Arthroscopic capsular release is more effective in pain relief than conservative treatment in patients with frozen shoulder
Abstract Background Frozen shoulder is a common medical condition, but the ideal therapeutic method is yet to be determined. Our aim was to analyze the pain-relieving effect of different treatment options used for the management of this disease. Methods Medical records of 59 patients (22 male, 37 fe...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2024-02-01
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| Series: | BMC Musculoskeletal Disorders |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12891-024-07275-7 |
| _version_ | 1797276168196456448 |
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| author | Gábor Skaliczki Krisztián Kovács Imre Antal Imre Sallai Beáta Kovács Zoltán Nyőgér Áron Géresi Balázs Kiss Anna Várnagy |
| author_facet | Gábor Skaliczki Krisztián Kovács Imre Antal Imre Sallai Beáta Kovács Zoltán Nyőgér Áron Géresi Balázs Kiss Anna Várnagy |
| author_sort | Gábor Skaliczki |
| collection | DOAJ |
| description | Abstract Background Frozen shoulder is a common medical condition, but the ideal therapeutic method is yet to be determined. Our aim was to analyze the pain-relieving effect of different treatment options used for the management of this disease. Methods Medical records of 59 patients (22 male, 37 female, average age: 55.5 years ±9.9) with early stage primary frozen shoulder were evaluated, their demographic data, physical examination, concomitant diseases and treatment specific data were registered. Life quality and the level of pain were assessed using the Oxford Shoulder Score (OSS) and Numeric Rating Scale (NRS). Different treatment modalities and their effect on pain relief were recorded. Any existing correlation between life quality, pain and demographic data, concomitant diseases or the therapeutic method used was investigated. Results The level of pain measured on NRS improved from 7.9 ± 1.6 to 1.9 ± 2.2. The most effective therapeutic method in terms of pain relief was surgery, followed by physiotherapy and intraarticular steroid injection (NRS score after treatment: 2 - p < 0.0001; 3.3 - p < 0.0001; 4.9 - p < 0.0001, respectively). Non-steroidal anti-inflammatory drugs (NSAIDs) did not reduce pain significantly. OSS improved from 24 to 43.6 and was not affected by the investigated variables, time to recovery was not influenced by the demographic data, the type of treatment or concomitant diseases. Conclusions Arthroscopic capsular release, physiotherapy and intraarticular steroid injection outperformed physical therapy and NSAID treatment in terms of pain relief. Despite of slight but persistent post-therapeutic pain found in half of the cases, treatment was considered satisfactory by the patients. Nor patient specific neither therapy specific data had a significant effect on the course of the disease. |
| first_indexed | 2024-03-07T15:24:28Z |
| format | Article |
| id | doaj.art-083fad239ac94d2caf7188ed5b6c21af |
| institution | Directory Open Access Journal |
| issn | 1471-2474 |
| language | English |
| last_indexed | 2024-03-07T15:24:28Z |
| publishDate | 2024-02-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj.art-083fad239ac94d2caf7188ed5b6c21af2024-03-05T17:24:08ZengBMCBMC Musculoskeletal Disorders1471-24742024-02-012511710.1186/s12891-024-07275-7Arthroscopic capsular release is more effective in pain relief than conservative treatment in patients with frozen shoulderGábor Skaliczki0Krisztián Kovács1Imre Antal2Imre Sallai3Beáta Kovács4Zoltán Nyőgér5Áron Géresi6Balázs Kiss7Anna Várnagy8Department of Orthopedics, Semmelweis UniversityDepartment of Orthopedics, Semmelweis UniversityDepartment of Orthopedics, Semmelweis UniversityDepartment of Orthopedics, Semmelweis UniversityDepartment of Orthopedics, Semmelweis UniversityDepartment of Orthopedics and Traumatology, Petz Aladár University Teaching HospitalDepartment of Orthopedics, Semmelweis UniversityDepartment of Biophysics and Radiation Biology, Semmelweis UniversityDepartment of Orthopedics, Semmelweis UniversityAbstract Background Frozen shoulder is a common medical condition, but the ideal therapeutic method is yet to be determined. Our aim was to analyze the pain-relieving effect of different treatment options used for the management of this disease. Methods Medical records of 59 patients (22 male, 37 female, average age: 55.5 years ±9.9) with early stage primary frozen shoulder were evaluated, their demographic data, physical examination, concomitant diseases and treatment specific data were registered. Life quality and the level of pain were assessed using the Oxford Shoulder Score (OSS) and Numeric Rating Scale (NRS). Different treatment modalities and their effect on pain relief were recorded. Any existing correlation between life quality, pain and demographic data, concomitant diseases or the therapeutic method used was investigated. Results The level of pain measured on NRS improved from 7.9 ± 1.6 to 1.9 ± 2.2. The most effective therapeutic method in terms of pain relief was surgery, followed by physiotherapy and intraarticular steroid injection (NRS score after treatment: 2 - p < 0.0001; 3.3 - p < 0.0001; 4.9 - p < 0.0001, respectively). Non-steroidal anti-inflammatory drugs (NSAIDs) did not reduce pain significantly. OSS improved from 24 to 43.6 and was not affected by the investigated variables, time to recovery was not influenced by the demographic data, the type of treatment or concomitant diseases. Conclusions Arthroscopic capsular release, physiotherapy and intraarticular steroid injection outperformed physical therapy and NSAID treatment in terms of pain relief. Despite of slight but persistent post-therapeutic pain found in half of the cases, treatment was considered satisfactory by the patients. Nor patient specific neither therapy specific data had a significant effect on the course of the disease.https://doi.org/10.1186/s12891-024-07275-7Frozen shoulderIdiopathic stiff shoulderTreatmentShoulderPain |
| spellingShingle | Gábor Skaliczki Krisztián Kovács Imre Antal Imre Sallai Beáta Kovács Zoltán Nyőgér Áron Géresi Balázs Kiss Anna Várnagy Arthroscopic capsular release is more effective in pain relief than conservative treatment in patients with frozen shoulder BMC Musculoskeletal Disorders Frozen shoulder Idiopathic stiff shoulder Treatment Shoulder Pain |
| title | Arthroscopic capsular release is more effective in pain relief than conservative treatment in patients with frozen shoulder |
| title_full | Arthroscopic capsular release is more effective in pain relief than conservative treatment in patients with frozen shoulder |
| title_fullStr | Arthroscopic capsular release is more effective in pain relief than conservative treatment in patients with frozen shoulder |
| title_full_unstemmed | Arthroscopic capsular release is more effective in pain relief than conservative treatment in patients with frozen shoulder |
| title_short | Arthroscopic capsular release is more effective in pain relief than conservative treatment in patients with frozen shoulder |
| title_sort | arthroscopic capsular release is more effective in pain relief than conservative treatment in patients with frozen shoulder |
| topic | Frozen shoulder Idiopathic stiff shoulder Treatment Shoulder Pain |
| url | https://doi.org/10.1186/s12891-024-07275-7 |
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