This podcast explores the best evidence-based treatments for frozen shoulder, distinguishing between approaches for the painful and stiff phases. Professor Jeremy Lewis suggests that while stretching and manual therapy are beneficial in the stiff phase, they should be avoided during the painful stage. He highlights the potential benefits of glenohumeral joint injections in the early, painful phase, emphasizing the importance of early intervention to combat the cytokine storm and myofibroblast contraction. Lewis also advocates for a combined approach of injections and home exercise programs, rather than injections alone. He references the UK FROST trial, which found no intervention superior to others, including surgery, at the one-year mark.
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