改善症状：中等质量的证据显示，相对于疼痛持续长时间才接受麻醉下手法治疗的粘连性关节囊炎患者，早期接受麻醉下手法治疗患者症状改善更为明显。[36]Flannery O, Mullett H, Colville J. Adhesive shoulder capsulitis: does the timing of manipulation influence outcome? Acta Orthop Belg. 2007;73:21-25.http://www.ncbi.nlm.nih.gov/pubmed/17441653?tool=bestpractice.com
系统评价或者受试者＞200名的随机对照临床试验（RCT）。
改善症状：中等质量的证据显示，相对于疼痛持续长时间才接受麻醉下手法治疗的粘连性关节囊炎患者，早期接受麻醉下手法治疗患者症状改善更为明显。[36]Flannery O, Mullett H, Colville J. Adhesive shoulder capsulitis: does the timing of manipulation influence outcome? Acta Orthop Belg. 2007;73:21-25.http://www.ncbi.nlm.nih.gov/pubmed/17441653?tool=bestpractice.com
症状缓解：中等质量的证据显示，相比非手术的粘连性关节囊炎患者，关节镜下关节囊松解可使患者恢复速度更快，带来长期益处。[7]Berghs BM, Sole-Molins X, Bunker TD. Arthroscopic release of adhesive capsulitis. J Shoulder Elbow Surg. 2004;13:180-185.http://www.ncbi.nlm.nih.gov/pubmed/14997096?tool=bestpractice.com[45]Ide J, Takagi K. Early and long-term results of arthroscopic treatment for shoulder stiffness. J Shoulder Elbow Surg. 2004;13:174-179.http://www.ncbi.nlm.nih.gov/pubmed/14997095?tool=bestpractice.com[44]Nicholson GP. Arthroscopic capsular release for stiff shoulders: effect of etiology on outcomes. Arthroscopy. 2003;19:40-49.http://www.ncbi.nlm.nih.gov/pubmed/12522401?tool=bestpractice.com
系统评价或者受试者＞200名的随机对照临床试验（RCT）。
症状缓解：中等质量的证据显示，相比非手术的粘连性关节囊炎患者，关节镜下关节囊松解可使患者恢复速度更快，带来长期益处。[7]Berghs BM, Sole-Molins X, Bunker TD. Arthroscopic release of adhesive capsulitis. J Shoulder Elbow Surg. 2004;13:180-185.http://www.ncbi.nlm.nih.gov/pubmed/14997096?tool=bestpractice.com[45]Ide J, Takagi K. Early and long-term results of arthroscopic treatment for shoulder stiffness. J Shoulder Elbow Surg. 2004;13:174-179.http://www.ncbi.nlm.nih.gov/pubmed/14997095?tool=bestpractice.com[44]Nicholson GP. Arthroscopic capsular release for stiff shoulders: effect of etiology on outcomes. Arthroscopy. 2003;19:40-49.http://www.ncbi.nlm.nih.gov/pubmed/12522401?tool=bestpractice.com
短期疼痛缓解：与单纯口服皮质类固醇激素相比，口服泼尼松可以在短期内缓解疼痛，但证据治疗较差。[23]Binder A, Hazleman BL, Parr G, et al. A controlled study of oral prednisolone in frozen shoulder. Br J Rheumatol. 1986;25:288-292.http://www.ncbi.nlm.nih.gov/pubmed/3730737?tool=bestpractice.com
系统评价或者受试者＞200名的随机对照临床试验（RCT）。
短期疼痛缓解：与单纯口服皮质类固醇激素相比，口服泼尼松可以在短期内缓解疼痛，但证据治疗较差。[23]Binder A, Hazleman BL, Parr G, et al. A controlled study of oral prednisolone in frozen shoulder. Br J Rheumatol. 1986;25:288-292.http://www.ncbi.nlm.nih.gov/pubmed/3730737?tool=bestpractice.com
改善症状：4个月内多次皮质类固醇激素注射可以有效缓解由粘连性关节囊炎引起的症状，包括疼痛，肩关节功能受损及活动范围受限，但证据等级较低。[30]Shah N, Lewis M. Shoulder adhesive capsulitis: systematic review of randomised trials using multiple corticosteroid injections. Br J Gen Pract. 2007;57:662-667.http://www.ncbi.nlm.nih.gov/pubmed/17688763?tool=bestpractice.com
系统评价或者受试者＞200名的随机对照临床试验（RCT）。
改善症状：4个月内多次皮质类固醇激素注射可以有效缓解由粘连性关节囊炎引起的症状，包括疼痛，肩关节功能受损及活动范围受限，但证据等级较低。[30]Shah N, Lewis M. Shoulder adhesive capsulitis: systematic review of randomised trials using multiple corticosteroid injections. Br J Gen Pract. 2007;57:662-667.http://www.ncbi.nlm.nih.gov/pubmed/17688763?tool=bestpractice.com
