One article on PainSci cites Favejee 2011: Complete Guide to Frozen Shoulder
PainSci notes on Favejee 2011:
Does any therapeutic intervention restore motion and diminish pain in those who suffer from frozen shoulder? Researchers attempted to find this out by looking for systematic reviews and randomised clinical trials.
Five Chochrane reviews and 18 RCTs were looked at. This included looking at studies that studied the effectiveness of oral medication, injection therapy, physiotherapy, acupuncture, arthographic distension and suprascapular nerve block.
There was “strong evidence for the effectiveness of steroid injections and laser therapy in short-term and moderate evidence of steroid injections in mid-term follow-up.”
“Moderate evidence was found in favour of mobilisation techniques in the short and long term.”
The final conclusions of the researchers were: “For other commonly used interventions no or only limited evidence of effectiveness was found. Most of the included studies reported short-term results, whereas symptoms of frozen shoulder may last up to 4 years. High quality RCTs studying long-term results are clearly needed in this field.”
original abstract †Abstracts here may not perfectly match originals, for a variety of technical and practical reasons. Some abstacts are truncated for my purposes here, if they are particularly long-winded and unhelpful. I occasionally add clarifying notes. And I make some minor corrections.
BACKGROUND: A variety of therapeutic interventions is available for restoring motion and diminishing pain in patients with frozen shoulder. An overview article concerning the evidence for the effectiveness of these interventions is lacking. Objective To provide an evidence-based overview regarding the effectiveness of conservative and surgical interventions to treat the frozen shoulder.
METHODS: The Cochrane Library, PubMed, Embase, Cinahl and Pedro were searched for relevant systematic reviews and randomised clinical trials (RCTs). Two reviewers independently selected relevant studies, assessed the methodological quality and extracted data. A best-evidence synthesis was used to summarise the results.
RESULTS: Five Cochrane reviews and 18 RCTs were included studying the effectiveness of oral medication, injection therapy, physiotherapy, acupuncture, arthrographic distension and suprascapular nerve block (SSNB).
CONCLUSIONS: We found strong evidence for the effectiveness of steroid injections and laser therapy in short-term and moderate evidence for steroid injections in mid-term follow-up. Moderate evidence was found in favour of mobilisation techniques in the short and long term, for the effectiveness of arthrographic distension alone and as an addition to active physiotherapy in the short term, for the effectiveness of oral steroids compared with no treatment or placebo in the short term, and for the effectiveness of SSNB compared with acupuncture, placebo or steroid injections. For other commonly used interventions no or only limited evidence of effectiveness was found. Most of the included studies reported short-term results, whereas symptoms of frozen shoulder may last up to 4 years. High quality RCTs studying long-term results are clearly needed in this field.
- “Management of frozen shoulder: a systematic review and cost-effectiveness analysis,” E Maund, D Craig, S Suekarran, Ar Neilson, K Wright, S Brealey, L Dennis, L Goodchild, N Hanchard, A Rangan, G Richardson, J Robertson, and C McDaid, Health Technol Assess, 2012.
- “Frozen shoulder: A systematic review of therapeutic options,” Harpal Singh Uppal, Jonathan Peter Evans, and Christopher Smith, World J Orthop, 2015.
- “Prognostic factors and therapeutic options for treatment of frozen shoulder: a systematic review,” Walid Eljabu, Hans Michael Klinger, and Marius von Knoch, Archives of Orthopaedic & Trauma Surgery, 2016.
- “Diagnosis and management of adhesive capsulitis,” Robert C Manske and Daniel Prohaska, Current Reviews In Musculoskeletal Medicine, 2008.
- “Shoulder adhesive capsulitis: systematic review of randomised trials using multiple corticosteroid injections,” Nicholas Shah and Mark Lewis, Br J Gen Pract, 2007.
This page is part of the PainScience BIBLIOGRAPHY, which contains plain language summaries of thousands of scientific papers & others sources. It’s like a highly specialized blog. A few highlights:
- Photobiomodulation therapy is not better than placebo in patients with chronic nonspecific low back pain: a randomised placebo-controlled trial. Guimarães 2021 Pain.
- No effect of creatine monohydrate supplementation on inflammatory and cartilage degradation biomarkers in individuals with knee osteoarthritis. Cornish 2018 Nutr Res.
- The CANBACK trial: a randomised, controlled clinical trial of oral cannabidiol for people presenting to the emergency department with acute low back pain. Bebee 2021 Med J Aust.
- Relationships Between Sleep Quality and Pain-Related Factors for People with Chronic Low Back Pain: Tests of Reciprocal and Time of Day Effects. Gerhart 2017 Ann Behav Med.
- Modulation in the elastic properties of gastrocnemius muscle heads in individuals with plantar fasciitis and its relationship with pain. Zhou 2020 Sci Rep.