STUDY OF RESULT OF FROZEN SHOULDER SYNDROME TREATED WITH INTRAARTICULAR STEROIDS

2021 ◽  
pp. 65-66
Author(s):  
Yashpal Singh ◽  
Mahaveer Meena ◽  
Sanjay kumar ghilley
Keyword(s):  
Steroid Injection ◽  
Corticosteroid Injection ◽  
Adhesive Capsulitis ◽  
Frozen Shoulder ◽  
Prednisolone Acetate ◽  
Common Condition ◽  
Medical College ◽  
Methyl Prednisolone ◽  
Shoulder Syndrome

OBJECTIVE: Adhesive capsulitis or frozen shoulder is a common condition that presents with pain and progressive limitation of both active and passive shoulder movements. In this study, we investigate the efcacy of intraarticular steroid injection in case of frozen shoulder. Material & Methods: Study is done on 32 patients of frozen shoulder attended Orthopedic OPD at Jhalawar Medical college, Jhalawar from July 2018 to June 2019. Intra-articular injection of steroid (methyl prednisolone acetate 80 mg) given & results analyzed. RESULTS: Patient follow up done every 2 weeks after giving Intraarticular steroid & advised to exercise of shoulder. Improvement in shoulder pain & movement of shoulder analyzed & recorded up to 12 – 24 weeks. CONCLUSION: Intraarticular injection for frozen shoulder is good, safe & efcient method. For better result corticosteroid injection is given in the early stages when pain is the predominant presentation.

scholarly journals ADHESIVE CAPSULITIS; MANAGEMENT BY PHYSIOTHERAPY VERSUS INTRA-ARTICULAR CORTICOSTEROID INJECTION

2021 ◽  
Vol 71 (5) ◽  
pp. 1824-27
Author(s):  
Muhammad Umair Hashmi ◽  
Babar Bakht Chughtai ◽  
Muhammad Nadeem Ahsan
Keyword(s):  
Pain Score ◽  
Steroid Injection ◽  
Corticosteroid Injection ◽  
Adhesive Capsulitis ◽  
Frozen Shoulder ◽  
Sampling Technique ◽  
Visual Analogue Pain Scale ◽  
Visual Analogue Pain ◽  
Group A ◽  
Group B

Objective: To determine outcomes of intra-articular corticosteroids injection versus physiotherapy for the treatment of adhesive capsulitis using mean pain score on the visual analogue scale. Study Design: Comparative prospective study. Place and Duration of Study: Orthopedic outpatient department, Bahawal Victoria Hospital Bahawalpur from Jan to Jun 2021. Methodology: A total of 120 cases having adhesive capsulitis (frozen shoulder) were included in the study according to inclusion criteria. Non-probability consecutive sampling technique was used for the selection of cases. Patients were divided into two groups, group-A and group B, each containing 60 cases. Patients in group-A were given intra-articular steroid injection (2ml triamcinolone 40mg ± 2ml of bupivacaine). Patients in group B received ten sessions of physiotherapy by a welltrained physiotherapist under the supervision of an orthopaedic surgeon on alternate days. After six weeks, outcomes were measured in terms of pain score using a visual analogue pain scale. Results: Significant improvement was seen among patients in group-A with mean pain score from 7.32 ± 0.89 measured initially to 5.44 ± 1.37 measured after six weeks (p<0.001). No significant improvement was found among patients in group B with a mean pain score of 7.58 ± 0.94 measured initially to 7.12 ± 0.88 measured after six weeks (p>0.05). Conclusion: Significant improvement in pain relief can be achieved using intra-articular steroid injection administered in the shoulder as compared to supervised sessions of physiotherapy among patients with adhesive capsulitis.

A COMPARATIVE PROSPECTIVE STUDY TO EVALUATE THE RESULTS OF PHYSICAL THERAPY V/S INTRAARTICULAR STEROID INJECTION IN PERIARTHRITIS OF SHOULDER

2021 ◽  
pp. 46-48
Author(s):  
Nilabh Kumar ◽  
Laljee Chaudhary ◽  
Debarshi Jana
Keyword(s):  
Physical Therapy ◽  
Side Effects ◽  
Steroid Injection ◽  
Therapy Group ◽  
Adhesive Capsulitis ◽  
Frozen Shoulder ◽  
Response To Treatment ◽  
Disability Score ◽  
Injection Group

Background: Frozen shoulder or adhesive capsulitis is a condition where the patient experience stiffness and pain in joint of the shoulder. It is an enigma as till now its etiology is unknown. It affects both the genders of the middle and elderly age. A retrospective, comparative study was to evaluate the effects of physical therapy versus intra-articular steroid injection in periarthritis of shoulder. Methods: 30 patients each with frozen shoulder who were treated either using physical therapy (Group 1) and intra-articular steroid injection (Group 2). The data was collected at baseline and at different follow-up periods and analyzed. Results: There were 3 lost to follow-up in physiotherapy group and 4 in intra-articular injection group. Slight male preponderance (51.9% vs. 48.1%) was seen in physiotherapy group. Left side more affected in both the groups. Literacy (p=0.064), socioeconomic status (p=0.22), occupation (p=0.866), comorbidities (p=0.974), abnormal x-ray (p=0.34) were all comparable between the two groups. Mean duration of shoulder pain and restriction of shoulder motion were also comparable (p>0.05). Side effects– 46.2% were higher in intra-articular injection group. Response to treatment, disability score and SPADI index showed signicant reduction in both the groups, but signicantly more reduction in intra-articular injection was seen in comparison to the physiotherapy group. Conclusions: The overall treatment outcome in intra-articular injection group is much better in comparison to the physiotherapy group, but with higher side effects. Intra-articular injection of steroid will prove to be a boon after effective management of side effects.

scholarly journals Intra sheath corticosteroid injection for De Quervain’s tenosynovitis

2019 ◽  
Vol 5 (3) ◽  
pp. 403
Author(s):  
Shanmuga Sundaram Pooswamy ◽  
Niranjanan Raghavn Muralidharagopalan
Keyword(s):  
Steroid Injection ◽  
Corticosteroid Injection ◽  
Signs And Symptoms ◽  
Common Condition ◽  
Abductor Pollicis Longus ◽  
De Quervain’S Tenosynovitis ◽  
Stenosing Tenosynovitis ◽  
Vas Scores ◽  
Finkelstein’S Test

<p class="abstract"><strong>Background:</strong> De Quervain’s disease or stenosing tenosynovitis of the first dorsal compartment of the wrist is a common condition, which affects the Abductor pollicis longus and the extensor pollicis brevis tendons. There are characteristic signs and symptoms including a positive Finkelstein's test. Different options for treatment include conservative approaches like analgesics, splinting and physical therapy. If conservative options fail then steroid injection is considered.</p><p class="abstract"><strong>Methods:</strong> This is a retrospective study of single dose intra-sheath triamcinolone and lignocaine injection in 32 patients at our institute who were followed up for a period of 12 months.<strong></strong></p><p class="abstract"><strong>Results:</strong> In our study there were 25 females and 7 males with a mean age of 46.4±8.03 years. Right side was involved in 17 patients and left side in 15 patients. The pre procedure VAS score was 8.65±1.07. The follow up VAS scores at 1, 6 and 12 months respectively were 1.4±1.14, 0.84±1.06 and 1.03±1.26 respectively. 4 out of 32 patients had positive Finkelstein’s test at 1 year follow up. Common complications were pain at injection site, which was seen in 5/32 patients and depigmentation seen in 2/32 patients.</p><p class="abstract"><strong>Conclusions:</strong> Thus intra sheath triamcinolone injection is a safe and effective procedure for treatment of De Quervains disease.</p>

scholarly journals Clinical outcome of platelet rich plasma versus steroid in treatment of frozen shoulder

2021 ◽  
Vol 7 (6) ◽  
pp. 1085
Author(s):  
Johney Juneja ◽  
Mahendra Prakash Jain ◽  
Raghvendra Choubisa ◽  
A. K. Mehra ◽  
Ramesh Sen
Keyword(s):  
Platelet Rich Plasma ◽  
Adhesive Capsulitis ◽  
Frozen Shoulder ◽  
Sudden Onset ◽  
Trauma Centre ◽  
Onset Of Action ◽  
Medical College ◽  
A Prospective Study

<p class="abstract"><strong>Background: </strong>Evaluate functional outcome of use of platelet rich plasma versus steroid in frozen shoulder.</p><p class="abstract"><strong>Methods: </strong>The study was conducted in Department of Orthopaedics in RNT Medical College, Udaipur. Adult patients with periarthritis shoulder (frozen shoulder or adhesive capsulitis) admitted to Trauma centre in Maharana Bhupal Government hospital attached with R.N.T. Medical College, Udaipur were included in this study after obtaining their informed, valid written consent. This is a prospective study from October 2018 to February 2020.</p><p class="abstract"><strong>Results:</strong> Our study demonstrated that PRP is not inferior to CS in any of the measured parameters. Both of the groups experienced similar benefits from the injection therapies with no statistical differences detected in ROM or VAS scores at 1 week, 1 month and 3 months. No adverse effects were detected in either of the two groups.</p><p class="abstract"><strong>Conclusions: </strong>We can conclude that both PRP and MPS showed efficacy on treating frozen shoulder. The current study provides strong evidence in support of a statistically significant effect of platelet concentrates in the treatment of frozen shoulder in vivo where steroid contraindicated or refused by patient. However, inj. Methylprednisolone has sudden onset of action because of anti-inflammatory action with respect to inj. PRP, so has better result at 1 week follow up post injection. But in long term (at 3 months follow up) inj. PRP has better effect in compared to Inj. MPS.</p>

scholarly journals Does Single Blind Anterior Glenohumeral Steroid Injection Performed by Short Experienced Clinicians Could Provide Clinical Efficacy in Patients with Frozen Shoulder?

2014 ◽  
Vol 17 (3) ◽  
pp. 102-106
Author(s):  
Jin Ho Hong ◽  
Ho Young Ryu ◽  
Yong Bok Park ◽  
Sang Jun Jeon ◽  
Won Ha Park ◽  
...  
Keyword(s):  
Visual Analog Scale ◽  
Glenohumeral Joint ◽  
Steroid Injection ◽  
External Rotation ◽  
Corticosteroid Injection ◽  
Adhesive Capsulitis ◽  
Frozen Shoulder ◽  
Analog Scale ◽  
The Mean ◽  
Frozen State

BACKGROUND: The purpose of this study was to evaluate the effect of single blinded anterior intra-articular corticosteroid injection to the glenohumeral joint performed by short experienced clinicians in frozen state adhesive capsulitis patients.METHODS: From March to June of 2013, among the patients who visited the shoulder outpatient clinic due to shoulder pain for 5-6 months and those patient diagnosed as frozen state adhesive capsulitis was selected. The diagnosis were based on base, first the global limitation of range of motion, defined as forward elevation <100, external rotation at side <10, internal rotation less than buttock, and abduction <70. Second, the patients had additional radiologic evaluations showing no major pathologies for such stiffness. Clinical outcome, were performed with pain visual analog scale (PVAS) and functional visual analog scale (FVAS), American Shoulder and Elbow Surgeons Shoulder score (ASES), preinjection and postinjection after 2-4 weeks. Finally 82-patients were enrolled. Mean age of the patients was 55.1 years and mean follow-up duration was 25.17 days.RESULTS: The mean preinjection PVAS was 6.91 and postinjection was 3.11, there was 3.8 decreases from preinjection status (p < 0.001). The mean FVAS score showed 4.26 at preinjection and 6.63 afterwards (p < 0.001). The ASES score showed 27.89 increases after injection (p < 0.001). There were 64-patients (78.04%) who reported more than 3 points of decrease of PVAS, who could be judged as effective treatment.CONCLUSIONS: Single anterior glenohumeral steroid injection by short experienced clinicians to the patients with frozen state adhesive capsulitis has shown relatively high efficacy in clinical result evaluated by means of PVAS.

scholarly journals Is manipulation under anaesthesia still a better option than intra articular steroid injection in primary frozen shoulder?

2020 ◽  
Vol 6 (2) ◽  
pp. 365
Author(s):  
Raghav Ravi Veeraraghavan ◽  
Venatius Varghese ◽  
Sanjay A. K. ◽  
Pravin Kumar Vanchi ◽  
Mohan Kumar Murugesan
Keyword(s):  
Steroid Injection ◽  
Adhesive Capsulitis ◽  
Initial Period ◽  
Frozen Shoulder ◽  
Pathologic Process ◽  
Painful Shoulder ◽  
Manipulation Under Anaesthesia ◽  
Analogue Scales ◽  
Equal Effectiveness

<p class="abstract"><strong>Background:</strong> Frozen shoulder, also known as adhesive capsulitis, is a common cause of a painful shoulder with restricted motion. The best treatment of frozen shoulder is prevention (secondary frozen shoulder), but early intervention is paramount; a good understanding of the pathologic process by the patient and the physician also is important. The aim of study is comparison between closed manipulation under anaesthesia and intra articular steroid injection in primary periarthritis shoulder.</p><p class="abstract"><strong>Methods:</strong> 30 patients each with primary frozen shoulder who were treated either with closed manipulation under anaesthesia and intra articular steroid injection. The patient is reassessed after 2 weeks, 1 month, 3 month and 6 months using shoulder pain and disability index (SPADI) and visual analogue scales (VAS) to compare the groups.<strong></strong></p><p class="abstract"><strong>Results:</strong> The SPADI index found to be better with patients under went closed manipulation under anaesthesia than intra articular steroid injection in the first 2 weeks. Follow up shows 1<sup>st</sup> group shows better outcome than 2<sup>nd</sup> group at 1 month, but later on 3 months and 6 months shows comparable results. VAS score shows initial period of improvement in pain with steroid injection (2<sup>nd</sup> group). Final follow up shows better pain relief with manipulation under anaesthesia group.</p><p class="abstract"><strong>Conclusions:</strong> The immediate treatment outcome is better with patients with primary frozen shoulder underwent closed manipulation under anaesthesia although following months outcome shows almost equal effectiveness with steroid injection.</p>

scholarly journals Evaluation of results of physical therapy v/s intra articular steroid injection in periarthritis of shoulder: a comparative prospective study

2019 ◽  
Vol 5 (3) ◽  
pp. 382
Author(s):  
Ravi Kant Jain ◽  
Jagdish Nagar ◽  
Abhijeet Jayaswal
Keyword(s):  
Physical Therapy ◽  
Side Effects ◽  
Steroid Injection ◽  
Therapy Group ◽  
Adhesive Capsulitis ◽  
Frozen Shoulder ◽  
Response To Treatment ◽  
Disability Score ◽  
Injection Group

<p class="abstract"><strong>Background:</strong> Frozen shoulder or adhesive capsulitis is a condition where the patient experience stiffness and pain in joint of the shoulder. It is an enigma as till now its etiology is unknown. It affects both the genders of the middle and elderly age. A retrospective, comparative study was to evaluate the effects of physical therapy versus intra-articular steroid injection in periarthritis of shoulder.</p><p class="abstract"><strong>Methods:</strong> 30 patients each with frozen shoulder who were treated either using physical therapy (Group 1) and intra-articular steroid injection (Group 2). The data was collected at baseline and at different follow-up periods and analyzed.<strong></strong></p><p class="abstract"><strong>Results:</strong> There were 3 lost to follow-up in physiotherapy group and 4 in intra-articular injection group. Slight male preponderance (51.9% vs. 48.1%) was seen in physiotherapy group. Left side more affected in both the groups. Literacy (p=0.064), socioeconomic status (p=0.22), occupation (p=0.866), comorbidities (p=0.974), abnormal x-ray (p=0.34) were all comparable between the two groups. Mean duration of shoulder pain and restriction of shoulder motion were also comparable (p&gt;0.05). Side effects– 46.2% were higher in intra-articular injection group. Response to treatment, disability score and SPADI index showed significant reduction in both the groups, but significantly more reduction in intra-articular injection was seen in comparison to the physiotherapy group.</p><p class="abstract"><strong>Conclusions:</strong> The overall treatment outcome in intra-articular injection group is much better in comparison to the physiotherapy group, but with higher side effects. Intra-articular injection of steroid will prove to be a boon after effective management of side effects.</p>

scholarly journals OUTCOME OF CORTICOSTEROID INJECTION FOR SCIATICA THROUGH THE CAUDAL ROUTE

2015 ◽  
Vol 12 (2) ◽  
Author(s):  
Nagendra Bahadur KC ◽  
Sriraj Shrestha
Keyword(s):  
Corticosteroid Injection ◽  
Medical Problem ◽  
Prednisolone Acetate ◽  
Motor Weakness ◽  
Short Term Study ◽  
The Mean ◽  
Household Activities ◽  
Epidural Steroid ◽  
Normal Work

<p><strong>INTRODUCTION</strong>: Sciatica is an important medical problem with socioeconomic impact; its effective management remains a challenge. Approximately 80% of the total population experiences low back pain at some point in their lives which may be associated with sciatica. As it is more common in adult working group, the pain caused by sciatica can incapacitate a person fromdoing his or her normal work. So the goal of our treatment is not to cure anatomic abnormalities but rather to reduce pain, which allows the patient to engage in early rehabilitation and return to a more normal lifestyle.</p><p><strong>METHODOLOGY</strong>: Fifty patients were initially included in the study and all patients received three injection of 4ml methyle prednisolone acetate (160 mg) and 6 ml of Normal saline that is of total volume 10 ml.at an interval of 48 hours. Among 50 study patients, five patients dropped out in subsequent follow-up. So only forty-five patients were analyzed for final results.</p><p><strong>RESULT</strong>: The mean age of the patient was 37.53 years, majority between 30-56 years. Female who were involved in household activities dominated the study group. Comparing the mean (SD) VAS score on the day of presentation 70.00 (16.78) and on 35<sup>th</sup> day 17.89 (25.23) so it was found to be statistically significant (P&lt;0.001). None of the patients in the study had motor weakness and none of them developed serious complications. But 12 (26.7%) patients developed transient headache after the procedure.</p><p><strong>CONCLUSION</strong>: As the goal of our treatment was symptomatic pain relief, most of the patient&rsquo;s pain improved at 2 weeks after the steroid injection with no severe complication. This was short term study with encouraging results, but larger scale and longer period of follow ups required for better results.</p><p><strong>KEY WORDS</strong>: Backache, Caudal, Epidural steroid, Sciatica,</p>

scholarly journals Trigger Finger? Just Shoot!

2020 ◽  
Vol 11 ◽  
pp. 215013272094334
Author(s):  
Stephen P. Merry ◽  
Jason S. O’Grady ◽  
Christopher L. Boswell
Keyword(s):  
Steroid Injection ◽  
Corticosteroid Injection ◽  
Primary Care Providers ◽  
Trigger Finger ◽  
Care Providers ◽  
Common Condition ◽  
Step Method ◽  
Gradual Improvement ◽  
Open Release ◽  
A1 Pulley

Trigger finger is a common condition usually curable by a safe, simple corticosteroid injection. Trigger finger results from a stenotic A1 pulley that has lost its gliding surface producing friction and nodular change in the tendon. This results in pain and tenderness to palpation of the A1 pulley, progressing to catching and then locking. Splinting for 6 to 9 weeks produces gradual improvement in most patients as does a quick steroid injection with the latter resulting in resolution of pain in days and resolution of catching or locking in a few weeks. Percutaneous or open release should be reserved for injection failures particularly those at high risk for continued injection failure including diabetics and those with multiple trigger fingers. We present a step-by-step method for injection with illustrations to encourage primary care providers to offer this easily performed procedure to their patients.

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