Frozen shoulder combo shot shows small extra benefit in motion
NCT ID NCT07183436
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tested whether adding hyaluronic acid to a ketorolac injection helps frozen shoulder more than ketorolac alone. Fifty-six adults with frozen shoulder received one shot of either the combination or just ketorolac, then followed a rehab program. After 24 weeks, both groups had similar pain and function improvements, but the combination group gained a little more shoulder rotation and adduction. Both treatments were safe.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- hyaluronic acid and ketorolac injection
- What this could lead to
- If the combination proves superior in larger studies, it could offer a slightly better option for improving shoulder rotation in frozen shoulder patients.
- What could go wrong
- This was a small, single-center trial with only 56 participants. The added benefit was modest and limited to certain movements, so the combination may not be meaningfully better than ketorolac alone.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
-
56 people
The number who actually took part.
- Started
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Nov 2023
- Finished
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Jul 2025
- Lead sponsor
-
Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
18 to 70 years
- Sex
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Anyone
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Eligible participants were adults diagnosed with adhesive capsulitis defined by limitation of shoulder motion ≥25 degrees in at least two planes compared to the contralateral side Inclusion Criteria: * Adults aged 18-70 years * Symptom duration of 1-12 months * Provision of informed consent. Exclusion Criteria: * History of trauma or prior surgery to the affected shoulder * Bilateral adhesive capsulitis * Uncontrolled diabetes (HbA1C \> 7%) * Abnormal thyroid function * Prior intra-articular injection in the affected shoulder * Full-thickness rotator cuff tear on imaging * History of gastrointestinal bleeding * Known allergy to hyaluronic acid or NSAIDs * Systemic conditions affecting joint pain (e.g., SLE, rheumatoid arthritis, osteoarthritis) * Neurological disorders affecting muscle strength or sensation coagulopathy or bleeding disorders withdrawal or refusal of consent at any time
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
Faculty of Medicine Ramathibodi Hospital, Mahidol University
Bangkok, 10400, Thailand
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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