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Clinical Efficacy of Small Needle Knife Therapy on Stage I-II Frozen Shoulder
Published on: November 17, 2023
Acute shoulder pain in primary care - an observational study.
Scott Masters1, Lorna O'Doherty, Geoffrey K Mitchell
1University of Otago, New Zealand. scotty1@ozemail.com.au
Australian Family Physician
|June 15, 2007
Summary
Acute shoulder pain often resolves within six months, but initial disability levels predict recovery. Early assessment of pain, disability, and mood is crucial for effective management and prognosis in primary care settings.
Area of Science:
- Orthopedics
- Primary Care Medicine
- Pain Management
Background:
- Shoulder pain is a frequent complaint in general practice.
- Limited data exists on prognosis, treatment, and compliance for acute shoulder pain.
- Understanding outcomes is vital for informed clinical decision-making.
Purpose of the Study:
- To collect data on acute shoulder pain and its 6-month outcomes.
- To identify predictors of recovery and long-term prognosis.
- To evaluate the current management and investigation patterns.
Main Methods:
- Prospective observational study design.
- Involved 100 patients presenting with acute shoulder pain.
- Data collected from 21 general practices in southeast Queensland.
Main Results:
- Initial disability levels were the strongest predictor of 6-month outcomes.
- Nearly 60% of patients achieved full recovery by 6 months.
- Patients not fully recovered at 6 months showed a higher risk of depression at presentation.
Conclusions:
- Assessing disability, pain, and mood provides valuable prognostic data for acute shoulder pain.
- Radiological investigation rates may exceed clinical necessity.
- Consideration of early, multimodal management strategies is recommended.
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