Manipulation under anesthesia for frozen shoulder with and without steroid injection

Kivimäki J, Pohjolainen T. Manipulation under anesthesia for frozen shoulder with and without steroid injection. Arch Phys Med Rehabil 2001;82:1188-90. Objective: To study the effect of manipulating a shoulder with adhesive capsulitis (frozen shoulder) under anesthesia with and without corticosteroid injection. Design: Randomized trial. Setting: Hospital. Participants: Twenty-four patients referred for manipulation of a frozen shoulder. Intervention: The patients were randomized into 2 groups. One group received an injection of corticosteroid and manipulation; the other was only administered manipulation during anesthesia. Main Outcome Measures: The degree of shoulder mobility and pain before and after the manipulation. Results: Manipulation under anesthesia increased the mobility of the affected shoulder. Injection with lidocaine and betamethason did not enhance the effect of the manipulation. Conclusion: Manipulation under anesthesia without intraarticular corticosteroids is recommended as the therapy for frozen shoulder. © 2001 by the American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation