Patients: 53 patients 20 to 70 years of age (mean age 54 y, 53% men among 51 patients who completed the trial) who had stage 2 adhesive capsulitis, normal shoulder radiography, passive motion restriction > 30 degrees in ≥ 2 planes of movement, pain for ≥ 1 month, and average daily pain intensity score ≥ 3 out of 10 on a visual analogue scale (VAS) (10 = worst imaginable pain). Exclusion criteri...

OBJECTIVE To compare the effect of dextrose prolotherapy on pain levels and degenerative changes in painful rotator cuff tendinopathy against 2 potentially active control injection procedures. DESIGN Randomized controlled trial, blinded to participants and evaluators. SETTING Outpatient pain medicine practice. PARTICIPANTS Persons (N=73) with chronic shoulder pain, examination findings of...

OBJECTIVE To evaluate the additive effects of hyaluronidase combined with steroids in patients with peri-articular shoulder disorder. METHOD Thirty patients with peri-articular shoulder disorder were given subacromial bursa injections once a week for three consecutive weeks. Fifteen patients (Group A) underwent subacromial bursa injections with hyaluronidase 1,500 IU, triamcinolone 40 mg and ...

BACKGROUND The early management of orthopaedic outpatients by physiotherapists may be useful in reducing public hospital waiting lists. Physiotherapists in Australia are prevented by legislation and funding models from investigating, prescribing, injecting and referring autonomously. This gap in service is particularly noticeable in the management of shoulder pain in early-access physiotherapy ...

1 Background: Rotator cuff disease is a common cause of shoulder pain. There are studies about the effectiveness of sodium hyaluronate injection on shoulder and knee pain, but few studies demonstrating the efficacy of sodium hyaluronate ultrasonography guided injection for rotator cuff disease. This study evaluates effectiveness of ultrasonography guided subacromial sodium hyaluronate injection...

OBJECTIVE To compare the effectiveness of ultrasound guided corticosteroid injection in the subacromial bursa with systemic corticosteroid injection in patients with rotator cuff disease. DESIGN Double blind randomised clinical trial. SETTING Outpatient clinic of a physical medicine and rehabilitation department in Oslo, Norway. Patients 106 patients with rotator cuff disease lasting at lea...

RATIONALE The use of musculoskeletal ultrasound (MU) method in the diagnosis of shoulder pain and injury and guidance of injection and pain blocking has been established. However, the treatment of posthemiplegic shoulder pain (HSP) with MU-guided precise physical therapy has not been reported. PATIENT CONCERNS Here, we present the first case report of a 64-year-old man with a right basal gang...

Necrotising fasciitis is described as a complication of steroid injection of a painful shoulder in a previously well female. This case highlights a very rare life threatening emergency after steroid injection. Early recognition, resuscitation, and aggressive surgical management are essential to prevent mortality in this condition.

The aim of this study was to investigate the effects of intra-articular injection of polydeoxyribonucleotide (PDRN), compared with intraarticular triamcinolone (TA) injection, in subacute stroke patients with hemiplegic shoulder pain (HSP).Participants were subacute stroke patients with HSP who had undergone 2 consecutive intra-articular injections of TA or PDRN.Numeric rating scale (NRS) and p...

BACKGROUND Arthroscopic rotator cuff repair generally has a good clinical outcome but shoulder stiffness after surgery due to subacromial adhesion is one of the most common and clinically important complications. Sodium hyaluronate (HA) has been reported to be an anti-adhesive agent in a range of surgical procedures. However, there are few reports of the outcomes of arthroscopic rotator cuff re...