Comparison of ultrasound-guided corticosteroid and botulinum toxin in frozen shoulder

Shahid Beheshti University of Medical Sciences0 个研究点目标入组 60 人开始时间: 待定最近更新: 2023年2月7日

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•People aged 30 to 60 years
•Diagnosed with adhesive capsulitis based on history and physical examination
•No response to conservative treatments, including non-steroidal anti-inflammatory drugs, opioids, exercise therapy, and physical therapy.
•A score of 5 or higher based on the intensity of the pain (according to the VAS criteria)
•Less than 6 months have passed since the onset of the symptoms
•Have more than 30 degree reduction in the range of motion in at least 2 of the 4 directions of motion (abduction, flexion, external rotation, and internal rotation) compared to the range of motion of the healthy shoulder (opposite side)

•History of shoulder trauma in the last 6 months
•History of humerus fracture
•Pregnancy and breastfeeding
•The presence of nerve damage or neurological disorders that cause dysfunction of the upper limbs, including brachial plexopathy, hemiplegia, and peripheral nerve damage.
•Allergy or known sensitivity to botulinum toxin or corticosteroids
•Presence of psychological problems
•History of shoulder surgery
•A patient who is unable to cooperate to check the range of motion due to severe pain
•History of intra-articular injection in the last 6 months
•Inflammatory systemic diseases
•Use of anticoagulants
•The presence of diseases that involve the connection between nerve and muscle, such as myasthenia gravis and Eaton Lambert

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