Does intra-articular steroid injection in combination with physical therapy improve outcomes for patients with adhesive capsulitis?

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Patients with adhesive capsulitis (frozen shoulder) treated with steroid injection plus physical therapy showed significant improvement in active range of motion at 6 weeks compared with patients given steroid injection alone, but the combination provided no long-term improvement. Physical therapy plus steroid injection compared with placebo significantly improved function, active range of motion, and pain at 6 weeks, but only active range of motion continued to be improved at 3 to 6 months. In patients with physical therapy plus steroid injection versus physical therapy plus placebo, function and pain were significantly improved at 6 weeks, and only pain was significantly improved at 3 to 6 months (SOR: A, systematic review of RCTs).

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