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Peri-arthritis (PA) shoulder is a common cause of shoulder pain and disability. The optimum management of periarthritis shoulder has been the subject of great debate, particularly since the condition tends to resolve spontaneously over months to years leaving behind stiff shoulder. Objectives of this study was to prospectively evaluate the comparative efficacy of intra-articular steroid (methylprednisolone) injection, intra-articular sodium hyaluronate injection and deep heat in patients with peri-arthritis shoulder who were also taught a simple home exercise programme. A total of 75 subjects were enrolled in the study. Patients of peri-arthritis of shoulder joint were randomly assigned to three groups: Inj. sodium hyaluronate 20mg (group1), inj. methylprednisolone 40mg (group2), ultrasonic therapy (group3). Evaluation was done at 3 weeks, 6weeks and 12 weeks and 24 weeks after starting the treatment. Outcomes were determined by the assessment of subjective and objective parameters viz. shoulder pain and disability index (SPADI), range of motion. All three groups showed improvement with respect to time. Steroid group and sodium hyaluronate group showed significant improvement as compared to other ultrasonic group (p=0.02) with respect to shoulder pain and disability index and range of motion. Improvement in pain was equal with all three types of treatment..

Comparison of Ultrasonic Therapy, Sodium Hyaluronate Injection and Steroid Injection in the Treatment of Peri-arthritis Shoulder