Onset of Frozen Shoulder Following Pneumococcal and Influenza Vaccinations

Journal of Chiropractic Medicine
Zeina M SalehAbdullah Foad

Abstract

Adhesive capsulitis has been suggested as an adverse effect of vaccine administration into the shoulder area. The purpose of this case series is to report 3 cases of acute onset of adhesive capsulitis following pneumococcal and influenza vaccines. Patients reported painful shoulder and limited motion following routine vaccination. After clinical examination, a diagnosis of adhesive capsulitis was noted. All 3 patients were treated conservatively with physical therapy (active ranges of motion and active-assisted motion), nonsteroidal anti-inflammatory drugs, and activity modification with eventual resolution of symptoms. Reports implicating vaccination with adhesive capsulitis are rare. This case series raises the awareness of pneumococcal and influenza vaccinations as possible causes of adhesive capsulitis that appear to respond to standard treatment. Although vaccines are of tremendous importance in the prevention of serious illness, we emphasize the importance of administering them at the appropriate depth and location for each patient.

References

Oct 27, 2006·Vaccine·Marko Bodor, Enoch Montalvo
May 27, 2009·Current Reviews in Musculoskeletal Medicine·Robert C Manske, Daniel Prohaska
Oct 20, 2010·Vaccine·S AtanasoffR Johann-Liang
Sep 3, 2011·HSS Journal : the Musculoskeletal Journal of Hospital for Special Surgery·Joseph H Feinberg, Jeffrey Radecki
Oct 29, 2011·The Lancet Infectious Diseases·Michael T OsterholmEdward A Belongia
Nov 9, 2012·Journal of the American Board of Family Medicine : JABFM·Matthew G BarnesKaren Hogan
May 3, 2013·Journal of the American Pharmacists Association : JAPhA·Stephan L Foster, McLisa V Davis
Dec 11, 2013·Journal of the American Medical Directors Association·Tuen-Ching ChanFelix Hon-Wai Chan

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Citations

Jan 12, 2019·The Journal of the American Academy of Orthopaedic Surgeons·Lauren H Redler, Elizabeth R Dennis
Nov 26, 2020·Clinical Case Reports·Austin R Thompson, Erik R Ensrud
Jul 10, 2021·Revista Brasileira De Ortopedia·Paul J Cagle
Sep 29, 2021·BMC Musculoskeletal Disorders·Sara M SarasuaStephan G Pill

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