What causes frozen shoulder? Photograph of the injection being given to Patient 1. Wong W, et al. (2022). -, Chuaychoosakoon C., Parinyakhup W., Tanutit P., Maliwankul K., Klabklay P. Shoulder Injury Related to Sinovac COVID-19 Vaccine: A Case Report. Curr Sports Med Rep. 2022 Mar 1;21(3):78-83. doi: 10.1249/JSR.0000000000000939. sharing sensitive information, make sure youre on a federal Thus, it may also be difficult for physicians to appreciate the development of frozen shoulder after vaccination because of an absence of a well-understood basic etiopathogenetic mechanism. HHS Vulnerability Disclosure, Help That number is larger when factoring in all the various vaccinations beyond just the flu vaccine. Researchers in Italy, for instance, studied 12 people who reported shoulder stiffness and pain arising after COVID-19, with no apparent cause, according to a paper published in the peer-reviewed Journal of Shoulder and Elbow Surgery. Adhesive capsulitis; COVID-19; Frozen shoulder; SIRVA; Shoulder pain; Stiffness; Vaccine. Vaccines are intended to cause a response by the body, but doing so in the bursa will cause weeks of poor shoulder function. Accessibility Reports of SIRVA with the COVID-19 vaccine are scarce. official website and that any information you provide is encrypted Maund E, Craig D, Suekarran S, Neilson A, Wright K, Brealey S, Dennis L, Goodchild L, Hanchard N, Rangan A, Richardson G, Robertson J, McDaid C. Health Technol Assess. However, the condition is uncomfortable, and treatment may take time. government site. Healthline Media does not provide medical advice, diagnosis, or treatment. 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. Covishield is a nonreplicating adenoviral vector vaccine (ChAdOx1 nCoV-19) produced by Serum Institute of India in collaboration with AstraZeneca. Unable to load your collection due to an error, Unable to load your delegates due to an error, MRI images of the right shoulder of Patient 1; proton density-weighted images in (, MRI images of the right shoulder of Patient 2; proton density-weighted images in (, MRI images of the left shoulder of Patient 4; (, Ultrasonographic images of the right shoulder of Patient 5. We avoid using tertiary references. The authors declare no competing interests. Yale J Biol Med. (2022). Reliance Foundation Hospital, Mumbai, India, dKnee & Orthopaedic Clinic, Mumbai, India. Millions of doses of vaccines for the prevention of COVID-19 have been administered to adults worldwide during the pandemic. Vaccines have greatly reduced, and even completely eliminated, many infectious diseases in the United States and across the world. Our website services, content, and products are for informational purposes only. National Library of Medicine 2021;69:102819. doi: 10.1016/j.amsu.2021.102819. Avoiding shoulder injury from intramuscular vaccines - The Lancet To assess the severity of the condition, visual analog scale (VAS) for pain score and Subjective Shoulder Value (SSV) on presentation were recorded and the patients were categorized into 5 different treatment groups (0 injections, 1 injection, 2 injections, 3 injections, or capsular release). doi: 10.5435/JAAOSGlobal-D-22-00156. A misdiagnosis, Fu said, could be problematic for a persons recovery. General best practice guidelines for immunization: Best Practices Guidance of the Advisory Committee on Immunization Practices (ACIP). (2022). It is unclear if the pre-existing mild intermittent pain represented any pathology because the patients did not seek treatment for the mild pain; mild intermittent pain is perceived as a normal occurrence by many patients. (2021). Everybody wants to know, When is this going to end? And I cant tell anybody that, because it is very unique to just you and your biology, she said. FOIA Could the frozen shoulder ethology be immune mediated? This represents a relative increase of 39.8% (P < .001) in the incidence of patients with FS. There were 847 new patient consultations during the pandemic study period; of these, 232 were for idiopathic FS. 1982;9:893898. I knew it wasnt right, but because it would only happen at certain times at that point, I didnt think it was as serious as it was.. Careers. doi: 10.1016/j.vaccine.2019.11.032. Sukhija S, Singh S, Saxena S, Ambwani S, Khera PS. In its proposed rule, the Trump administration argued that shoulder injurieswhich can happen when vaccines are administered too high on the arm were not caused by the vaccines per se and therefore were not compensable injuries under the National Vaccine Injury Compensation Program (VICP). Saudi Arabia Mental Health Surveillance System (MHSS): mental health trends amid COVID-19 and comparison with pre-COVID-19 trends. Frozen shoulder, also called adhesive capsulitis, is estimated to occur in about 2 to 5 percent of the U.S. population, according to the American Physical Therapy Association. Health care providers, especially orthopedic surgeons, who will see patients with significant shoulder pain and stiffness should be aware that frozen shoulder can occur after COVID-19 vaccination; hence, such patients should be identified and treated early. Vaccine. A shoulder injury related to vaccine administration (SIRVA) is a vaccination complication that can affect daily life activities. Frozen shoulder is a severe shoulder dysfunction that takes more than a year to recover with the correct treatment, and 30%-40% of patients can have persistent mild to moderate symptoms at 2-3 years of follow-up.10 But, the data and discussion on frozen shoulder after COVID-19 vaccination are virtually absent from the literature.21 To date, there have been only 3 cases reports that have reported shoulder pain secondary to subacromial-subdeltoid bursitis after COVID-19 vaccination.2,6,7 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. J Rheumatol. Vaccine. Earlier reports have also noted that diabetes and thyroid disorders are risk factors for developing idiopathic frozen shoulder.20 Hence, the possibility of frozen shoulder should be considered in a patient with comorbidity who develops painful stiffness after the vaccination. Vaccine. 2022 Apr 12;10(4):588. doi: 10.3390/vaccines10040588. 2022 Jun 30;95(2):217-220. eCollection 2022 Jun. 8600 Rockville Pike Former President Jimmy Carter entered hospice care at home, the Carter Center announced over the weekend. The shoulder capsule its a thin lining around the joint itself has to maintain a delicate balance between flexibility, pliability and also integrity, Fu said. 2023 Apr;18(2):613-617. doi: 10.1016/j.jds.2022.08.018. All rights reserved. Med Sci Monit. What Should We Do after the COVID-19 Vaccination? Watson OJ, et al. The National Vaccine Injury Compensation Program covers SIRVA injuries, and individuals may qualify to receive compensation for SIRVA-related claims. Post-vaccination frozen shoulder syndrome. Report of 3 cases The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Septic arthritis of shoulder joint following a COVID-19 vaccination: A case report. Doctors use the term SIRVA, which stands for shoulder injury related to vaccine administration, to describe this. Clipboard, Search History, and several other advanced features are temporarily unavailable. COVID-19; complication; shoulder injury; vaccination. Nine patients were available for follow-up, and one was lost to follow-up. Theyll give you a musically heartbreaking world. sharing sensitive information, make sure youre on a federal This site needs JavaScript to work properly. Epub 2021 Oct 1. It is essential for many different body functions. doi: 10.1177/1715163518790771. The mean pain visual analog scale score was 6.5 1.9 (range, 2.5-8), and both active and passive range of motion were limited in all the patients at the time of presentation. Additionally, most of our patients with SIRVA from a COVID-19 injection responded well to oral prednisolone (30 mg/day). Persistent Shoulder Pain After Vaccine Administration Is Associated with Common Incidental Pathology: A Systematic Review. FOIA 2022 Jun 30;95(2):217-220. eCollection 2022 Jun. Shoulder injury related to vaccine administration: case series of an emerging occupational health concern. All patients were treated with oral nonsteroidal anti-inflammatory drugs and a standard rehabilitation regimen of home-based shoulder exercises as per the consultants standard protocol.18 Steroid injection in the shoulder under ultrasound control as per the existing standard protocol of the hospital was offered to the patient if the pain was not relieved after 1 month of oral nonsteroidal anti-inflammatory drug treatment. 2020;185:E298E300. Careers. Ann. Several case studies have reported SIRVA in people who received a COVID-19 shot. Vaccine. Still, Deu said, people with frozen shoulder should know that the various treatment options arent guaranteed to speed up recovery. Having to keep a shoulder still for a long period increases the risk of developing frozen shoulder. In most cases, symptoms such as swelling, discomfort, and fever indicate that the body is building immunity. The VAS pain score was similar in both groups: mean 6 2 and 7 2, respectively (P = .06). Degreef I., Debeer P. Post-vaccination frozen shoulder syndrome. What are the symptoms of frozen shoulder? 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. Disclaimer. Bancsi A, et al. 2022 Jun 30;95(2):217-220. eCollection 2022 Jun. 2023 Apr 3:1-7. doi: 10.1007/s00256-023-04334-3. What causes shoulder injury after a vaccination? As a library, NLM provides access to scientific literature. They learn how to avoid injury when giving a shot, so they are aware of the risks of improper administration. Int J Rheum Dis. government site. What's the New Phenomenon Called "COVID Vaccine Arm"? It is treated with physical therapy and sometimes steroid injection.. Statistical analysis was performed using the chi-square and Student t test for categorical and continuous variables, respectively. 2017;35(37):48704876. Less commonly, an individual may experience more extensive shoulder pain after getting the COVID-19 vaccine. Shoulder injury related to vaccine administration (SIRVA): petitioner claims to the National vaccine injury compensation program, 20102016. The mean visual analog scale score was 6.51.9 (range, 2.5-8), and both active and passive ROM were limited in all the patients at the time of presentation (TableII). Pain improved 90% and 70% in 2 patients, who had undergone shoulder steroid injection. Discussion and conclusion: 8600 Rockville Pike If there are no contraindications, we suggest this as the first line treatment for COVID-19-related SIRVA. Epub 2022 Sep 2. Workplace Health Saf. official website and that any information you provide is encrypted Acta Chir Belg. Unauthorized use of these marks is strictly prohibited. People who are diabetic, for instance, are known to have longer, tougher courses. Overview. Newsletter: Sign up for Eat Voraciously one quick, adaptable and creative recipe in your inbox every Monday through Thursday. Itoi E., Arce G., Bain G.I., Diercks R.L., Guttmann D., Imhoff A.B., et al. This can occur within 48 hours of vaccination. But they emphasized that a majority of frozen shoulder cases can be treated without surgery. Our study suffers from certain limitations. Photograph of the patient receiving her first dose of the COVID-19 vaccine (Oxford-AstraZeneca,, Subacromial-subdeltoid bursitis on the right, Subacromial-subdeltoid bursitis on the right shoulder 8 weeks after the COVID-19 vaccination. We report a case of subacromial-subdeltoid bursitis after COVID-19 vaccination, related to the unintentional injection of vaccine solution into the bursa resulting in a robust immune-mediated inflammatory reaction. the side effects do not go away after 23 days. SIRVA (Shoulder Injury Related to Vaccine Administration) following mRNA COVID-19 Vaccination: Case discussion and literature review. Further research is needed to evaluate a causal relationship between the COVID-19 pandemic and FS. Would you like email updates of new search results? Eight patients (80%) had a comorbidity during presentation (4 patients with hypothyroidism, 3 patients with diabetes mellitus, and 1 patient with prediabetes/hyperglycemia). 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. Two patients developed shoulder pain immediately following the injection, one patient about 3 h after the injection, and the other four patients within the next few days. The https:// ensures that you are connecting to the A description of frozen shoulder after COVID-19 vaccination is virtually absent from the orthopedic literature.21. Coronavirus pandemic (COVID-19) 2020. All rights reserved. Shoulder pain after the COVID vaccine: What to know - Medical News Today Bulgen D.Y., Hazleman B.L., Ward M., McCallum M. Immunological studies in frozen shoulder. Eight patients (80%) had a comorbidity during presentation (4 patients with hypothyroidism, 3 patients with diabetes mellitus, and 1 patient with prediabetes/hyperglycemia; TableI). A retrospective cohort study was performed to establish the incidence of FS during the pandemic, from March 2020 to January 2021 (pandemic study period), compared to the same time period 1 year earlier, before the pandemic (control group). 8600 Rockville Pike The data on frozen shoulder and shoulder injury related to vaccine administration (SIRVA) after coronavirus disease 2019 (COVID-19) vaccination are absent from the literature. Results: Epub 2022 Mar 21. Patients were diagnosed as having adhesive capsulitis or frozen shoulder if (1) active and passive ROM were restricted in at least 2 directions and external rotation (with the adducted arm) was restricted to 50% compared with opposite normal extremity (as per the FROST multicenter study diagnostic criteria17), (2) a normal shoulder radiograph, (3) pain and stiffness persisting for more than a month, and (4) absence of any apparent trauma or a secondary cause.14. (2019). Publication types Case Reports . Medical News Today has strict sourcing guidelines and draws only from peer-reviewed studies, academic research institutions, and medical journals and associations. The .gov means its official. MeSH Disclaimer. Shoulder stiffness: current concepts and concerns. Bookshelf 2023 Mar 9;7(3):e22.00156. (, MeSH Mayo Clinic Q and A: Treatment for frozen shoulder Frozen shoulder syndrome can be a severe manifestation of vaccination-related shoulder dysfunction. He received a diagnosis of bursitis, which resolved with treatment. 2021;69(2):6872. No significant difference in severity was observed. The site is secure. The Immunization Action Coalition (IAC) provides information on vaccine administration based on the Advisory Committee on Immunization Practices (ACIP) guidance: For most people, getting a vaccine is a simple procedure that causes few if any side effects. The pathology of frozen shoulder. ncbi.nlm.nih.gov/pmc/articles/PMC6347325/, cdc.gov/vaccines/hcp/acip-recs/general-recs/administration.html, sciencedirect.com/science/article/pii/S1930043321005872, who.int/news-room/facts-in-pictures/detail/immunization, cdc.gov/vaccines/covid-19/info-by-product/pfizer/reactogenicity.html, cdc.gov/vaccines/vac-gen/side-effects.htm, ncbi.nlm.nih.gov/pmc/articles/PMC8094125/, journals.sagepub.com/doi/pdf/10.1177/2165079919875161, ncbi.nlm.nih.gov/pmc/articles/PMC6707642/, thelancet.com/journals/laninf/article/PIIS1473-3099(22)00320-6/fulltext, journals.lww.com/jaaos/Abstract/2021/09010/Shoulder_Injury_Related_to_Vaccine_Administration.2.aspx, ncbi.nlm.nih.gov/pmc/articles/PMC8797178/. Accessibility 2021;56:299306. Is the ketogenic diet right for autoimmune conditions? The number is also expected to grow as vaccination numbers increase worldwide. Epub 2023 Jan 17. We spoke with researchers, physicians, and people with lived experiences of this effect to find, In this feature, we highlight the most common side effects of the Moderna COVID-19 vaccine.