Primary care rheumatology
A systematic review found that arthrographic distension (intraarticular dilation or hydroplasty) of the glenohumeral joint reduced pain and improved short-term function in patients with adhesive capsulitis .A meta-analysis in patients with fibromyalgia found that antidepressant therapy improved pain, fatigue, mood, sleep, and health-related quality of life . The effect size was greatest with tricyclic antidepressants but there were no trials directly comparing antidepressants.
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