scholarly journals Current non-operative treatments for adhesive capsulitis: A Review

2020 ◽  
Vol 4 (4) ◽  
pp. 130-136
Author(s):  
Roshan Chhatlani ◽  
Lara Morgan Oberle ◽  
Gene Tekmyster
Keyword(s):  
Treatment Plan ◽  
Adhesive Capsulitis ◽  
Treatment Options ◽  
Frozen Shoulder ◽  
The Other ◽  
Operative Approach ◽  
Current Evidence ◽  
Cochrane Library ◽  
Provide Pain Relief ◽  
Online Library

This study aims to determine the best available non-operative approach for adhesive capsulitis and to create a guided treatment plan based on the research and evidence. An electronic search of multiple databases including PubMed, Cochrane Library, Wiley Online Library, Google Scholar, and Ovid Medline was completed. Search terms included “adhesive capsulitis”, “frozen shoulder”, “adhesive capsulitis treatments”, and “frozen shoulder treatments”. Exclusion criteria included articles that were published before the year 1984 and non-peer reviewed articles. Seventy-four articles were retrieved from the original search, and of those forty-nine articles were included and twenty-five were excluded. In the available research and literature, there is no clear consensus of one non-operative approach against the other. There is however clear evidence that intra-articular corticosteroid injections provide pain relief in the short term. There may be a role for the other non-operative interventions in the treatment for adhesive capsulitis but the current evidence does not support them being implemented as standalone treatment options. In order to determine the best available non-operative approach for adhesive capsulitis there is a need for higher quality randomized controlled trials moving forward. The available literature has limitations that would restrict one to formulate a consensus on a guided treatment plan.

scholarly journals Thermotherapy for shoulder pain: a protocol for systematic review

2021 ◽  
Author(s):  
Bin Chen ◽  
◽  
Cimin Shen ◽  
Na Li ◽  
Lu Wang ◽  
...  
Keyword(s):  
Shoulder Pain ◽  
Musculoskeletal Disorder ◽  
Adhesive Capsulitis ◽  
Frozen Shoulder ◽  
Biomedical Literature ◽  
Cochrane Library ◽  
Shoulder Impingement ◽  
Search Terms ◽  
Heat Therapy ◽  
Review Question

Review question / Objective: Shoulder pain is a common musculoskeletal disorder prompting many patients to seek treatment. Thermotherapy is a common treatment for shoulder which has been widely used in hospitals. But its efficiency has not been scientifically and methodically evaluated. This protocol aims to evaluate the efficacy and safety of Thermotherapy for treating shoulder pain. Information sources: Eight databases will be searched from their inception to October 2021. They are as follows: PubMed, Embase, Cochrane Library, ClinicalTrials.gov, China Knowledge Resource Integrated Database (CNKI), Weipu Database for Chinese Technical Periodicals (VIP), Chinese Biomedical Literature Database (CBM), and Wanfang Database. There will be no limitation to study publication status or language. The search terms include shoulder impingement syndrome, rotator cuff, bursitis, adhesive capsulitis, frozen shoulder, shoulder pain, thermotherapy, diathermy, heat therapy, Moxibustion, and RCTs. The equivalent search words will be used in the Chinese databases.

scholarly journals Multidisciplinary Management of Patients with Unresectable Hepatocellular Carcinoma: A Critical Appraisal of Current Evidence

Cancers ◽  
2019 ◽  
Vol 11 (6) ◽  
pp. 873 ◽  
Author(s):  
Pierre M. Gholam ◽  
Renuka Iyer ◽  
Matthew S. Johnson
Keyword(s):  
Hepatocellular Carcinoma ◽  
Treatment Plan ◽  
Treatment Options ◽  
Patient Characteristics ◽  
The United States ◽  
Care Plan ◽  
Current Evidence ◽  
Optimal Sequence ◽  
Medical Oncologists ◽  
The Many

Hepatocellular carcinoma (HCC) is a leading cause of new cancer diagnoses in the United States, with an incidence that is expected to rise. The etiology of HCC is varied and can lead to differences between patients in terms of presentation and natural history. Subsequently, physicians treating these patients need to consider a variety of disease and patient characteristics when they select from the many different treatment options that are available for these patients. At the same time, the treatment landscape for patients with HCC, particularly those with unresectable HCC, has been rapidly evolving as new, evidence-based options become available. The treatment plan for patients with HCC can include surgery, transplant, ablation, transarterial chemoembolization, transarterial radioembolization, radiation therapy, and/or systemic therapies. Implementing these different modalities, where the optimal sequence and/or combination has not been defined, requires coordination between physicians with different specialties, including interventional radiologists, hepatologists, and surgical and medical oncologists. As such, the implementation of a multidisciplinary team is necessary to develop a comprehensive care plan for patients, especially those with unresectable HCC.

scholarly journals Phonophoresis in Adhesive Capsulitis (Frozen Shoulder)

2014 ◽  
Vol 13 (1) ◽  
pp. 60-64 ◽  
Author(s):  
Sunam Kumar Barua ◽  
Md. Zahangir Alam Chowdhury
Keyword(s):  
Musculoskeletal Disorder ◽  
Adhesive Capsulitis ◽  
Frozen Shoulder ◽  
Self Care ◽  
The Other ◽  
Left Shoulder ◽  
Middle Aged ◽  
Occupational Activities ◽  
Middle Aged Adults ◽  
Perineal Care

Adhesive capsulitis – also known as frozen shoulder, pericapsulitis, scapulohumeral periarthritis or check- rein syndrome. The condition usually resolves spontaneously after about 18 months. Adhesive capsulitis is a common musculoskeletal disorder mainly affecting middle aged adults. Also self care activities and occupational activities decreases depends on which shoulder is involved, for instance, self care, grooming, combing hair, eating and dressing are impaired if right shoulder is involved for right handed person, on the other hand dressing and perineal care are hampered if left shoulder is involved.DOI: http://dx.doi.org/10.3329/cmoshmcj.v13i1.19423

scholarly journals Frozen shoulder: overview of clinical presentation and review of the current evidence base for management strategies

2020 ◽  
Vol 6 (10) ◽  
pp. FSO647
Author(s):  
Akshay Date ◽  
Luthfur Rahman
Keyword(s):  
Clinical Presentation ◽  
Glenohumeral Joint ◽  
Adhesive Capsulitis ◽  
Management Strategies ◽  
Frozen Shoulder ◽  
Scar Tissue ◽  
Evidence Base ◽  
Current Evidence ◽  
Economic Implications ◽  
Current Evidence Base

Adhesive capsulitis of the shoulder (ACS) is a condition with significant clinical and economic implications. The etiology of adhesive capsulitis is not clearly understood and there remains lack of consensus in clinical management for this condition. It can occur as a primary idiopathic condition or secondary to medical conditions or trauma. The hallmarks of ACS are pain and stiffness, caused by formation of adhesive or scar tissue in the glenohumeral joint. Management strategies vary depending on stage of presentation, patient factors and clinician preferences, and can range from conservative options to surgical intervention. The aim of this review is to summarize the pathophysiology and clinical presentation of ACS and to discuss the evidence base for various management strategies employed today.

scholarly journals EVALUATION OF MARMA POINT STIMULATION IN AVABAHUKA WITH RESPECT TO PERIARTHRITIS SHOULDER

2021 ◽  
Vol 9 (9) ◽  
pp. 2267-2270
Author(s):  
Neha Sharma ◽  
Gaurav Parma ◽  
Anil Dutt
Keyword(s):  
Shoulder Joint ◽  
Treatment Plan ◽  
Adhesive Capsulitis ◽  
Frozen Shoulder ◽  
Specific Treatment ◽  
Signs And Symptoms ◽  
The Body ◽  
Treatment Protocols ◽  
Restricted Movement ◽  
Selection Of

Periarthritis Shoulder is common in people who are middle-aged or older. As shoulder joint is the most mobile joint in the body making it vulnerable to problems, ultimately leading to restricted shoulder movements. A 67 years old male patient diagnosed with Avabahuka (Adhesive capsulitis), managed with MARMA CHIKITSA. After completion of the treatment, pain, swelling, tenderness and restricted movement of the humero-glenoid joint were reduced. As the signs and symptoms of this disease are not mentioned in Ayurvedic classics, specific treatment protocols and formulations cannot be given. The selection of drugs may differ from case to case. The treatment plan followed in this study may be adopted in future cases changing the selection of drugs based upon the necessity to obtain good results. Keywords: Marma Chikitsa, Periarthritis Shoulder, Avabahuka, Frozen shoulder.

scholarly journals A prospective study on causes and functional outcome of frozen shoulder

2016 ◽  
Vol 4 (1) ◽  
pp. 23
Author(s):  
Sanjeev Mahajan ◽  
Daksh Gadi ◽  
Rahul Gupta ◽  
Saurav Singla ◽  
Piyush Setia ◽  
...  
Keyword(s):  
Prospective Study ◽  
Functional Outcome ◽  
Indian Population ◽  
Glenohumeral Joint ◽  
Early Stage ◽  
Adhesive Capsulitis ◽  
Treatment Options ◽  
Frozen Shoulder ◽  
Capsular Release ◽  
Arthroscopic Capsular Release

<p><strong>Backgroud:</strong> Frozen shoulder also called as adhesive capsulitis is a condition characterised by global limitation of humeroscapular motion resulting from contracture and loss of compliance of the glenohumeral joint capsule. Frozen shoulder is a common problem and results in frustrating debilitation for its sufferers. There can be many reasons for pain and stiffness of shoulder joint, so it is very important to differentiate between adhesive capsulitis and the other causes.</p><p><strong>Objective:</strong> The main objective of the study was to evaluate the various modes of treatment for frozen shoulder and to identify various causes and associations of frozen shoulder in Indian population. To the best of our knowledge no prospective study has been done which have compared different treatment options in patients of adhesive capsulitis in Indian population.</p><p><strong>Methods:</strong> The study was done on 75 patients which were divided into three groups, based on the mode of management i.e. conservatively with medication and physiotherapy, physiotherapy and intraarticular injection and arthroscopic capsular release. The range of movement and functional outcome was compared using Constant &amp; Murley score.</p><p><strong>Conclusion:</strong> We found that patients undergoing conservative management showed benefits of various treatment options if the condition is diagnosed at an early stage but the results convincingly prove the advantages of arthroscopic capsular release in patients with chronic painful stiff shoulder or in failed conservative treatment.</p>

Evaluation of the impact of osteopathic techniques and physical exercises on the range of motion and sensation of pain in the frozen shoulder - a case report

Ból ◽  
2017 ◽  
Vol 17 (4) ◽  
pp. 53-58
Author(s):  
Mateusz W. Romanowski ◽  
Michał Dwornik ◽  
Anna Kwaśniewska ◽  
Katarzyna Nowacka ◽  
Włodzimierz Samborski
Keyword(s):  
Range Of Motion ◽  
Clinical Symptoms ◽  
External Rotation ◽  
Adhesive Capsulitis ◽  
Treatment Options ◽  
Frozen Shoulder ◽  
Physical Exercises ◽  
Effective Form ◽  
The Impact

ABSTRACT: This research presents the case of a patient with a frozen shoulder and assesses the impact of osteopathic techniques and physical exercises for this condition. The article describes the epidemiology, etiology, pathogenesis, clinical symptoms and treatment options for frozen shoulder. It also contains information on how to conduct clinical tests and diagnosis of the adhesive capsulitis. We assessed the range of flexion, external rotation, internal rotation and the intensity of pain of the patients frozen shoulder. In this case study frozen shoulder developed typically, in three stages “freezing”, “frozen”, “thawing”. The treatment significantly increased the range of motion of the shoulder joint and reduced sensation of pain. The analysis shows that the osteopathic techniques and physical exercises are an effective form of rehabilitation and pain management. Further studies are needed in this area.

scholarly journals Relationship of Nasal Morphology With Different Dentoskeletal Patterns: A Systematic Review

2021 ◽  
Vol 55 (2) ◽  
pp. 122-137
Author(s):  
Rojalin Sahoo ◽  
Ajit Vikram Parihar ◽  
TP Chaturvedi ◽  
Shivam Verma
Keyword(s):  
Soft Tissue ◽  
English Language ◽  
Treatment Plan ◽  
Cochrane Library ◽  
Class Iii ◽  
Facial Aesthetics ◽  
Skeletal Class ◽  
Skeletal Class Ii ◽  
Online Library ◽  
Relationship Of

Introduction: The nose is considered by some clinicians as the keystone of facial aesthetics. A treatment plan can be customized to intensify the facial aesthetics of a patient through careful evaluation of the soft tissue drape. Hence, for getting a better outcome of the treatment plan, orthodontists are supposed to have in-depth knowledge and awareness of soft tissue changes, taking into notice the ethnic and racial variation in discrete cohorts. The objective of this study is to enlist the relationship of nasal morphology with different dentoskeletal (sagittal and vertical) patterns. Materials and Methods: A comprehensive electronic database search was performed till July 2020, of Cochrane Library, Embase, PubMed, Scopus, Google Scholar, Web of Science, Wiley Online Library, and ScienceDirect. Only articles published in the English language were included. After excluding all the irrelevant data through careful screening, a total of 15 articles were selected which discussed the nose–dentoskeletal pattern relation. Results and Conclusion: The nose is found to be convex in skeletal class II, straight in class I, and concave in class III. Those with increased vertical growth may have an increased tendency of a convex nasal dorsum. Maxillary and mandibular jaw length affect the nasal parameters more than the jaw position. Nasal length and nasal depth increase with the jaw length and mandibular and maxillary/palatal-plane inclination to the cranium. A long nose with increased nasal depth is expected in long faces and those with long upper and lower jaws. An upturned nose is found with an anticlockwise-rotated maxilla.

scholarly journals A Review on Frozen Shoulder: Pathophysiology and Its Associated Diagnosis

2021 ◽  
pp. 241-248
Author(s):  
Aashriya Jha ◽  
Varsha Patond
Keyword(s):  
Adhesive Capsulitis ◽  
Treatment Options ◽  
Frozen Shoulder ◽  
Clinical Analysis ◽  
Left Shoulder ◽  
Full Potential ◽  
Subacromial Space ◽  
Beneficial Effects ◽  
Inflammatory Phase ◽  
Vascular Proliferation

Background: Frozen shoulder is a commonly occurring disease of the population. It is also referred to as shoulder capsulitis. It causes pain and stiffness of the shoulder and dominant in left shoulder. Various things are still unclear regarding the treatment and causes of this disease. It is a painful and n quickly healed disease. Patients show recovery but are often unable to regain their full potential movements. Painful stiffness of the shoulder is an ill-described medical entity, this is hard to evaluate and sensitive to treat. The nomenclature sed and consists of phrinclude cluding frozen shoulder, adhesive capsulitis, focal dystrophy, stiff shoulder, shriveled shoulder, and following. Apart from its idiopathic form, the disease can be initiated with the resource of the usage of trauma, infection, tumor, radiation, systemic and neighborhood metabolic concerns. Patho- anatomically, the common place region denominates an inflammatory vascular proliferation found with the resource of the usage thickening, scarring, and retraction of the joint cover. Summary: The inflammatory technique frequently begins to evolved on the rotator language and can increase to the subacromial space. Clinical analysis is primarily based totally records and bodily examination. Generally, the onset of ache precedes the belief of a discounted variety of movement with the aid of using weeks or months. In early ranges of ailment, the inflammatory form of ache dominates, the patient's most important criticism is ache at night. In the later stage, variety of movement step by step decreases. Patients no longer frequently whine approximately decreased movement, likely due to its gradual onset. Conclusion: Treatment options are a mixture of mobilization carrying sports with intra-articular steroids, hydraulic distension of the joint capsule, manipulation below anaesthesia,arthroscopic and/or open arthrosis.The appropriate preference of protocol is really as critical as its correct timing. In the inflammatory phase, competitive invasive protocols are uncommon, but deleterious and therefore need to be taken into consideration. New anti- angiogenic outlets also can moreover enhance beneficial effects and shorten the rehabilitation phase.

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