BACKGROUND Although shoulder pain is a commonly encountered problem in primary care, there are few studies examining its presenting characteristics and clinical management in this setting. METHODS We performed secondary data analysis of 692 office visits for shoulder pain collected through the National Ambulatory Medical Care Survey (Survey years 1993-2000). Information on demographic charact...

BACKGROUND Shoulder pain from inflammatory arthritis and/or degenerative disease is a common cause of morbidity in the community. It is difficult to treat and there are limited data on the efficacy of most interventions. Suprascapular nerve block has shown promise in limited trials in reducing shoulder pain. There have been no large randomised placebo controlled trials examining the efficacy of...

Background: Codman was the scientist who first used term frozen shoulder in 1934.He explained usual characteristics of steady start pain around insertion deltoid muscles, sleeping problems and restriction external movement active as well passive elevation, but with a normal radiological appearance. Moreover no satisfactory discussion on top appropriate procedure disease management despite this ...

Adhesive capsulitis (AC) is a painful frozen shoulder disease that continues for more than 3 months, also known as shoulder. The glenohumeral joint capsule fibrosis results from this inflammatory accompanied by substantial range of motion limitation and gradually advancing stiffness (typically external rotation). findings study will support better outcomes adhesive patients in our local populat...

CONTEXT AND OBJECTIVE Shoulder dislocation is the most common dislocation among the large joints. The aim here was to compare the effectiveness of reduction of acute anterior shoulder dislocation with or without articular anesthesia. DESIGN AND SETTING Prospective randomized trial conducted in Escola Paulista de Medicina, Universidade Federal de São Paulo (EPM-Unifesp). METHODS From March 2...

Shoulder proprioception gives information regarding arm joint position and movement direction. Several studies have investigated shoulder proprioceptive acuity in patients with subacromial impingement syndrome (SIS); however, differences in protocols and between-subjects designs have limited scientific inferences regarding proprioception and SIS. We aimed to determine within-subject differences...

OBJECTIVE This randomised, double blind, placebo controlled, two parallel group study was conducted to assess the beneficial effect of injection of botulinum toxin A (Dysport) into the subscapularis muscle on shoulder pain in stroke patients with spastic hemiplegia. METHODS A single dose of botulinum toxin A (500 Speywood units) or placebo was injected into the subcapularis muscle. Pain was a...

Introduction: Recent applications in ultrasound imaging include ultrasound assessment and ultrasound guided therapeutic injections of the spine and brachial plexus. Discussion: Ultrasound is an ideal modality for these regions as it allows accurate safe and quick injection of single or multiple sites. It has the added advantages of lack of ionising radiation, and can be done without requiring l...

Five hundred forty-one patients with reflex sympathetic dystrophy (RSD) of the upper extremity were prospectively studied. One hundred fifteen patients complained of pain and/or limited range of motion in the shoulder. Shoulder complaints more often occurred in women (p = .01); age and etiology were not different from patients with RSD without shoulder complaints. Physical examination showed a ...

OBJECTIVE To evaluate the impact on recovery, of single subacromial injection of methylprednisolone in patients with persistent, post-traumatic impingement of the shoulder. DESIGN Randomised, controlled study. SETTING Large accident and emergency department in Leicester, UK. PARTICIPANTS 98 patients with persistent, post-traumatic impingement of the shoulder. INTERVENTION Single subacro...