Margit Kooijman

48 TABLE 5. Management of late presentation of adhesive capsulitis * * multiple responses possible; ** significant at p < 0.05 level; na = not applicable V4 General practitioners (n = 84) Physiotherapists (n = 110) P-value N (%) N (%) Investigations Would not order any tests 31 (38) na X-ray 27 (33) na Ultrasound primary care 18 (22) na Ultrasound secondary care 21 (26) na CT scan 0 (0) na MRI scan 3 (4) na Blood tests (e.g. FBE, ESR) 3 (4) na Consultation management/advice Expectant observation only 2 (3) 7 (7) 0.201 Advice on home exercise 20 (25) 81 (76) ˂ 0.001 ** Activity/work modification 16 (20) 51 (48) ˂ 0.001 ** Psychosocial evaluation 5 (6) 19 (18) 0.020 ** Mobilisation na 89 (83) Massage na 20 (19) Exercise therapy na 76 (71) Prescribe medication: Over-the-counter- analgesics 8 (10) na Prescription analgesics 4 (5) na Prescription NSAIDs 19 (24) na Administer a glucocorticoid injection: 37 (44) na Referral Would not refer 5 (6) 72 (68) Orthopaedic surgeon 41 (51) na Physiotherapy – exercise therapy 29 (36) na Physiotherapy – mobilisation/massage 11 (14) na Physiotherapy – advice on activities of daily living, work, home exercises 15 (19) na Physiotherapy – not specified 6 (8) na Colleague physiotherapist for ultrasound na 4 (4) GP – not specified na 5 (5) GP for pain medication na 11 (10) GP for investigations (e.g. MRI) na 15 (14) GP for referral to orthopaedic surgeon na 13 (12) Prognosis – likely or very likely to: Recover within 2 weeks 1 (1) 0 (0) 0.251 Recover within 6 weeks 9 (11) 1 (1) 0.002 ** Recover within 1-2 years 61 (73) 97 (88) 0.006 ** Have a recurrence within 2 years 15 (18) 2 (2) ˂ 0.001 ** Have permanent difficulties with activities of daily life 19 (23) 13 (12) 0.045 ** Require surgery 9 (11) 1 (1) 0.002 **