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Objectives: Local corticosteroid injections and physiotherapy are commonly used treatment options for painful shoulder. While evidence for these two interventions is poor we decided to design a study in order to investigate the efficacy of local steroid injections and physiotherapy and compare the results of two treatment groups. Methods: A total of 40 patients admitting with shoulder pain were included in the study. Patients were randomized to two treatment groups. The first group (n=20) received a total of 10 physiotherapy sessions. The second group (n=20) received a single corticosteroid injection for the shoulder joint through posterior approach. In addition, both treatment groups received a standardized exercise program. The patients were evaluated before treatment and 2,4,12,24 weeks after the treatment for the clinical and functional parameteres.  Results: Compared to baseline, statistically significant improvement was noted at all follow-up assessments in both groups in Visual Analog Scala(VAS) score, shoulder ROM(range of motion) measurements, Constant-Murley score(CMS), and Shoulder Disability Questionnaire (SDQ)score. There was no significant difference between the two treatment interventions.  Conclusions: Both physiotherapy and local corticosteroid injections are effective in reducing pain and improving functional status in patients for shoulder pain and two methods are not superior to each other.

Comparison of the Efficacy of Physiotherapy and Local Corticosteroid Injections on Painful shoulder