Osteopathic Manipulative Therapy for Frozen Shoulder

This trial aims to determine if adding Osteopathic Manipulative Treatment (OMT) can accelerate recovery and increase satisfaction for individuals with frozen shoulder, a condition characterized by stiffness and pain in the shoulder. Participants will be divided into four groups to receive various combinations of physical therapy, injections, and OMT. The goal is to identify the most effective combination. Ideal candidates are those diagnosed with frozen shoulder who have not yet begun treatment. Participants will attend follow-up visits and complete surveys to monitor their progress and satisfaction over a year. As a Phase 4 trial, this research focuses on understanding how an already FDA-approved and effective treatment can benefit more patients.

The trial protocol does not specify whether you need to stop taking your current medications. However, if you are currently receiving treatment for frozen shoulder, you would not be eligible to participate.

Research has shown that Osteopathic Manipulative Treatment (OMT) is generally safe and well-tolerated. One study on hands-on therapy for shoulder pain found that these treatments, including OMT, improved shoulder movement and reduced pain without major side effects. Another source noted that OMT effectively manages long-term shoulder injuries, again without significant safety concerns.

For the injection part of the study, corticosteroids and pain relievers like methylprednisolone acetate, Lidocaine, and Ropivacaine are commonly used to ease pain and reduce swelling. These are usually well-tolerated, though some people might experience temporary side effects like soreness or mild swelling at the injection site.

Researchers are excited about Osteopathic Manipulative Therapy (OMT) for frozen shoulder because it offers a hands-on approach that may relieve stiffness and pain differently than traditional methods. While typical treatments like physical therapy and corticosteroid injections focus on reducing inflammation and improving range of motion, OMT involves manual techniques to improve joint function and mobility. This approach could provide an alternative for patients seeking a non-invasive option that potentially accelerates recovery and enhances overall shoulder function. Additionally, combining OMT with existing therapies such as physical therapy and injections might optimize treatment outcomes by addressing multiple aspects of the condition simultaneously.

Research has shown that Osteopathic Manipulative Treatment (OMT) can help with shoulder issues, such as frozen shoulder. Studies have found that hands-on therapy like OMT significantly reduces shoulder pain and improves movement. One study found that patients experienced immediate relief and increased mobility after OMT sessions. In this trial, some participants will receive OMT alongside physical therapy, while others will receive different treatment combinations. Reports indicate that combining OMT with physical therapy better manages pain and increases patient satisfaction. This suggests that OMT could effectively complement regular treatment for frozen shoulder.¹²³⁶⁷