Corticosteroid Injection + Physiotherapy for Shoulder Pain

Recruiting in Palo Alto (17 mi)

Overseen byClaire Bourgeois, BSc MD

Age: 18+

Sex: Any

Travel: May Be Covered

Time Reimbursement: Varies

Trial Phase: Phase 4

Waitlist Available

Sponsor: Claire Bourgeois

No Placebo Group

Prior Safety Data

Trial Summary

What is the purpose of this trial?The purpose of this study is to assess the efficacy of mild hydraulic distension with intra-articular corticosteroid injection for the treatment of subacute hemiparetic shoulder pain with a capsular pattern of restricted shoulder motion.

Eligibility Criteria

This trial is for adults over 18 with post-stroke shoulder pain lasting at least 2 weeks, not relieved by physiotherapy. They must have a capsular pattern of reduced shoulder motion and be in an inpatient rehab program. Those with memory issues can join with assistance.

Inclusion Criteria

My shoulder pain began after my latest stroke.

I have had pain for over 2 weeks that physiotherapy hasn't fixed.

My shoulder pain is severe, affecting my sleep, daily activities, and rehabilitation.

+4 more

Exclusion Criteria

Previous shoulder ailments are not a cause for exclusion from participation but their data may be analysed separately

You will not be excluded if you have had more than one stroke.

I am willing to join the study but do not want a corticosteroid injection.

+4 more

Participant Groups

The study compares the effectiveness of two treatments: one combines physiotherapy with a glenohumeral injection (steroid and local anesthetic), while the other uses only physiotherapy to treat subacute hemiparetic shoulder pain.

2Treatment groups

Experimental Treatment

Active Control

Group I: Physiotherapy with mild arthrographic distensionExperimental Treatment1 Intervention

Physiotherapy continues after the participant receives a mild arthrographic distension with corticosteroid of the shoulder. (This is a self-controlled study. The participants' clinical evolution with physiotherapy alone will be compared to their evolution after physiotherapy coupled with the injection.)

Group II: Physiotherapy aloneActive Control1 Intervention

Physiotherapy alone after diagnosis of hemiplegic shoulder pain with a capsular pattern. The physiotherapy will focus on stretching and range of motion of the shoulder. (This is a self-controlled study. The participants' clinical evolution with physiotherapy alone will be compared to their evolution after physiotherapy coupled with the injection.)

Bupivacaine is already approved in United States, European Union, Canada for the following indications:

🇺🇸 Approved in United States as Marcaine for: