Alternative treatment of shoulder adhesive capsulitis with single dose intraarticular Sodium hyaluronate

Objective: to check the efficacy of single dose intra-articular hyaluronate injection for treatment of patients with shoulder adhesive capsulitis study design: randomized clinical trial on 40 cases setting: department of ohopaedics,jinnah hospital,lahore. duration with dates: 06 months (1st april 2012 to 30th september 2012). subjects and methods: forty patients with adhesive capsulitis,fulfilling the selection criteria were identified. after proper assessment including constant shoulder score,all patients received intra-articular sodium hyaluronte injection in the outpatient department. patients were asked to take simple analgesics if required and follow similar home exercise programs for two weeks. results: a total of 40 patients were included in the study. 13(32.5%) were males and 27(67.5%) were females. the age ranged from years 39-73 years. mean age of patients was 55.11±7.16. clinical improvement as assessed by constant shoulder score was seen in 37/40 patients. mean constant shoulder score was 37.27±14.45 and after 2 weeks of treatment with sodium hyaluronate injection the mean score improved to 54.14±13.88. conclusion: although the study was done on a limited number of patients,it establishes single dose intra-articular sodium hyaluronate injection as an effective and safe treatment alternative for the pain and disability associated with adhesive capsulitis.