
Hydrodilatation for Adhesive Capsulitis
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PHYSIO MOSMAN: https://www.fitasaphysio.com/
REF: Hydrodilatation for adhesive capsulitis: a systematic review exploring efficacy and optimal technique (Hye Chang Rhim et al., 2026)
A systematic review analyzing 103 studies investigated the effectiveness of hydrodilatation for treating adhesive capsulitis, commonly known as frozen shoulder. Researchers compared this joint-expansion technique against corticosteroid injections and physical therapy, while also evaluating different procedural methods such as injection volumes, imaging guidance, and approach angles. The findings indicate that while hydrodilatation offers a slight improvement in external rotationcompared to steroids alone, and marginal gains when paired with physical therapy, the overall clinical benefits are minimal. Consequently, experts concluded that the current evidence does not demonstrate meaningful superiority over simpler conservative treatments, highlighting the need for higher-quality trials to establish standardised protocols.
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