OUTCOMES OF SHORT-COURSE ORAL CORTICOSTEROID WITH NONSTEROIDAL ANTI-INFLAMMATORY DRUGS FOR EARLY STAGE OFFROZEN SHOULDER AT KOSHI ZONAL HOSPITAL
Abstract
Introduction: Frozen shoulder or adhesive pericapsulitis is a common condition estimated to be afflicting 2-5 % of the general population. It presents with pain and progressive limitation of both active and passive shoulder movement. Numerous treatment options have been described in the literature. Among them, one of the treatment methods commonly used is oral corticosteroid combined with non-steroidal anti-inflammatory drugs (NSAID). This treatment has been found effective in the early stage of frozen shoulder.
Objective: Evaluation of the outcomes in patients with a frozen shoulder after short course oral corticosteroid and NSAIDS.
Methodology: In this cross-sectional study, 50 patients having an early stage of frozen shoulder presenting to the outpatient department of Koshi Zonal Hospital from July to December 2017 were included. We included those patients who had already taken more than two courses of NSAID elsewhere but symptoms did not alleviate. We excluded those patients who were diabetic, pregnant and who had a history of trauma in and around the shoulder, neuromuscular disease, suspected pathology such as a tumor, rotator cuff rupture, infection, and arthritis. Oral steroid and NSAID tablets were given to all the patients under coverage of an oral proton pump inhibitor. The shoulder home exercise program was also instituted. The follow-ups were done on the1st,7th,14thand 21stday in the physiotherapy department to measure range of motion (ROM) and shoulder pain and disability index (SPADI) to evaluate the final outcomes. The data was analyzed by using Microsoft Excel program.
Results: We found the mean age 49.46 years ( range 30-60 years), duration of illness mean 15 weeks (range 10-19 weeks), considerable improvement of ROM from the baseline. Total SPADI scoresDownloaded from Medico Research Chronicles “Outcomes of short-course oral corticosteroid with non-steroidal anti-inflammatory drugs for early stage of frozen shoulder at Koshi Zonal hospital” RajKharel Y. et al., Med. Res. Chron., 2018, 5 (3), 246-251 DOI No. 10.26838/MEDRECH.2018.5.3.412 Medico Research Chronicles, 2018 247 calculated on the1stdaywas mean total 66.7, the 1st week was mean 49.99, 2ndweekwas mean 38.53 and3rd week was mean 26.63 respectively.
Conclusion : The short- course of corticosteroid with NSAID along with shoulder stretch exercises provides rapid pain relief as well as improved ROM and SPADI in a patient with the early-stage frozen shoulder.
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