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Updated: Jun 7, 2026
05:52
Clinical Efficacy of Small Needle Knife Therapy on Stage I-II Frozen Shoulder
Published on: November 17, 2023
[Non-traumatic shoulder pain]
Jens Ivar Brox1, Per Sunde, Cecilie Piene Schrøder
1Ortopedisk avdeling, Oslo universitetssykehus, Rikshospitalet, 0027 Oslo, Norway. jens.ivar.brox@rikshospitalet.no
Summary
Non-traumatic shoulder pain is common in primary care. Diagnosis relies on medical history and clinical tests, with ultrasound preferred for imaging, and conservative treatment often effective.
Area of Science:
- Musculoskeletal pain management
- Primary healthcare diagnostics
- Clinical decision-making in orthopedics
Background:
- Non-traumatic shoulder pain is a frequent reason for primary healthcare visits.
- Challenges exist in accurately diagnosing and effectively treating this condition.
Purpose of the Study:
- To review diagnostic and treatment challenges for non-traumatic shoulder pain.
- To provide evidence-based recommendations for clinical practice.
Main Methods:
- Literature review based on non-systematic searches of PubMed and Cochrane Library.
- Analysis of diagnostic accuracy and treatment efficacy for shoulder pain.
Main Results:
- Single clinical tests are insufficient for diagnosis; imaging interpretation is complex due to degenerative changes.
- Ultrasound is comparable to MRI for rotator cuff diagnosis; MRI is primarily for preoperative assessment.
- Evidence for specific treatments is limited, with methodological weaknesses and placebo effects influencing outcomes.
- Glucocorticoid injections are beneficial for frozen shoulder; supervised exercise and surgery show similar effects for subacromial pain.
Conclusions:
- Medical history and clinical tests adequately diagnose most non-traumatic shoulder pain cases.
- Conservative treatment is generally sufficient.
- Ultrasound is the recommended imaging modality when needed.
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