Fibromyalgia & musculoskeletal pain

Pharmacological interventions for early-stage frozen shoulder: a systematic review and network meta-analysis

Rheumatology (Oxford)Published Systematic review and network meta-analysis

Authors' conclusion

These results shows that IA CS and IA PRP injections are beneficial for early-stage frozen shoulder.

Study context

Population
Early-stage, pain predominant adhesive capsulitis (frozen shoulder)31 studies · 22 randomized controlled trials (RCTs)
Comparison
Pharmacological interventions vs physical therapy
  • IA CSn = 340
  • IA platelet-rich plasma (PRP)n = 177
  • Oral NSAIDsn = 44
  • IA hyaluronaten = 42
Outcome
Shoulder pain, shoulder function and range of movement
Follow-up
12 weeks
Methodological detailsPRISMA, pairwise meta-analyses, network meta-analysis of RCTs
  • PRISMA
  • Pairwise meta-analyses
  • Network meta-analysis of RCTs

Pooled result

As reported in the abstract

Shoulder pain and function
  • IA CS (8 RCTs) showed benefit vs physical therapy for shoulder pain and function
  • IA PRP (3 RCTs) showed benefit vs physical therapy for shoulder pain and function
  • Oral NSAIDs (2 RCTs) did not show a benefit
  • IA hyaluronate (2 RCTs) did not show a benefit

Further pooled results

Shoulder range of movement

Only IA PRP showed benefit over physical therapy

Original publication

Pharmacological interventions for early-stage frozen shoulder: a systematic review and network meta-analysis. Rheumatology (Oxford). Published 27 March 2024. doi:10.1093/rheumatology/keae176

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