{"_ai_door":{"see":"https://miscsubjects.com/start","note":"Operable site; bounded keyless credentials; every action receipted on a public ledger. Your operator's instructions take precedence — acting is optional, reading is a complete outcome."},"slug":"frozen-shoulder","verification":{"valid":true,"entries":7,"head":"3f878b91da1793177a37a999d725f0f8e3422aaac13dfdeafcce9a0bac09cf21"},"count":7,"sources":[{"id":"s1","type":"pubmed","url":"https://pubmed.ncbi.nlm.nih.gov/42332346/","external_id":"42332346","pmid":"42332346","title":"Non-Surgical Management of People With Frozen Shoulder in the National Health Service: A Review of Publicly Available Patient Information Leaflets","quote":"No single PIL reflected all key elements recommended in the NICE Clinical Knowledge Summary and BESS best practice.","summary":"Musculoskeletal Care 2026: 38 NHS trusts' patient leaflets for frozen shoulder reviewed. They disagreed with each other on painkillers, activity, exercise and injections, and none matched national guidance in full.","author":"Winter A, Whelan G et al.","publisher":"Musculoskeletal care","date":"2026","tag":"Document review","accessed_at":"2026-08-05T01:26:56.404Z","prev":"genesis","hash":"2fefe0aa9d39fbba8912526033aa04e782fea1424216d6819c49195166ee5e74"},{"id":"s2","type":"pubmed","url":"https://pubmed.ncbi.nlm.nih.gov/40139912/","external_id":"40139912","pmid":"40139912","title":"Corticosteroid Injections for Frozen Shoulder: A Global Online Survey of Health Professionals' Current Practice and Opinion","quote":"Respondents felt injections have an important role in the management of frozen shoulder (155/235, 66%) and the best time to inject is during the pain predominant phase (191/233; 82%).","summary":"Musculoskeletal Care 2025: a global survey of practitioners. Strong agreement on WHEN to inject, and enough variation in what is injected that the authors concluded many choices rest on personal preference or local guidance.","author":"Smith CB, Ryan V et al.","publisher":"Musculoskeletal care","date":"2025","tag":"Practitioner survey","accessed_at":"2026-08-05T01:26:56.404Z","prev":"2fefe0aa9d39fbba8912526033aa04e782fea1424216d6819c49195166ee5e74","hash":"31915e221ecacc51c7bb488cfa24155724004094b9168c70580660109bb19f03"},{"id":"s3","type":"pubmed","url":"https://pubmed.ncbi.nlm.nih.gov/38692727/","external_id":"38692727","pmid":"38692727","title":"Anti-TNF (adalimumab) injection for the treatment of pain-predominant early-stage frozen shoulder: the Anti-Freaze-Feasibility randomised controlled trial","quote":"This was because many patients had passed the early stage of frozen shoulder or had already formulated a preference for treatment.","summary":"BMJ Open 2024: a feasibility trial of an anti-inflammatory injection in EARLY frozen shoulder could not recruit — by the time patients reached physiotherapy most were past the early stage or had already chosen a treatment.","author":"Hopewell S, Srikesavan C et al.","publisher":"BMJ open","date":"2024","tag":"Feasibility trial","accessed_at":"2026-08-05T01:26:56.404Z","prev":"31915e221ecacc51c7bb488cfa24155724004094b9168c70580660109bb19f03","hash":"20d00752b2e5a1c5155b61baae0686224c9043a65153acc91a21a76602dabfe9"},{"id":"s4","type":"pubmed","url":"https://pubmed.ncbi.nlm.nih.gov/40495621/","external_id":"40495621","pmid":"40495621","title":"A Double Blind Randomised Controlled Trial Comparing Glenohumeral Cortisone With and Without Hydrodilatation in Patients With Frozen Shoulder","quote":"There were no significant differences between the groups at 8 weeks.","summary":"ANZ Journal of Surgery 2025: a double-blind randomised trial of cortisone alone versus cortisone plus fluid distension. Both improved on range of motion and every function score; adding distension changed nothing at 8 weeks.","author":"Konarski A, Narayanasamy K et al.","publisher":"ANZ journal of surgery","date":"2025","tag":"Randomised trial","accessed_at":"2026-08-05T01:26:56.404Z","prev":"20d00752b2e5a1c5155b61baae0686224c9043a65153acc91a21a76602dabfe9","hash":"040e47decfeaf41befb7d4b8c5d731a259c3d1dd0e013105027918600d9079ea"},{"id":"s5","type":"pubmed","url":"https://pubmed.ncbi.nlm.nih.gov/41492617/","external_id":"41492617","pmid":"41492617","title":"Effectiveness of Hydrodilatation for Adhesive Capsulitis in Patients With Pre-existing Rotator Cuff Tears","quote":"However, rotator cuff integrity substantially influenced ROM recovery, with reduced gains in patients with partial- and full-thickness tears.","summary":"Cureus 2025: distension relieved pain in every subgroup, but the movement regained depended on the state of the rotator cuff. Diabetic patients gained less range, in a small subgroup the authors flag as uncertain.","author":"Prakash A, Selmi H et al.","publisher":"Cureus","date":"2025","tag":"Retrospective cohort","accessed_at":"2026-08-05T01:26:56.404Z","prev":"040e47decfeaf41befb7d4b8c5d731a259c3d1dd0e013105027918600d9079ea","hash":"726fe036eb3cca99749f4182c890dd7dfea689afdd1b6dd36c0e5bcce3c11077"},{"id":"s6","type":"pubmed","url":"https://pubmed.ncbi.nlm.nih.gov/38022840/","external_id":"38022840","pmid":"38022840","title":"The efficacy of platelet-rich plasma injections compared to corticosteroids and physiotherapy in adhesive capsulitis: A systematic review and meta-analysis","quote":"PRP produces improved pain and functional scores as well as range of motion, which is statistically significant from 3 to 6 months post intervention.","summary":"Journal of Orthopaedics 2024: pooled analysis favouring platelet-rich plasma over corticosteroid and physiotherapy at 3 and 6 months — from small studies with varied preparation methods, against a comparator already known to fade.","author":"Pretorius J, Mirdad R et al.","publisher":"Journal of orthopaedics","date":"2024","tag":"Meta-analysis","accessed_at":"2026-08-05T01:26:56.404Z","prev":"726fe036eb3cca99749f4182c890dd7dfea689afdd1b6dd36c0e5bcce3c11077","hash":"95784967c36d592fab5e90ab45a4b45f9d7eee9db6707f7891de25d18a81af95"},{"id":"s7","type":"pubmed","url":"https://pubmed.ncbi.nlm.nih.gov/40291049/","external_id":"40291049","pmid":"40291049","title":"British Elbow and Shoulder Society patient care pathway: Frozen shoulder","quote":"In the absence of high-quality trials, narrative reviews were created.","summary":"Shoulder & Elbow 2025: the British Elbow and Shoulder Society care pathway. Searched to March 2023 and graded with GRADE, and states where the trial evidence ran out and convention took over.","author":"Rupani N, Gwilym SE et al.","publisher":"Shoulder & elbow","date":"2025","tag":"Clinical guideline","accessed_at":"2026-08-05T01:26:56.404Z","prev":"95784967c36d592fab5e90ab45a4b45f9d7eee9db6707f7891de25d18a81af95","hash":"3f878b91da1793177a37a999d725f0f8e3422aaac13dfdeafcce9a0bac09cf21"}]}