation

Treatment of Frozen Shoulder Using Distension Arthrography (Hydrodilatation) Quiz

Frozen shoulder (adhesive capsulitis) is a common, painful and disabling condition which is typically slow to resolve. Patients with this condition will be seen in every musculoskeletal practitioner's clinic on a regular basis. There is a wide variety of treatment modalities available, some more effective than others. This article reviews the literature on the aetiology and natural history of t...

Insomnia: can it be treated?

Hippocrates, the father of Medicine, spoke of the importance of sleep through this wonderful aphorism. However, it can be said that it was only in 1929 that the modern era of sleep investigation began, with the description of the electrical activity of the human brain by the German psychiatrist Hans Berger, who created the term “electroencephalography”. In Chicago in the 1930s, Loomis, Harvey a...

Thawing the frozen shoulder. A randomised trial comparing manipulation under anaesthesia with hydrodilatation.

This study prospectively evaluated the outcome of manipulation under anaesthesia and hydrodilatation as treatments for adhesive capsulitis. A total of 36 patients (38 shoulders) were randomised to receive either method, with all patients being treated in stage II of the disease process. The mean age of the patients was 55.2 years (44 to 70) and the mean duration of symptoms was 33.7 weeks (12 t...

Shoulder pain in primary care: frozen shoulder.

BACKGROUND AND CONTEXT Frozen shoulder is a painful condition that follows a protracted clinical course. We aim to review the management of patients with a diagnosis of frozen shoulder who are referred for specialist orthopaedic evaluation against existing guidelines in primary care. ASSESSMENT OF PROBLEM Referrals and clinical records were reviewed for all patients referred for orthopaedic spe...

How can myocarditis be diagnosed and should it be treated?