Manipulation under anaesthesia with local intracapsular steroid injection in treatment of frozen shoulder

Abstract

Aims and Objective: Adhesive capsulitis of shoulder (frozen shoulder) is a condition characterized by pain, stiffness and restriction of movement of shoulder joint. The present study was carried out to assess the role of manipulation under anaesthesia along with intracapsular steroid injection in treatment of frozen shoulder. Material and Methods: The present study is a prospective study carried out in the department of Orthopedics, Ananta Institute of Medical Sciences, Rajsamand, Rajasthan during the period of 6 months from October 2018 to March 2019. 30 patients of unilateral idiopathic adhesive capsulitis (Frozen shoulder) who were symptomatic and not responding to physiotherapy were included in the study. All the patients underwent manipulation under anaesthesia and then intracapsular steroid injection was given via posterior approach. Patients were followed up regularly and reassessment using VAS (Visual analogue scale) scale and PROM (Passive Range of Motion) was done at 3 months after the procedure. Results: Out of 30 patients included in the study, 18 (60%) were female and 12 (40%) were male. The age of the patients ranges from 20 years to 70 years with the mean age of 46.81 years. Non dominating hand was involved in 23 cases (76.66%). VAS score and degree of PROM were measured before and 3 months after the treatment. Conclusion: In present study, VAS score as well as PROM were significantly improved 3 months after the treatment of frozen shoulder with manipulation under anaesthesia along with intracapsular steroid injection. So, this treatment modality can be used as a safe and effective method to reduce pain and stiffness in frozen shoulder.