Research Article – Superior Physical Therapy

Research Article

March 18, 2019

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.

New CPG for atraumatic shoulder pain: choose exercise, physical therapy, occupational therapy over surgery

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:

  • First, decompression surgery is no more effective for relieving atraumatic shoulder pain than other treatment options—including physical therapy, analgesics, and shoulder injections. For instance, follow ups as far as two and five years out saw no significant difference in pain (as measured on the visual analog scale). The same goes for function when comparing arthroscopic surgery to other approaches.
  • Second, the researchers expanded their review to include observational studies evaluating post-operative harm, since “potential harms from surgery were incompletely reported” in the previous trials.  They found that the risks for complications—including bleeding, infections, peripheral nerve injury, anesthetic complications, and venous thromboembolism—was approximately 0.55% after 30 days post-op.

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DISCLAIMER: THIS WEBSITE DOES NOT PROVIDE MEDICAL ADVICE

The information, including but not limited to, text, graphics, images and other material contained on this website are for informational purposes only. The purpose of this website is to promote broad consumer understanding and knowledge of various health topics. It is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified health care provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health care regimen, and never disregard professional medical advice or delay in seeking it because of something you have read on this website.

Superior Physical Therapy does not recommend or endorse any specific tests, physicians, products, procedures, opinions or other information that may be mentioned on this website. Reliance on any information appearing on this website is solely at your own risk.

February 28, 2019

To determine the benefits and harms of
subacromial decompression surgery in adult patients
with subacromial pain syndrome lasting for more than
3months.



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DISCLAIMER: THIS WEBSITE DOES NOT PROVIDE MEDICAL ADVICE

The information, including but not limited to, text, graphics, images and other material contained on this website are for informational purposes only. The purpose of this website is to promote broad consumer understanding and knowledge of various health topics. It is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified health care provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health care regimen, and never disregard professional medical advice or delay in seeking it because of something you have read on this website.

Superior Physical Therapy does not recommend or endorse any specific tests, physicians, products, procedures, opinions or other information that may be mentioned on this website. Reliance on any information appearing on this website is solely at your own risk.

February 28, 2019

Knee MRI is increasingly used to inform clinical management. Features associated with osteoarthritis are often present in asymptomatic uninjured knees; however, the estimated prevalence varies substantially between studies. We performed a systematic review with meta-analysis to provide summary estimates of the prevalence of MRI features of osteoarthritis in asymptomatic uninjured knees.

Read More Through This Link


DISCLAIMER: THIS WEBSITE DOES NOT PROVIDE MEDICAL ADVICE

The information, including but not limited to, text, graphics, images and other material contained on this website are for informational purposes only. The purpose of this website is to promote broad consumer understanding and knowledge of various health topics. It is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified health care provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health care regimen, and never disregard professional medical advice or delay in seeking it because of something you have read on this website.

Superior Physical Therapy does not recommend or endorse any specific tests, physicians, products, procedures, opinions or other information that may be mentioned on this website. Reliance on any information appearing on this website is solely at your own risk.

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