الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
Frozen shoulder (FS) is commonly encountered in general Orthopaedic and Rheumatology practice. It may arise spontaneously without an obvious predisposing cause, or be associated with a variety of local or systemic disorders. Diagnosis is based upon the recognition of the characteristic features of the gradual and painful loss of both active and passive range-of-motion (ROM) in all planes of glenohumeral joint, and selective limitation of passive external rotation
Research has shown a prevalence rate of 2-5 % in the general population 31 with a cumulative incidence of 2.4 per 1000 person-years.
Since it is all the more important to find effective therapies to treat chronic shoulder pain, prolotherapy describes a procedure intended for healing and strengthening ligaments and tendons by injecting a non-pharmacological and non-active irritant solution that induces inflammation and stimulates endogenous repair mechanisms for the purpose of strengthening weakened connective tissue, regeneration of cartilage, stabilize the weakened joints and alleviating musculoskeletal pain.
This study was carried out as a randomized clinical trial to study and evaluate the effectiveness of intra-articular shoulder injections of dextrose solution in both reducing pain & improving its function in patients with frozen shoulder.
In our study, we aimed to assess the benefits of Prolotherapy in relieving shoulder pain and improving its function in Frozen Shoulder patients, to assess the degree of shoulder pain and loss of shoulder function before local intra-articular shoulder injection of dextrose and to re-assess the degree of pain and loss of joint function after intra-articular injection of dextrose. We carried out our study on 30 patients that were chosen randomly after fulfilling inclusion and exclusion criteria.
All patients on the first visit were evaluated by a full medical history and physical examination. Each patient was asked to mark the level of his/her pain on the VAS. Functional assessment was assessed by using the Shoulder Constant Murley score. Then Shoulder intraarticular injections were done three times within 6 weeks, each 2 weeks apart. Every visit includes a pre assessment to record improvement. After 2 and 4 weeks all patients will be re-evaluated by the Constant-Murley Shoulder Outcome Score for pain.
There was statistically significant difference in shoulder pain and function before and after shoulder intraarticular injections by Constant shoulder Murley outcome score.
In conclusion , local Dextrose solution intraarticular shoulder injection proved to be an effective form of treatment for patients with frozen shoulder. Not only does it provide patients with pain relief , but it also made a significant improvement. In addition , local injection of dextrose solution proved to be a safe option regarding patients that have contraindications to other types of injections and patients considering surgery as a choice of management for their condition.