Gene/Protein Disease Symptom Drug Enzyme Compound
Pivot Concepts:   Target Concepts:
Query: UMLS:C0030193 (pain)
 261,466 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

The aim of this study was to compare the efficacy of sodium hyaluronate (SH) injection with the most common treatment methods, intraarticular steroid injection and physical therapy modalities in patients with adhesive capsulitis (AC). A total of 95 shoulders of 90 patients were included in the study and were randomized in four groups. The patients were treated with SH injection (group 1), triamsinolone acetonide (group 2) or physical therapy modalities (group 3). Group 4 patients were served as controls. Pain severity, passive ranges of motion and functional considerations were measured before, and 15 days and 3 months after the treatments. In all treatment groups, there were significant improvements at both the 15th day and third month in all parameters (for each, p<0.001). The passive abduction values on the 15th day was found significantly higher in group 3 when compared with group 1 and controls (for each, p<0.001). At the third month, the passive abduction values of the groups 2 and 3 were improved when compared with the control group (p<0.001). Constant score was higher in group 3 on 15th day when compared with group 1. At the third month, all treatment groups were improved significantly compared with control group (p<0.001). We provided the best results in physical therapy modalities applied group for AC treatment. However, we think that SH injection may be administered as an alternative treatment method.
 ...
PMID:Is intraarticular sodium hyaluronate injection an alternative treatment in patients with adhesive capsulitis? 1609 20

Suprascapular nerve blockade can be performed in chronic shoulder pain secondary to rotator cuff lesions, shoulder joint osteoarthritis, and adhesive capsulitis. Local anesthetics and steroids are commonly combined for the blockade. In this report, we present pulsed mode radiofrequency lesioning of suprascapular nerve for persistent shoulder pain in 8 patients. 8 patients with no response to six weeks physical or medical treatment were hospitalized in our Algology Clinic for suprascapular nerve pulsed mode radiofrequency lesioning. All blocks were performed in sitting position with a 22-Gauge, 100 mm "SMK" needle with 5 mm active tip and "Radionics" radiofrequency generator. Sensory stimulation at 50 Hz, 0.2 millisecond pulse width was performed and paresthesias in the shoulder joint occurred at 0.3 V. Motor stimulation at 2 Hz, 0.2 millisecond pulse width showed the contractions of the infraspinatus and supraspinatus muscles occurred at 0.4-0.5 V. Pulsed mode radiofrequency lesioning was then carried out two times for 120 seconds at 2 Hz frequency and pulse width of 20 milliseconds at 42 degrees C. Patients were evaluated for pain scores and shoulder joint movements at 1, 2, 4, 8, and 12 weeks after the procedure. Pulsed mode radiofrequency lesioning of suprascapular nerve block provided pain control for at least twelve weeks and improved shoulder joint movements.
 ...
PMID:[Efficacy of pulsed mode radiofrequency lesioning of the suprascapular nerve in chronic shoulder pain secondary to rotator cuff rupture]. 1615 43

Idiopathic adhesive capsulitis can severely restrict the comfort and function of the entire extremity, often resulting in prolonged, substantial disability. Some studies have demonstrated long-term residual pain and limitation of motion in most patients after conservative treatment such as physical therapy or corticoid injection. Closed manipulation is associated with severe complications. We report the technique and results of arthroscopic capsular release as an effective and safe alternative for the management of refractory adhesive capsulitis. We operated 23 patients between June 2003 and November 2004 who suffered from a loss of glenohumeral motion in all planes arthroscopically. Ten of the patients were evaluated after a mean follow-up of 6 months. We found significant pain relief a few days after surgery in every patient. Furthermore, we found improvements in the range of motion in all planes. Abduction improved from preoperative 50 degrees to postoperative 120 degrees , flexion from 55 degrees to 120 degrees, external rotation from 10 degrees to 60 degrees and internal rotation from 20 degrees to 65 degrees. The average Constant Score improved from preoperative 32 to postoperative 81 points. Arthroscopic capsular release is an effective and safe technique for the management of refractory adhesive capsulitis, avoiding prolonged disability.
 ...
PMID:[Arthroscopic capsular release in the management of refractory adhesive capsulitis. Technique and results]. 1639 30

Persistent shoulder pain (PSP) associated with rotator cuff disorders, glenohumeral osteoarthritis (OA), or adhesive capsulitis is a very common, often difficult-to-treat condition. The first step in nonoperative therapy for PSP in most patients is physical therapy, rest, and use of various heat modalities. Relief of pain from exercises aimed at improving strength and range of motion may be enhanced by administration of oral analgesics. Oral nonsteroidal anti-inflammatory drugs are often prescribed for patients with PSP, but their use may be complicated by gastrointestinal side effects and a potential for increased risk for serious cardiovascular events. Intra-articular corticosteroid injections have been demonstrated to provide benefit in patients with rotator cuff disorders and perhaps also in those with adhesive capsulitis. Results from both small-scale studies and a recent large-scale trial have shown that injection of sodium hyaluronate is also effective for the treatment of PSP, particularly in patients with glenohumeral OA. Additional well-controlled comparative trials are needed to define which treatment modalities are likely to be most effective in subsets of patients with PSP.
 ...
PMID:An overview of treatment options for persistent shoulder pain. 1645 Jun 91

To determine the rate of manipulation under anaesthesia (MUA) following distension arthrogram for adhesive capsulitis of the shoulder. Thirty-nine patients (42 shoulders) between 1998 and 2004 were treated with distension arthrogram for adhesive capsulitis diagnosed by the clinical picture of progressive pain and stiffness. Capsular disruption into the subscapular bursa was demonstrated in 40 of the 42 shoulders (95%). Thirty-seven of 42 (88%) shoulders were painfree following distension arthrogram. 15 of 42 (36%) shoulders underwent MUA following distension arthrogram for stiffness although 10 of these (67%) were painfree. Prior to distension arthrogram, the range of external rotation (ER) was no different between those that had MUA and those that did not (P = 0.36). The improvement in ER was 33% (P = 0.28) in those that had MUA and 50% (P = 0.001) in those that did not. The only complication was a vasovagal episode during the procedure. Distension arthrogram can be used as a therapeutic procedure for achieving symptomatic pain relief in the majority of adhesive capsulitis and decrease the rate of MUA of the shoulder.
 ...
PMID:Adhesive capsulitis of the shoulder: the rate of manipulation following distension arthrogram. 1687 12

This article describes a case report of the occupational therapy management of a 53-year-old woman diagnosed with primary shoulder adhesive capsulitis. The occupation-based interventions are described through the framework of occupation-as-means. Compensatory occupation, preparatory methods, and purposeful activities are demonstrated as being critical to minimizing connective tissue deformation associated with this condition. This case report indicates that occupation-based intervention should be initiated as soon as a diagnosis is identified to prevent the downward spiral of forced disuse associated with the affected upper extremity. As illustrated by the case report, occupation-based treatment that was provided in a timely manner immediately decreased pain, improved range and quality of motion, and enhanced occupational performance.
 ...
PMID:The use of occupation-based treatment with a person who has shoulder adhesive capsulitis: a case report. 1691 69

Adhesive capsulitis or frozen shoulder is a common condition characterized by shoulder pain and stiffness in which conservative methods of treatment such as glucocorticosteroids, anti-inflammatory drugs, and physiotherapy play a significant part. To evaluate the pain relieving effect of short-course pulse prednisolone, this comparison study was planed. Two age and sex-matched groups of patients were studied during three years. Each group consisted of thirty patients suffered from idiopathic Frozen Shoulder. The mean duration from the onset of the disorder to referral to our clinic was five months. Patients' pain on external rotation was qualified using a visual analog scale before and after finishing the treatment. The first group received oral diclofenac (100 mg/day) and physiotherapy. The second group received 500 mg of prednisolone intravenously (i.v.) for three consecutive days at the beginning of treatment in addition to the full treatment regimen of the first group. The pain relieving effects of the two methods of treatment were compared. The mean pain scale for the first group decreased from 7.16 to 4.9 (p < 0.001) and for the second group from 7.10 to 2.96 (p < 0.001) as indicated by Paired sample test. Based on the results of this study, inclusion of 500 mg prednisolone for three days appears to improve the pain-relieving effect of routine conservative treatment of frozen shoulder using NSAIDs and physiotherapy.
J Pain Palliat Care Pharmacother 2007
PMID:Pain relieving effect of short-course, pulse prednisolone in managing frozen shoulder. 1743 Aug 26

"Frozen shoulder" syndrome (adhesive capsulitis or pericapsulitis) refers to any kind of shoulder pain or to limited active or passive glenohumeral joint motions. Treatment options include both Chinese and western medical therapies. However, the key to recovery lies in self-care. This article addresses both Chinese and western treatments for frozen shoulder and suggests optimal treatments and self-care approaches for this debilitating condition. Health professionals can help patients ease their pain and increase joint activity in order to prevent frozen shoulder from turning into chronic adhesive capsulitis.
 ...
PMID:[Self-care for patients with frozen shoulder]. 1743 46

The purpose of this study was to assess the influence of timing of manipulation under anaesthesia for adhesive capsulitis of the shoulder on the long-term outcome. One hundred and eighty consecutive patients with a diagnosis of adhesive capsulitis according to Codman's criteria were selected from a shoulder surgery database; 145 were available for follow-up after a mean period of 62 months (range: 12 to 125). All patients underwent manipulation under anaesthesia (MUA) with intra-articular steroid injection. A statistically significant improvement in range of movement, function (Oxford Shoulder Score) (OSS) and Visual Analogue pain intensity Score (VAS) was obtained following manipulation. Ninety percent of the 145 patients who successfully completed the study were satisfied with the procedure. Eighty-nine percent indicated that they would choose the same procedure again, if the same problem arose in the opposite shoulder. Eighty-three percent of the patients had manipulation performed less than 9 months from onset of symptoms (early MUA). The remainder had manipulation performed after 9-40 months (late MUA). Patients who had early intervention had a significantly better Oxford Shoulder Score at final follow up; mobility and pain (VAS) were also letter than in the late group, but not significantly.
 ...
PMID:Adhesive shoulder capsulitis: does the timing of manipulation influence outcome? 1744 53

Although the pathophysiology of adhesive capsulitis is poorly understood, the primary goal of therapeutic intervention is to restore pain-free, functional range of motion (ROM) of the shoulder. Pain and muscle guarding, particularly of the subscapularis muscle, are common impairments that occur with adhesive capsulitis. The purpose of this case report is to describe a novel approach to help the pain-muscle guarding-pain cycle associated with pain and limited shoulder motion in a patient with a medical diagnosis of adhesive capsulitis. The patient was a 64-year-old female with adhesive capsulitis. Outcome variables were the Shoulder Pain and Disability Index (SPADI), internal rotation (IR) and external rotation (ER) ROM, and rotational lack. Twelve treatments of moist heat, analgesic nerve block electrical stimulation, contract/relax exercises for shoulder IR/ER, and Pendulum/Codman exercises were administered. After both 2 and 4 weeks of treatment, the patient demonstrated marked improvements in all areas. Overall, there was a 78-106% increase in ROM (IR and ER) and a 50-83% improvement in functional mobility (rotational lack & SPADI). It appears that analgesic electrical stimulation may have helped decrease the pain-muscle guarding cycle associated with adhesive capsulitis to enhance functional outcomes in a timely manner.
 ...
PMID:Effect of analgesic nerve block electrical stimulation in a patient with adhesive capsulitis. 1745 99


<< Previous 1 2 3 4 5 6 7 8 9 10 Next >>