Efficacy of Ultrasound-Guided Intra-Articular Steroid Injection
and Hydrodilatation, Combined with Home Exercises in Patients
with Adhesive Capsulitis: A Case Series
Background: Adhesive capsulitis is characterized by an initial painful phase leading to significant stiffness and limited range of motion in the shoulder joint. Early intervention is crucial to prevent long-term functional impairment and chronic discomfort. This case series aims to evaluate the efficacy of ultrasound-guided intra-articular steroid injection and hydrodilatation, combined with home exercises, in managing patients with adhesive capsulitis.
Methods: Six patients with shoulder pain were treated at a tertiary care centre from June 2022 to May 2024. Inclusion criteria included a Shoulder Pain and Disability Index (SPADI) score greater than 30 and a limitation of glenohumeral joint movement more than 25% in at least two directions. All patients received 10 ml of intra-articular steroid with local anaesthetic. Pain relief and range of motion were assessed immediately after intervention and during follow-up at 1, 6, 12, and 18 months.
Results: Immediate post-injection assessments showed dramatic pain relief and improvement in the range of motion of the shoulder joint. Further follow-up revealed that all patients experienced sustained pain relief and improved range of motion, with no reported complications.
Conclusion: Ultrasound-guided intra-articular steroid and local anaesthetic injections combined with home-based exercises are an effective regimen for managing adhesive capsulitis. Early diagnosis and appropriate treatment are essential for improved outcomes