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Updated: May 27, 2026
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Author Spotlight: Investigating the Effectiveness of Tuina Therapy for Frozen Shoulder
Published on: July 21, 2023
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Non-Surgical Management of Frozen Shoulder Using Manipulation Under Local Anesthesia: A Retrospective Study
1Department of Orthopaedics and Traumatology, Malatya Training and Research Hospital, Malatya, Turkey.
Summary
This study shows that manipulating the shoulder joint under local anesthesia is an effective treatment for frozen shoulder (FS). This method significantly improves range of motion (ROM) and reduces pain, offering a cost-effective alternative to traditional treatments.
Area of Science:
- Orthopedics
- Sports Medicine
- Physical Therapy
Background:
- No standard management guideline exists for frozen shoulder (FS).
- Passive shoulder manipulation under local anesthesia is explored as a treatment to improve range of motion (ROM).
Purpose of the Study:
- To evaluate the effectiveness of passive shoulder manipulation under local anesthesia in patients with frozen shoulder (FS).
Main Methods:
- Retrospective study of 32 adult FS patients.
- Injection of local anesthetic and corticosteroid mixture followed by passive manipulation in 4 directions.
- Assessment of ROM, Visual Analog Scale (VAS), and Shoulder Pain and Disability Index (SPADI) over 3 months.
Main Results:
- Significant increase in shoulder joint ROM (abduction, flexion, extension, external rotation) (P<0.001).
- Significant improvement in SPADI and VAS pain scores (P<0.001).
Conclusions:
- Passive shoulder manipulation under local anesthesia is a time-saving, cost-effective treatment for FS.
- This technique avoids hospitalization and the need for general anesthesia or sedoanalgesia.
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