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Manipulation Under Anesthesia and Prolotherapy for Adhesive Capsulitis and Rotator Cuff Tear: A Case Report With
Mark W Morningstar1, Megan N Strauchman1
1Natural Wellness and Pain Relief Center, Grand Blanc, Michigan.
Journal of Chiropractic Medicine
|November 24, 2022
Summary
Manipulation under anesthesia (MUA) and prolotherapy effectively treated a patient with adhesive capsulitis and rotator cuff tear, restoring shoulder function and relieving pain long-term.
Area of Science:
- Orthopedics
- Regenerative Medicine
Background:
- Adhesive capsulitis and rotator cuff tears cause chronic shoulder pain and limited mobility.
- Conventional treatments like physical therapy and steroid injections may fail to provide relief.
Observation:
- A 50-year-old male presented with 6 months of refractory shoulder pain and dysfunction.
- MRI revealed adhesive capsulitis and an infraspinatus partial-thickness tear.
- Pain significantly impacted daily activities and sleep.
Findings:
- The patient underwent manipulation under anesthesia (MUA) followed by dextrose-based prolotherapy injections.
- Post-treatment, self-rated pain decreased from 77/100 to 11/100.
- Full range of motion was restored, and results were maintained for 7 years.
Implications:
- MUA combined with prolotherapy offers a viable treatment option for complex shoulder conditions.
- This approach may provide durable pain relief and functional recovery.
- Further research could explore this combined therapy for similar patient populations.
