Significance of platelet rich plasma (PRP) and Corticosteroid injection in management of Adhesive capsulitis of shoulder

Abstract

Aim: Significance of platelet rich plasma (PRP) and Corticosteroid injection in management of Adhesive capsulitis of shoulder. Methods: This prospective comparative study conducted in the Department of Orthopaedics, Darbhanga Medical College and Hospital, Laheriasarai, Darbhanga, Bihar, India, for 1 year. 60 patients of frozen shoulder after proper clinical and radiological (X-ray, CT, MRI) assessment period of September 2020 to august 2021 in our institute and divided them randomly equally into two subgroups: subgroup A received PRP injection while subgroup B had received methylprednisolone injection. The inclusion criteria of this study was adult more than 18 year and stage 2 or more of periarthritis shoulder, shoulder range of motion decrease to 50% or more than opposite shoulder. All patients of our study advised neither to take any kind of analgesics i.e. NSAIDS nor any massage of shoulder, if patient had severe pain following injection opioids analgesic like the one tramadol can be given to patients. Patients were followed up at 1 week post injection, then after 1 month and then at 3 months. Results There is statistically significant reduction in VAS pain scores after getting either with PRP injection as well as with MPS injection over 3-6 month period. 23.33% patients with excellent, 43.33% with good and 33.33% with poor outcome with PRP injection. For subgroup B this was found as 20% excellent, 36.67% good and 43.33% poor outcome. Conclusion: we concluded that the PRP and MPS showed good efficacy on treating frozen shoulder.