PA Medical News about soft tissue shoulder injuries

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Summary of an evidence-based guideline on soft tissue shoulder injuries and related disorders-Part 2: Management
Journal of Primary Health Care, 04/23/09

Robb G et al. - For the management of soft tissue shoulder disorders there is little evidence to support or refute the efficacy of common interventions for shoulder disorders in general and rotator cuff disorders in particular. For rotator cuff tendinosis and partial tears, use NSAIDs and subacromial corticosteroid injections with caution and provide a trial of supervised exercise. For frozen shoulders, intra-articular corticosteroid injection should be considered and refer for supervised exercise after acute pain has settled. For shoulder instability, good evidence supports the referral of physically active young adults for orthopaedic intervention following a first traumatic shoulder dislocation. While there is a dearth of good evidence, this guideline does provide a framework for the management of common soft tissue injuries of the shoulder.

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