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

Abstract

Background: The frozen shoulder is very common problem in India and usually could occur as idiopathic or trivial injury. Management modality is usually conservative and physiotherapy because of self-limiting nature of disease. Role of corticosteroid injection are usually effective for short period time but newer Orthobiologic agent like PRP injection are equally effective and minimal and no side effect. Material and method: In our study, total 50 patients were taken of adhesive capsulitis in period October 2018 to February 2020 and divided into groups randomly and PRP injection and corticosteroid injection was given and clinical outcome was recorded. Result: In our study, female are more affected then male, usually occur in age 40 to 60-year age group. The final outcome at 3 month post injection 20% patients with excellent, 48% with good and 32% with poor outcome with PRP injection group and for CS injection group this was found as 16% excellent, 36% good and 48% poor outcome. Conclusion: We concluded PRP and MPS showed efficacy and strong evidence in support significant effect of PRP, where steroid contraindicated or refused by patient in the treatment of frozen shoulder. However, inj. Methylprednisolone has sudden onset of action because of anti-inflammatory action with respect to inj. PRP, so has better result at 1 week follow up post injection but in long term (at 3 months follow up) inj. PRP has better effect in compared to injection MPS.