At Last Some Sense In Shoulder Injections – Three Shots

There have been so many articles describing how shoulder injections fail because they only give one shot. I call this the “One Shot Wonders”. These people would need a medicine man dancing around to get any results because my feeling is that one shot does not do much for anything. Now someone with sense had shown positive results on frozen shoulders with three shots.

Knee Surg Sports Traumatol Arthrosc. 2010 Oct;18(10):1435-41.
Good results after fluoroscopic-guided intra-articular injections in the treatment of adhesive capsulitis of the shoulder.
Lorbach O, Kieb M, Scherf C, Seil R, Kohn D, Pape D.    abstract here

  • Frozen shoulder
  • Injections at 0, 4, and 12 weeks.
  • 40 mg of triamcinolone) with 5 ml of bupivacaine and 5 ml of mepivacaine. They do mention a prior study that found 10 mg triamcinolone had inferior results to 40 mg..
  • Their conclusions – “fast pain reduction and increased range motion.” – with the three shots.

Comments – thank you, thank you. No more one shot – didn’t work – well the glue factory for you then… Now let see someone do three shots into subdeltoid bursa for rotator cuff – which is what I think is needed for any results there. For any steroid phobics, please specify what shoulder study showed detriment, because a study on repeated shots into knee failed to show it. as per here

Addendum:

Conversely, a one shot wonder study in diabeteics with frozen shoulders found initial good results compared to controls, but not any better beyond 12 weeks:

Knee Surg Sports Traumatol Arthrosc. 2011 Nov 24. [Epub ahead of print]
Intra-articular corticosteroid injection in diabetic patients with adhesive capsulitis: a randomized controlled trial.
Roh YH, Yi SR, Noh JH, Lee SY, Oh JH, Gong HS, Baek GH.   abstract here air max mujer air max mujer

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One Response to At Last Some Sense In Shoulder Injections – Three Shots

  1. Pingback: Bolulinum Works as Well as Steroid in Frozen Shoulder – Isn’t it About Time We Think About Combining The Two? | Pain Medical Musing

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