personification vs animation | frozen shoulder after covid vaccine
It is most common in women between 40-70 years old. Accessibility In the present study, 10 patients (9 women and 1 man) with a mean age of 538 years (range, 43-68 years) who presented to the shoulder surgeons practice center with painful stiffness of the shoulder after COVID-19 vaccination between June 1 and September 30, 2021, were retrospectively evaluated. They learn how to avoid injury when giving a shot, so they are aware of the risks of improper administration. See this image and copyright information in PMC. 2023 Healthline Media UK Ltd, Brighton, UK. Report of 3 cases. Once you get into this cascade of a little bit of inflammation or microtrauma that leads to more inflammation, that just sets off the whole cycle of adhesive capsulitis, where the capsule, which is normally really thin like a piece of tissue paper almost, then becomes really thick and like cardboard, and thats how your shoulder gets tight and you lose range of motion.. Any medical information published on this website is not intended as a substitute for informed medical advice and you should not take any action before consulting with a healthcare professional. One of the seven patients was treated with combined intravenous antibiotic and oral non-steroidal anti-inflammatory drug (NSAID) because septic arthritis of the shoulder could not initially be ruled out, and recovered within 2 weeks. 1982;9:893898. At presentation, the mean active shoulder elevation ROM was 10323.5 (range, 68-135), and the mean active shoulder external rotation ROM was 29 9 (range, 15-45). Over-the-counter anti-inflammatory medications, such as Advil or Motrin, can also help people manage inflammation. Int J Surg Case Rep. 2022 Oct;99:107686. doi: 10.1016/j.ijscr.2022.107686. Magnetic resonance imaging (MRI) was not advised as an investigation, as it does not help in the management.21 However, 3 patients already had an MRI with them at the time of initial consultation. (2019). Twenty-five patients diagnosed as idiopathic frozen shoulder were seen in the shoulder surgeons practice center between June 1 and September 30, 2021. sharing sensitive information, make sure youre on a federal 2023 Apr;18(2):613-617. doi: 10.1016/j.jds.2022.08.018. Expert Rev Vaccines. Bookshelf This site needs JavaScript to work properly. The https:// ensures that you are connecting to the (2021). Frozen shoulder, also called adhesive capsulitis, involves stiffness and pain in the shoulder joint. -. Six patients (60%) had no symptoms in their affected shoulder, and 4 (40%) patients had mild, intermittent shoulder pain before the vaccination (TableI). Unable to load your collection due to an error, Unable to load your delegates due to an error, Photograph of the patient receiving her first dose of the COVID-19 vaccine (Oxford-AstraZeneca, Serum Institute of India) in Brazils vaccination program into the upper third of the right deltoid muscle, which is considered higher than the recommended area (red circle), Subacromial-subdeltoid bursitis on the right shoulder 8weeks after the COVID-19 vaccination. What makes SIRVA different from other shoulder injuries is its association with vaccination. People who are diabetic, for instance, are known to have longer, tougher courses. Unauthorized use of these marks is strictly prohibited. All rights reserved. Curr Sports Med Rep. 2022 Mar 1;21(3):78-83. doi: 10.1249/JSR.0000000000000939. Please enable it to take advantage of the complete set of features! Only 2 patients had undergone steroid injection treatment, and the rest of the patients were still undecided. 2017;26:18341837. "From a biological standpoint, there's some theories on how if you get covid, then your body is sort of in a heightened inflammatory state, and frozen shoulder fundamentally is an inflammation. Wang K., Ho V., Hunter-Smith D.J., Beh P.S., Smith K.M., Weber A.B. Deu said some of his patients have reported increased shoulder pain after receiving the flu or coronavirus vaccines, which may be the result of the shots being given too highin the upper arm, causing inflammation. 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. The three stages of a frozen shoulder In the early phase, the shoulder simply hurts and the pain gradually worsens. Frozen shoulder often occurs when people are in their 40s to60s and happens more ofteninwomen than men, expertssaid. Szari S, et al. MeSH (, Ultrasonographic images of the right shoulder of Patient 7. Vaccine. Four of the seven patients were male, and the average age was 62.29 7.76 years. Workplace Health Saf. Keywords: ( A ) A, Ultrasonographic images of the right shoulder of Patient 7. J Shoulder Elbow Surg. FOIA Accessibility 1875642. All SIRVAs were from an incorrect injection technique and not actually the vaccination, so our series highlights the importance of ensuring all vaccinators understand the importance of taking proper care with the injection technique. 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. Shoulder injury related to vaccine administration (SIRVA) is an uncommon event, but can occur after vaccination for SARS-CoV-2. 2022 Jun 30;95(2):217-220. eCollection 2022 Jun. The VAS pain score was similar in both groups: mean 6 2 and 7 2, respectively (P = .06). Frozen shoulder cases can resolve on their own without treatment, experts said, but it can take a long time. Ministry of Health and Family Welfare; Government of India Indian COVID-19 vaccine tracker. PMC (2021). HHS Vulnerability Disclosure, Help Would you like email updates of new search results? Results: Frozen shoulder, also called adhesive capsulitis, happens when the ligaments that hold the shoulder joint in place tighten due to inflammation and restrict the joint's movement. Vaccines and summer travel what families need to know, Take an overnight trip with your two-wheeled vehicle. One patient had mild pain after the first dose of the vaccine and an aggravated pain and ROM restriction after the second. New research has found that there may be an ideal mix of non-opioid medication that can effectively treat lower back pain in many patients. Our website services, content, and products are for informational purposes only. doi: 10.1016/j.jse.2017.03.015. Shoulder injury following COVID-19 vaccine administration: a case series and proposed diagnostic algorithm. Photograph of the injection being given to Patient 1. We link primary sources including studies, scientific references, and statistics within each article and also list them in the resources section at the bottom of our articles. See additional information. 2022 Aug 12;40(34):4964-4971. doi: 10.1016/j.vaccine.2022.06.002. and transmitted securely. Bethesda, MD 20894, Web Policies Epub 2022 Jun 8. Shoulder specialists typically reserve surgery for people who are past the inflammatory stage and are no longer seeing progress through physical therapy. Whats more, even though a frozen shoulder operation also known as a capsular release is arthroscopic and minimally invasive, surgery is traumatic, she said, and can amplify inflammation and stiffness if the joint is actively inflamed. 2022 Jun 30;95(2):217-220. eCollection 2022 Jun. Shoulder injury related to vaccine administration (SIRVA) after COVID-19 vaccination. The most common side effects from vaccination, including the COVID-19 vaccines and boosters, are mild. The mean duration of presentation since the onset of symptoms was 8.43.6 weeks (range, 6-18 weeks). National Library of Medicine Could the frozen shoulder ethology be immune mediated? Hand G.C.R., Athanasou N.A., Matthews T., Carr A.J. Can adhesive capsulitis of the shoulder be a consequence of COVID-19? Bethesda, MD 20894, Web Policies and transmitted securely. How to administer intramuscular and subcutaneous vaccine injections. However, by describing this hitherto unreported problem after COVID-19 vaccine, we hope that frozen shoulder after vaccination can be identified and treated appropriately and timely. In such cases, subacromial-subdeltoid bursitis may occur, leading to shoulder dysfunction and ongoing pain. the contents by NLM or the National Institutes of Health. 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. In our series, the most common cause of SIRVA was an incorrect vaccination technique. When should you see a doctor for shoulder pain after a vaccine? J Am Acad Orthop Surg Glob Res Rev. Epub 2022 Mar 23. Bursitis; COVID-19; MRI; SIRVA; Shoulder; Ultrasound; Vaccine. doi: 10.1016/j.vaccine.2010.10.005. National Library of Medicine Symptoms developed immediately after the vaccination in 6 patients (60%), at 48 hours in 1 patient (10%), and at 10 days in 3 patients (30%). Surg. KEY POINTS. Manual therapy and exercise for adhesive capsulitis (frozen shoulder). -, Chan J.H., Ho B.S., Alvi H.M., Saltzman M.D., Marra G. The relationship between the incidence of adhesive capsulitis and hemoglobin A1c. If there are no contraindications, we suggest this as the first line treatment for COVID-19-related SIRVA. Adhesive capsulitis; COVID-19; Frozen shoulder; SIRVA; Shoulder pain; Stiffness; Vaccine. Newsletter: Sign up for Eat Voraciously one quick, adaptable and creative recipe in your inbox every Monday through Thursday. Shoulder Injury Related to Vaccine Administration (SIRVA) with COVID-19 vaccination - A case report. As the pain and inflammation worsen, stiffness starts to set in, because the quality of capsule tissue is changing, Bishop said, likening the process to tightening a belt around the shoulder., This freezing phase is the worst place to be, she said. Epub 2022 Mar 21. 2020;38:10761083. Eight patients (80%) had a comorbidity during presentation (4 patients with hypothyroidism, 3 patients with diabetes mellitus, and 1 patient with prediabetes/hyperglycemia). Surg. -. 8600 Rockville Pike Yet one of the most common complaints from people whove received a vaccination is soreness in the upper arm or shoulder where they receive the vaccination. Frozen shoulder is a condition that results in development of thickened, fibrosed joint capsule, contraction of the joint, and reduced intra-articular volume. Symptoms are severe if theyre persistent and do not resolve with taking over-the-counter pain medications. In our small series of 10 patients, all patients had prolonged (>1-month duration) and moderate to severe limitations of shoulder ROM and were diagnosed as frozen shoulder; thus, full-blown frozen shoulder may also develop after COVID-19 vaccination. It may be a normal reaction at the injection site. Bishop agreed. doi: 10.1080/00015458.2012.11680872. As people age, it is common to see some fraying or partial tearing of tendons, which will show up on the detailed image produced by an MRI and may complicate the diagnosis. Weisel B, et al. Before For a very benign process that almost never ends up in surgery, it is miserable for the people that have a really severe case of it, she said. Epub 2023 Jan 17. 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Frozen shoulder (also called adhesive capsulitis) is a common disorder that causes pain, stiffness, and loss of normal range of motion in the shoulder. 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. Acta Chir Belg. Med Sci Monit. Disclaimer. But there have been earlier reports on shoulder stiffness and frozen shoulder after influenza vaccination.1,8 Furthermore, a recent increase in the presentation of frozen shoulder immediately after the vaccination, as seen in our series, should be an eye-opener and should lead to further research and improvement of our understanding behind the frozen shoulder etiopathogenesis. Fathizadeh H., Afshar S., Masoudi M.R., Gholizadeh P., Asgharzadeh M., Ganbarov K., et al. 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. Such severe reactions to vaccines are very rare, but they do occur. redness, swelling or bruising at and around the injection site. But experts cautioned against getting an MRI. (, MeSH The site is secure. Case series of 12 patients. The pain is gone, but they still have not regained their mobility. Shoulder injury related to vaccine administration (SIRVA): petitioner claims to the National vaccine injury compensation program, 20102016. This site needs JavaScript to work properly. They are part of the bodys natural process of building immunity. Shoulder stiffness: current concepts and concerns. Keywords: Results: . Bulgen D.Y., Hazleman B.L., Ward M., McCallum M. Immunological studies in frozen shoulder. Clinical variables recorded in all patients included duration of symptoms, comorbidities, presence of discomfort or mild pain before the vaccination event, the lag period between the development of pain and the vaccination event, type of vaccine, follow-up period, shoulder ROM, and visual analog scale pain scores at baseline and at latest follow-up. Yale J Biol Med. Overview. HHS Vulnerability Disclosure, Help Eur J Psychotraumatol. There is no one standard treatment for SIRVA. Nine patients (90%) received a nonreplicating viral vector type vaccine (Covishield vaccine; Serum Institute of India, India),16 and 1 patient received an inactivated whole virus vaccine (Covaxin vaccine; Bharat Biotech International Limited, India)16 (TableI). Scientists estimate that the first rounds of COVID-19 vaccines administered between December 2020 and December 2021 prevented 20 million deaths in 1 year. Researchers say antidepressants are effective in treating mental health symptoms, but they don't appear to be effective in easing chronic pain, Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. We offer a series of seven SIRVA cases including clinical presentations, investigations and treatment outcomes. Ten patients (9 women and 1 man) with a mean age of 538 years (range, 43-68 years) developed painful shoulder stiffness following COVID-19 vaccination. The Posts best advice for living during the pandemic. Eventually, she said, frozen shoulders will thaw out, meaning the stiffness goes away, and the joint returns to normal. -, Galeotti C., Bayry J. Autoimmune and inflammatory diseases following COVID-19. the side effects do not go away after 23 days. Symptoms developed immediately after the vaccination (within 24 hours) in 6 patients (60%), at 48 hours in one patient (10%), and at 10 days in 3 patients (30%; TableI). FOIA The site is secure. However, improper vaccination technique can cause SIRVA, which can damage the shoulder joint. Accessibility Shoulder injury related to vaccine administration (SIRVA) after COVID-19 vaccination. Advisory Committee on Immunization Practices (ACIP). During the COVID-19 pandemic, there was a significant increase in the incidence of patients with FS. Here's what you need to know about the causes of forearm pain, plus how to treat it. -, Atanasoff S., Ryan T., Lightfoot R., Johann-Liang R. Shoulder Injury Related to Vaccine Administration (SIRVA) Vaccine. Is the ketogenic diet right for autoimmune conditions? While reactions vary by vaccination type, it is typical for individuals to experience irritation and inflammation after getting the vaccine. Most of the time, this soreness is mild and will go away without treatment in a few days. Shoulder injury related to vaccine administration. Septic arthritis of shoulder joint following a COVID-19 vaccination: A case report. Some stiffness, pain, and swelling for several days after the vaccination is a normal reaction. During the first stage, moving the shoulder becomes painful. If the condition is diagnosed in the inflammatory phase, Deu said a cortisone shot injected into the joint can help reduce inflammation and pain, allowing people to potentially start range-of-motion exercisessooner. Correct intramuscular administration is crucial to prevent post-vaccination frozen shoulder and on the other hand, physicians' awareness is needed to recognize this feature early on. Epub 2022 Jun 8. A larger study and a longer follow-up will be needed and is currently underway to accurately define the prognosis and significance of the frozen shoulder after vaccination. SIRVA is thought to occur as a result of improper administration of vaccine into the subdeltoid bursa or shoulder joint. Ibuprofen and ulcers: What Rep. Debbie Dingells emergency surgery can teach us. All the patients were examined by the shoulder surgeon. Injuries were predominantly shoulder pain and dysfunction (due to pain, joint-range restriction, bursitis, and stiff shoulder), and patients reported that the vaccines were administered "too high" on the arm. Instead, Fu and other experts said, early detection is important. Less commonly, an individual may experience more extensive shoulder pain after getting the COVID-19 vaccine. J Family Med Prim Care. The mean waiting time from referral to appointment was not significantly different between the control and the pandemic group: 58 30 days vs. 55 27 days (P = .30). To date, there have been no case series of patients diagnosed as SIRVA following a COVID-19 vaccination. However, the injury is often underreported, and therefore, it is hard to determine just how common SIRVA with the COVID-19 vaccine is. 2021;68:102622. doi: 10.1016/j.amsu.2021.102622. Long-term outcome of frozen shoulder. 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). SARS-CoV-2 (Covid-19) vaccines structure, mechanisms and effectiveness: a review. According to another 2021 report, a 52-year-old Thai male experienced shoulder pain with limited range of motion 3 days after getting the Sinovac COVID-19 vaccine. Itoi E., Arce G., Bain G.I., Diercks R.L., Guttmann D., Imhoff A.B., et al. 2012;16(11):1-264. doi: 10.3310/hta16110. Clipboard, Search History, and several other advanced features are temporarily unavailable. Disclaimer. Vaccine. 1978;37:135138. This site needs JavaScript to work properly. Shoulder injury related to vaccine administration: case series of an emerging occupational health concern. NCI CPTC Antibody Characterization Program, Ascani C., Passaretti D., Scacchi M., Bullitta G., De Cupis M., Pasqualetto M., et al. Patients after COVID-19 vaccination may develop frozen shoulders that will need to be treated for an extended period. The other six patients had shoulder pain without acute fever, and five of them were treated with only oral prednisolone 30 mg/day for 5-10 days, following which the pain improved and they all could return to normal activities within 14 days, with no side effects from the prednisolone such as stomachache, nausea, vomiting, headache, or dizziness. Two of the seven patients visited the orthopedic clinic after the persistent shoulder pain for 3 and 4 days and the other five patients 1-9 weeks following their injections. Hesse E.M., Atanasoff S., Hibbs B.F., Adegoke O.J., Ng C., Marquez P., et al. To avoid injury, its important not to inject the vaccination too high or too low on the upper arm. Subacromial-subdeltoid bursitis following COVID-19 vaccination: a case of shoulder injury related to vaccine administration (SIRVA). performing a physical examination and requesting a focused medical history, including history of vaccinations, ordering magnetic resonance imaging (MRI), which can show the extent of damage to the tendons and muscles caused by SIRVA and help inform treatment, possibly recommending medical imaging of your shoulder to get a definitive diagnosis of SIRVA, a course of prescription anti-inflammatory medication, such as an NSAID or oral steroid, physical therapy to help alleviate pain and increase range of motion. 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/. There were 9 women and 1 man in our cohort with an average age of 53 years; our finding agrees with earlier reports that the average age is around 51 years,13 and women are more likely to be affected by SIRVA.1 The onset of symptoms after vaccination was immediate in 6 patients, at 48 hours in 1 patient, and at 10 days in 3 patients. Careers, Unable to load your collection due to an error. Please enable it to take advantage of the complete set of features! ( A ) A, Ultrasonographic images of the right shoulder of Patient 6. Federal government websites often end in .gov or .mil. Reports of shoulder dysfunction following inactivated influenza vaccine in the Vaccine Adverse Event Reporting System (VAERS), 20102016. Covishield is a nonreplicating adenoviral vector vaccine (ChAdOx1 nCoV-19) produced by Serum Institute of India in collaboration with AstraZeneca. Vaccine. and transmitted securely. Persistent Shoulder Pain After Vaccine Administration Is Associated with Common Incidental Pathology: A Systematic Review. If your shoulder pain is intense and doesnt resolve on its own within a week of vaccination, you should make an appointment with a doctor. A SIRVA diagnosis should not prevent receiving future vaccines. COVID-19; complication; shoulder injury; vaccination. -, Bulgen D.Y., Binder A., Hazleman B.L., Park J.R. Immunological studies in frozen shoulder. It affects mainly people ages 40 to 60 women more often than men. Would you like email updates of new search results? sharing sensitive information, make sure youre on a federal Often, SIRVA treatment includes one or more of the following: The exact treatment a person receives differs from person to person, depending on their symptoms. Copyright 2022 Journal of Shoulder and Elbow Surgery Board of Trustees. -, Batra S, Page B. These side effects of COVID-19 vaccines, such as frozen shoulder, may likely be seen more commonly in the future because of the number of vaccine doses already crossing a figure of 900 million in India, 396 million in the United States, and 6 billion worldwide.12. But an estimated 1 to 2 million people who are vaccinated each year with just the flu shot experience severe shoulder pain and limited range of motion. PMC Unable to load your collection due to an error, Unable to load your delegates due to an error. The mean pain visual analog scale score was 6.51.9 (range, 2.5-8), and both active and passive range of motion were limited in all the patients at the time of presentation. Muscle soreness and achy joints are common symptoms among COVID-19 patients. 2020;185:E298E300. The timeline of a frozen shoulder is drastically different depending on the person, Bishop said. A larger study and a longer follow-up will be needed and is currently underway to accurately define the prognosis and significance of the frozen shoulder after vaccination. Chuaychoosakoon C., Parinyakhup W., Tanutit P., Maliwankul K., Klabklay P. Shoulder injury related to Sinovac COVID-19 vaccine: a case report. doi: 10.1177/1758573214560258. Page MJ, Green S, Kramer S, Johnston RV, McBain B, Chau M, Buchbinder R. Cochrane Database Syst Rev. Shoulder injury related to vaccine administration. Before Published by Elsevier Inc. All rights reserved. Guidance for vaccinated parents and unvaccinated kids, Use the library as a valuable (and free) resource for cookbooks, kitchen tools and more. Health & Wellness: What to know before your vaccine appointment | Creative coping tips | What to do about Zoom fatigue. 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). Home & Garden: Setting up a home workout space | How to help plants thrive in spring | Solutions for stains and scratches, Travel: Vaccines and summer travel what families need to know | Take an overnight trip with your two-wheeled vehicle. doi: 10.1055/s-0040-1719086. Please enable it to take advantage of the complete set of features! In the long term, the condition can decrease a persons range of motion. In some cases, people experience pain if a healthcare professional incorrectly injects the vaccine into the shoulder. The impact of the COVID-19 pandemic on frozen shoulder incidence rates and severity During the COVID-19 pandemic, there was a significant increase in the incidence of patients with FS. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Med. Im still doing things to try to continue the recovery. However, doctors may treat it as they would other shoulder injuries. Epub 2022 Jun 8. 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. Management of adults with primary frozen shoulder in secondary care (UKFROST): a multicentre, pragmatic, three-arm, superiority randomised clinical trial. Clinical relevance: 2021;69(2):6872. J Rheumatol. However,. This can occur within 48 hours of vaccination. Vaccinations of all types can cause redness, swelling, and pain. 2022 Oct 15;15(1):63. doi: 10.1186/s40545-022-00459-3. The aim of this study was to compare the incidence and severity of idiopathic FS before and during the pandemic. Unable to load your collection due to an error, Unable to load your delegates due to an error. We also explore how common they are and other safety. FOIA Eight of 10 patients had comorbidities that included diabetes, thyroid disorder, and prediabetes. Degenerative Disc Disease: Can Injections Help Relieve Back Pain? The hospital local Research Ethics Committee decided that no ethical approval is required. A shoulder injury related to vaccine administration (SIRVA) is a vaccination complication that can affect daily life activities. Keywords: Medical professionals learn how to properly administer vaccines through in-depth training during their education. Noll Wilson isnt alone. doi: 10.1002/14651858.CD011275. We retrospectively evaluated these 10 consecutive patients who complained of painful stiffness of the shoulder after COVID-19 vaccination. In the present study, 10 patients (9 women and 1 man) with a mean age of 53 8 years (range, 43-68 years) who presented to the shoulder surgeon's practice center with painful stiffness of the shoulder after COVID-19 vaccination between June 1 and September 30, 2021, were retrospectively evaluated. Methods: Unauthorized use of these marks is strictly prohibited. Shoulder Pain and Injury after COVID-19 Vaccination. Federal government websites often end in .gov or .mil. SIRVA has been defined as the development of shoulder symptoms within 48 hours of vaccination,13 but this definition is for medicolegal purposes and is not a true diagnostic criterion.1 Earlier reports on SIRVA after influenza vaccine have included patients with compensation claims for the vaccination injury13; hence, those patients were incentivized not to reveal the true extent of symptom severity or resolution.13 In contrast, our series includes patients from an orthopedic surgeons practice, and there were no compensation claims on the part of the patients. 2021;69:102819. doi: 10.1016/j.amsu.2021.102819. 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.
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As a part of Jhan Dhan Yojana, Bank of Baroda has decided to open more number of BCs and some Next-Gen-BCs who will rendering some additional Banking services. We as CBC are taking active part in implementation of this initiative of Bank particularly in the states of West Bengal, UP,Rajasthan,Orissa etc.
We got our robust technical support team. Members of this team are well experienced and knowledgeable. In addition we conduct virtual meetings with our BCs to update the development in the banking and the new initiatives taken by Bank and convey desires and expectation of Banks from BCs. In these meetings Officials from the Regional Offices of Bank of Baroda also take part. These are very effective during recent lock down period due to COVID 19.
Information and Communication Technology (ICT) is one of the Models used by Bank of Baroda for implementation of Financial Inclusion. ICT based models are (i) POS, (ii) Kiosk. POS is based on Application Service Provider (ASP) model with smart cards based technology for financial inclusion under the model, BCs are appointed by banks and CBCs These BCs are provided with point-of-service(POS) devices, using which they carry out transaction for the smart card holders at their doorsteps. The customers can operate their account using their smart cards through biometric authentication. In this system all transactions processed by the BC are online real time basis in core banking of bank. PoS devices deployed in the field are capable to process the transaction on the basis of Smart Card, Account number (card less), Aadhar number (AEPS) transactions.