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SP0028 Personalised Treatment for Shoulder Pain
  1. R. Buchbinder1,2
  1. 1Monash Department of Clinical Epidemiology, Cabrini Health
  2. 2Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Australia

Abstract

Shoulder pain is a prevalent complaint and a frequent reason for seeking medical care. By far the most common cause of shoulder pain is rotator cuff disease; while other causes include adhesive capsulitis, glenohumeral arthritis, calcific tendinitis and acute rotator cuff tear. This presentation will discuss their evidence-based management as well as known evidence-practice gaps.

Studies suggest that primary care physicians lack confidence in making specific diagnoses. In addition there is a high and generally unwarranted overreliance upon imaging (especially X-Ray and ultrasound), image-guided injection and specialist referral. Key messages include: the diagnosis can usually be made by history and physical examination alone; imaging is not required in the majority of cases and exposes patients to potential harm; shoulder pain can frequently be managed with a conservative approach and often improves over time irrespective of the cause; and image-guided glucocorticoid injections are no more efficacious than anatomically guided injections.

Disclosure of Interest None declared

DOI 10.1136/annrheumdis-2014-eular.6282

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