Observation on the therapeutic effect of ultrasound-guided injection combined with joint mobilization for frozen shoulder
LIU Jiabao
XU Qianlan
DU Fenfei
WU Dan
HE Rong
Abstract：Objective To observe the clinical efficacy of ultrasound-guided injection of anti-inflammatory and analgesic solution combined with manual mobilization in the treatment of shoulder stiffness.Methods A total of 160 patients with shoulder stiffness treated in the Department of Rehabilitation,Dongyang People's Hospital from January 2024 to January 2025 were selected and divided into Group A and Group B using a random number table method,with 80 cases in each group.Group A received ultrasound-guided injection of anti-inflammatory and analgesic solution combined with manual mobilization,while Group B received manual mobilization alone.Both groups were treated 3 times per week for a course of 4 weeks.The Visual Analogue Scale(VAS)score for pain,active range of motion(AROM)of the shoulder,Constant-Murley Score(CMS),and modified Barthel Index(MBI),and the thickness of the axillary recess capsule on the affected side(measured by ultrasound)were compared between the two groups before treatment,and at 4 and 12 weeks after treatment.Adverse events and follow-up outcomes at 6 months post-treatment were also recorded.Results At 4 and 12 weeks post-treatment,both groups showed a significant decrease in VAS scores and axillary recess capsule thickness compared to baseline(P＜0.05),and a significant increase in AROM,CMS,and MBI scores(P＜0.05).Furthermore,at both time points,Group A demonstrated significantly lower VAS scores and capsule thickness(P＜0.05),and significantly higher AROM,CMS,and MBI scores(P＜0.05)than Group B.There was no statistically significant difference in the incidence of adverse reactions between the two groups(P＞0.05).At the 6-month follow-up,the proportion of requiring additional treatment in Group A was significantly lower than that of Group B(P＜0.05).Conclusion Ultrasound-guided injection of anti-inflammatory and analgesic solution combined with manual joint mobilization is a safe and effective treatment for shoulder stiffness.It can significantly relieve pain,improve joint function and daily living activities,and reduce inflammatory thickening of the joint capsule.
Keywords：shoulder jointjoint stiffnessfrozen shoulderultrasoundmusculoskeletal manipulationsadrenal cortex hormoneslocal anaestheticspain management
Publication Date：2026-03-31
Online Publishing Date：2026-08-26(First online date of this platform, not the publication date of the document)
Pages：6( 427-431,440 )