Shoulder pain is common & frequently disabling. It’s confusing to know what to do. Here’s an open letter from one of the world’s top shoulder pain experts. Dr Jeremy Lewis co-author of The Shoulder: Theory and Practice.
“information that I hope may support you with decisions you will need to make about how best to find an answer for your symptoms. I would like to share with you information about shoulder pain and information about
imaging investigations,
injections,
surgical,
and nonsurgical management.
I would also like to share with you important
lifestyle factors that you need to be aware of, that may also help make sense of the symptoms you are experiencing.
This letter focuses on the 90% of people who experience non-traumatic shoulder pain. This letter includes important questions you should ask when you see a clinician. Remember, it is you, not the health professional, who is the most important person in healthcare. No decision should be made without you being fully and truthfully informed of the anticipated benefits, timeframes, and commitments you will need to address and the possible harm of any intervention. I hope you find this letter helpful.”
❇️ Most imaging findings are also present in asymptomatic people
❇️ Injections (cortisone) only provide short-term relief
❇️ PRP or Stem cell injections are experimental & lack evidence they are effective.
❇️ Surgery is not superior to rehab
❇️ Rehab is graduated exercise + lifestyle factors.
❇️ There is no “fix” or cure but there is management just as there is for Diabetes, Asthma, high blood pressure, etc.
https://pubmed.ncbi.nlm.nih.gov/35734842/
#Overutilization_of_Surgery
#Shoulder_and_Arm
Posted to FB on 2022-08-03 18:44:42