Should patients experiencing chronic, atraumatic shoulder pain for three or more months undergo surgery?
A new paper recently published in the BMJ advises strongly against it. The paper’s authors summarized their evidence-based recommendations into a new Clinical Practice Guideline (CPG), which can help healthcare providers and their patients make more well-informed decisions regarding their course of care.
This new CPG specifically applies to two types of shoulder pain, described as “subacromial pain syndrome” and “rotator cuff disease.” Historically, surgeons performed arthroscopic decompression surgery as an invasive approach to symptom management.
But after a thorough review of two systematic reviews featuring over 1,000 patients, the authors discovered two key findings:
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