Een leidraad in de conservatieve aanpak van de primaire frozen shoulder

Abstract

A guideline in the approach of primary frozen shoulder The primary frozen shoulder is a frequent inflammatory condition, characterised by 3 main clinical stages: the painful, stiff and recovery phase. Each of them comes with a certain degree of irritability for the patient. Given the wide range of conservative therapy options, a clear-cut treatment is currently not available. There is sufficient evidence for the use of the following combined approach: the use of intra-articular corticosteroid infiltrations at first, followed by stretching and mobilization according to the Maitland technique in a later phase, along with patient education as well as a physiotherapy home programme. Crucial for this approach is to take into account the specific stage of the condition and the corresponding degree of irritability of the patient at that moment.