USE OF LOCALIZED HUMAN GROWTH HORMONE/TESTOSTERONE INJECTIONS FOR CHRONIC SHOULDER PAIN: A CASE SERIES, WITH 12-MONTH FOLLOW-UP
Journal Title: INTERNATIONAL JOURNAL OF PURE MEDICAL RESEARCH - Year 2019, Vol 4, Issue 6
Abstract
This case series investigated the feasibility and safety of an injection technique for the treatment of chronic shoulder pain. Injections of recombinant human growth hormone and testosterone were given to the shoulder in individuals with chronic shoulder pain, with proposed capsular pain and/or laxity. Individualized exercise therapy programs were followed. Outcomes were assessed at 12 months with the Shoulder Pain and Disability Index (SPADI), the Shoulder Pain Score (SPS), the Mankowski Pain Sale (MPS), and the patent's self-rated percent improvement. Of the 23 consecutive patients who met the inclusion critieria, 17 (19 shoulders) provided informed consent and 14 (16 shoulders) completed all aspects of the study. Patients completing the study reported a signicant decrease in pain ratings (p<.0001), a signicant improvement in the SPADI scores (p<.0001) and SPS (p<.0001). Of the patients who withdrew from the study, two underwent surgery and one switched to another intervention.
Authors and Affiliations
Marc N. Dubick, Daniel Brinton, Thomas H. Ravin, David Morrisette
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