The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Its not the real reason forshoulder pain in frozen shoulder.. 2022 Jun 30;95(2):217-220. eCollection 2022 Jun. Our website services, content, and products are for informational purposes only. Shoulder injury following COVID-19 vaccine administration: a case series and proposed diagnostic algorithm. 2 What Causes SIRVA? The resulting disability can be serious, and the condition tends to get worse with time if it's not treated. Researchers say antidepressants are effective in treating mental health symptoms, but they don't appear to be effective in easing chronic pain, Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. Such severe reactions to vaccines are very rare, but they do occur. HHS Vulnerability Disclosure, Help National Library of Medicine While SIRVA may be long lasting, and even permanent, its symptoms are treatable. How to Prevent SIRVA Disclaimer. Shoulder Injury Related to Vaccine Administration (SIRVA) in 16 Patients Following COVID-19 Vaccination Who Presented to Chiropractic, Orthopedic, and Physiotherapy Clinics in Hong Kong During 2021. Shoulder specialists typically reserve surgery for people who are past the inflammatory stage and are no longer seeing progress through physical therapy. Bookshelf Unauthorized use of these marks is strictly prohibited. Frozen shoulder results from the gradual loss of movement in the shoulder (glenohumeral) joint. Surg. The mean SSV in the control group was 50% 20% vs. 45% 18% in the pandemic group-statistically significant (P = .013) but unlikely to be clinically significant. The Posts best advice for living during the pandemic. Localized reactions and a mild increase in shoulder pain have been reported after vaccination in normal individuals but they have been transient and have completely disappeared in 1-2 days. 2023 Apr;18(2):613-617. doi: 10.1016/j.jds.2022.08.018. Maliwankul K, Boonsri P, Klabklay P, Chuaychoosakoon C. Vaccines (Basel). The aim of this study was to compare the incidence and severity of idiopathic FS before and during the pandemic. Shoulder injury related to vaccine administration. From a biological standpoint, theres some theories on how if you get covid, then your body is sort of in a heightened inflammatory state, and frozen shoulder fundamentally is an inflammation problem, said Michael Fu, a shoulder specialist and assistant attending orthopedic surgeon at the Hospital for Special Surgery in New York. doi: 10.1016/j.vaccine.2017.07.055. Clipboard, Search History, and several other advanced features are temporarily unavailable. Additionally, Bishop said, frozen shoulder can be triggered by a minor injury, such as your dog yanking your arm while on a walk, or surgery that results in immobilization for an extended period of time. Our study suffers from certain limitations. Unable to load your collection due to an error, Unable to load your delegates due to an error, Photograph of the patient receiving her first dose of the COVID-19 vaccine (Oxford-AstraZeneca, Serum Institute of India) in Brazils vaccination program into the upper third of the right deltoid muscle, which is considered higher than the recommended area (red circle), Subacromial-subdeltoid bursitis on the right shoulder 8weeks after the COVID-19 vaccination. Its also important for medical professionals to be aware of SIRVA so that patients may be treated in a timely, effective manner. (2020). Vaccine. PMC Debra Sullivan, Ph.D., MSN, R.N., CNE, COI, Youre More Likely to Be Hit by Lightning Than to Have Severe Vaccine Allergy, Understanding Forearm Pain: What Causes It and How to Find Relief, Why Aspirin is an Effective Pain Medication with Many Potential Applications. -, Cagle P.J. Still, Deu said, people with frozen shoulder should know that the various treatment options arent guaranteed to speed up recovery. Hence, the purpose of this case series was to describe the clinical presentation and short-term follow-up of patients who developed frozen shoulder after COVID-19 vaccination. 8600 Rockville Pike However, you may sometimes experience more severe side effects related to vaccination in the upper arm, including intense shoulder pain and limited range of motion. Symptoms, treatment and a possible pandemic connection. Int J Surg Case Rep. 2022 Oct;99:107686. doi: 10.1016/j.ijscr.2022.107686. SIRVA occurs when a healthcare professional injects a vaccine too high or too deep into the shoulder. The average body mass index was 25.1 2.2 kg/m2. Fu added that limitsto access to care, such as in-person physical therapy sessions, during the pandemic andchanges in peoples daily activities might also be possible triggers. Diagnosing SIRVA can be challenging, as shoulder pain is a common symptom shared by a variety of medical conditions. The authors declare that we have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. All 10 patients had normal radiographs and were diagnosed as adhesive capsulitis or frozen shoulder. -. government site. 2022 Aug 12;40(34):4964-4971. doi: 10.1016/j.vaccine.2022.06.002. Excruciatingly painful at the beginning and frozen - now frozen with reduces mobility and pain eased with anti inflammatories and painkillers. Fathizadeh H., Afshar S., Masoudi M.R., Gholizadeh P., Asgharzadeh M., Ganbarov K., et al. Shoulder Elbow. In such cases, subacromial-subdeltoid bursitis may occur, leading to shoulder dysfunction and ongoing pain. Give this folk rock duo 27 minutes. National Library of Medicine Boonsri P., Chuaychoosakoon C. Combined subacromial-subdeltoid bursitis and supraspinatus tear following a COVID-19 vaccination: a case report. Report of 3 cases. Its very common to experience some temporary soreness where you receive an injection. The Centers for Disease Control and Prevention (CDC) recommends a range of vaccines for most people to help prevent dangerous diseases. 2010;28(51):80498052. official website and that any information you provide is encrypted Medical professionals can avoid causing their patients unnecessary and avoidable harm by staying up to date on their vaccination knowledge and by practicing proper vaccination techniques, including correct placement. and transmitted securely. 2023 Apr 3:1-7. doi: 10.1007/s00256-023-04334-3. J Family Med Prim Care. COVID-19; Frozen shoulder; adhesive capsulitis; epidemiology; incidence; pandemic. The site is secure. Shoulder Injury Related to Vaccine Administration (SIRVA) in 16 Patients Following COVID-19 Vaccination Who Presented to Chiropractic, Orthopedic, and Physiotherapy Clinics in Hong Kong During 2021. All patients who were diagnosed with idiopathic FS were included. Accessibility Effect of nonoperative concomitant intraarticular pathologies on the outcome of arthroscopic capsular release for adhesive capsulitis of the shoulder. What causes frozen shoulder? In the present study, 10 patients (9 women and 1 man) with a mean age of 538 years (range, 43-68 years) who presented to the shoulder surgeons practice center with painful stiffness of the shoulder after COVID-19 vaccination between June 1 and September 30, 2021, were retrospectively evaluated. In most cases, symptoms such as swelling, discomfort, and fever indicate that the body is building immunity. In the long term, the condition can decrease a persons range of motion. 8600 Rockville Pike doi: 10.1016/j.vaccine.2010.10.005. ( A ) A, MeSH Vaccine. Last medically reviewed on January 17, 2022, This Special Feature gives tips about dealing with COVID-19 vaccine side effects, including which home care techniques can help and when to contact a. The condition typically progresses through three stages. Shoulder Injury Related to Vaccine Administration and a Growing Challenge: A Focused Review. Hence, the purpose of this case series was to describe the clinical presentation and short-term follow-up of patients who developed frozen shoulder after COVID-19 vaccination. Bethesda, MD 20894, Web Policies For a very benign process that almost never ends up in surgery, it is miserable for the people that have a really severe case of it, she said. Often, SIRVA treatment includes one or more of the following: The exact treatment a person receives differs from person to person, depending on their symptoms. Our article is reporting only a rare problem after the vaccine, and it is not meant to raise doubts about the efficacy or overall usefulness of the vaccine. A 2021 report notes two cases of SIRVA following administration of mRNA COVID-19 vaccinations. To avoid injury, its important not to inject the vaccination too high or too low on the upper arm. If a medical professional administers the injection improperly, this can cause injury to the shoulder joint, leading to pain and swelling. Risk factors in idiopathic adhesive capsulitis: a case control study. Persistent Shoulder Pain After Vaccine Administration Is Associated with Common Incidental Pathology: A Systematic Review. Shoulder injury after vaccination: a systematic review. The side of involvement was the same shoulder as the vaccination side in all patients in this series. Epub 2022 Jun 8. 2022 Aug 12;40(34):4964-4971. doi: 10.1016/j.vaccine.2022.06.002. Here, we present a series of 10 consecutive patients who presented with shoulder pain and stiffness after COVID-19 vaccination to a senior shoulder surgeons practice center. Hence, we recommend that if the patients have any pre-existing mild shoulder pain, vaccination should be taken with due caution, especially in terms of the technique, as their shoulder symptoms may worsen after the vaccination. Epub 2018 Apr 24. Keywords: For patients presenting with unremitting shoulder pain and reduced shoulder range of motion after recently receiving a SARS-CoV-2 vaccine, clinicians should consider SIRVA in their differential diagnosis, along with septic arthritis. 1. Can you get a covid booster and a flu shot together? The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). 2020;16:413414. All rights reserved. To distinguish frozen shoulder from other shoulder ailments with similar symptoms, experts recommend getting a physical exam from a health-care provider. The pain is gone, but they still have not regained their mobility.