Abdul Qayyum Baig, Inam-ur Rahim, Omer Khalid Farooq, Muhammad Saarim Shahid, Tariq Aziz.
Role of Orthographic Distension for Treatment of Frozen Shoulder.
Pak J Med Health Sci Jan ;13(2):224-6.

Background: Frozen shoulder, also known as adhesive capsulitis, is a common condition in which shoulder capsule swells and stiffens, restricting its mobility. Aim: To see outcome of arthographic distension (AD) for the treatment of frozen shoulder in terms of pain reduction and improvement in oxford shoulder score (OSS) . Study duration: The study duration was 6 months. Methods: By using non-probability consecutive sampling, a total of 150 patients with frozen shoulders were taken in this study. The outcome was measured as pain (visual analogue scale) and OSS before procedure and one month after post AD. SPSS version 20 was used for data entry and its appropriate analysis. Results: Mean pain before and after one month of treatment was 8.20+/-1.11 and 2.88+/- 1.24 respectively, the mean difference was 5.32+/- 1.39. The improvement in pain was significant when applied to paired sample t-score, p-value<0.0 01. The mean OSS was 14.40+/- 6.12 (before treatment), 37.29+/- 4.76 (after treatment) and the mean difference in one month was 22.89+/- 6.61. The improvement in OSS was significant when applied to paired sample t-test, p-value <0.001. We conclude that using arthographic distension (AD) , we found lesser pain and higher OSS at one month. Conclusion: In future we can alter our practice and adopt this treatment option to gain early recovery of the patients with frozen shoulder.

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