Br Med J (Clin Res Ed)  1983;287:1339-1341 (5 November), doi:10.1136/bmj.287.6402.1339

Comparison of injection techniques for shoulder pain: results of a double blind, randomised study.

G R Hollingworth, R M Ellis, T S Hattersley

Seventy seven patients with soft tissue shoulder lesions including adhesive capsulitis and disorders of the rotator cuff and acromioclavicular joint were admitted to a trial comparing two different methods of corticosteroid injection with local anaesthetic in a randomly allocated double blind study. The method of anatomical injection after diagnosis by the technique of selective tissue tension gave 60% success compared with the method using tender or trigger point localisation, giving 20% success (p less than 0.001).


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