1. The effectiveness and cost of corticosteroid injection and physiotherapy in the treatment of frozen shoulder-a single-centre service evaluation
- Author
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Stuart McClymont, Marcus Bateman, and Sally R. Hinchliffe
- Subjects
Adult ,Male ,medicine.medical_specialty ,medicine.drug_class ,Severity of Illness Index ,Patient satisfaction ,Rheumatology ,Interquartile range ,Adrenal Cortex Hormones ,Bursitis ,Internal medicine ,Severity of illness ,medicine ,Humans ,Physical Therapy Modalities ,Aged ,Pain Measurement ,Retrospective Studies ,business.industry ,Frozen shoulder ,Retrospective cohort study ,General Medicine ,Middle Aged ,medicine.disease ,United Kingdom ,Single centre ,Treatment Outcome ,Patient Satisfaction ,Physical therapy ,Corticosteroid ,Female ,business - Abstract
Frozen shoulder is a common condition resulting in pain, stiffness and functional impairment. Symptoms can persist for months or even years if left untreated. Various treatments are available, but a standard care package does not exist and the most cost-effective treatment has not been established. The objective of this study was to conduct a service evaluation of current practice to establish the effectiveness of corticosteroid injection and physiotherapy intervention and the costs associated. A review of all patients with a diagnosis of frozen shoulder who had received a corticosteroid injection and physiotherapy was undertaken for a 12-month period at a single NHS hospital in the UK. Patient-reported outcome measures were analysed and the costs for treatment calculated. Out of the 55 patients, 43 were happy to be discharged following treatment. Ten were referred for a surgical opinion and two were lost to follow-up. The median pain rating significantly reduced from 8 (interquartile range (IQR) 7, 9) to 2 (IQR 0, 3.75) (p
- Published
- 2013