Patients, including diabetics, are eligible for inclusion if they: |
1. Are aged 18 years or older |
2. Present with a clinical diagnosis of frozen shoulder characterised by restriction of passive external rotation in the affected shoulder to less than 50% of the contralateral shoulder |
3. Have radiographs that exclude glenohumeral arthritis and other pathology |
Patients will be excluded from this study if: |
1. They have a bilateral concurrent frozen shoulder |
2. They have a frozen shoulder secondary to trauma, i.e. trauma to the shoulder that required hospital care, e.g. fracture, dislocation, rotator cuff tear |
3. They have a frozen shoulder secondary to other causes, e.g. recent breast surgery, radiotherapy |
4. Any of the trial treatments are contraindicated, e.g. unfit for anaesthesia or corticosteroid injection |
5. They are not resident in a catchment area of a trial site |
6. They lack mental capacity to understand the trial or instructions for treatment |