Overview
This study was conducted to compare the efficacy of hydrodilatation with steroid with hyaluronic acid and steroid for treating adhesive capsulitis.
Description
Design: a prospective, double-blinded, randomized, clinical trial
Patient and methods:
Patients with adhesive capsulitis for at least 3 months were enrolled and randomly allocated into group 1 (hydrodilatation with steroid ) and group 2 (hydrodilatation with hyaluronic acid and steroid). The patients were evaluated before treatment and were reevaluated 0, 6, and 12 weeks after the beginning of the treatment. Outcomes measures included a pain scale (visual analog scale), range of motion, Shoulder Pain And Disability Index
Eligibility
Inclusion Criteria:
- age 35-65 years
- onset of shoulder stiffness since over a month
- limitation in the passive range of motion (ROM) over 30° when compared with the contralateral side in at least two of these three movements: forward flexion, abduction, or external rotation.
Exclusion Criteria:
- ultrasound findings of rotator cuff tears,
- plain radiography findings of significant glenohumeral joint arthritis,
- accompanying cervical radiculopathy,
- systemic inflammatory joint disease,
- intraarticular injection into the glenohumeral joint within the past 3 months
- history of surgery on the affected shoulders,
- regular use of systemic non-steroidal anti-inflammatory drugs or corticosteroids,
- allergy to corticosteroid or lidocaine.