In many instances , no or minimal attempts to screen were undertaken or reported .
Background Subacromial shoulder pain is a common clinical presentation with much diagnostic uncertainty .
Some of this uncertainty relates to the involvement of the cervical spine as a source or contribution to subacromial shoulder pain .
Currently , there is no accepted method of screening of the cervical spine in the presence of subacromial shoulder pain , which risks patients receiving misguided and /or ineffective interventions .
Objective To evaluate approaches used to screen the cervical spine in patients with subacromial shoulder pain .
Is local subacromial corticosteroid injection beneficial in subacromial impingement syndrome?
Subacromial corticosteroid injection is one of the most frequently used management tools in subacromial impingement syndrome ( SIS ) despite controversial reports on the efficacy . Our purpose , in this single blinded , r and omised and controlled study was to clarify whether the corticosteroid injection provides additional benefit when used with other conservative treatment modalities in 48 patients with stage 2 SIS . The patients were r and omly divided into three groups according to the two therapeutic injections applied with a 10-day interval : group 1 : 10 cc of 1 % lignocaine + 40 mg of methylprednisolone for the first and second injections , group 2 : 10 cc of 1 % lignocaine + 40 mg of methylprednisolone for the first injection and only 10 cc of 1 % lignocaine for the second injection , group 3 : only 10 cc of 1 % lignocaine for the first and second injections . All the patients were prescribed 500 mg of naproxen sodium to use two times daily , instructed to rest and perform Codman ’s pendulum exercises during the first 15 days . Shoulder pain during rest , activity , and causing disturbance of sleep was evaluated using a visual analogue scale and shoulder function was investigated by total Constant score and its subsectional parameters which are pain , daily living activities , active range of motion and strength before the therapy and 1 and 3 months after the therapy onset . Significant improvements from the baseline values in all pain and function parameters were observed at the first and second evaluation in all groups . Group 1 patients had more favourably improved values in pain causing sleep disturbance and daily living activity parameters than group 2 and 3 patients only in the 1st month after therapy onset . We found that subacromial corticosteroid injections in the acute or subacute phase of SIS provided additional short-term benefit without any complication when used together with nonsteroidal anti-inflammatory drugs ( NSAIDs ) and exercise
In many instances , no or minimal attempts to screen were undertaken or reported .
Background Subacromial shoulder pain is a common clinical presentation with much diagnostic uncertainty .
Some of this uncertainty relates to the involvement of the cervical spine as a source or contribution to subacromial shoulder pain .
Currently , there is no accepted method of screening of the cervical spine in the presence of subacromial shoulder pain , which risks patients receiving misguided and /or ineffective interventions .
Objective To evaluate approaches used to screen the cervical spine in patients with subacromial shoulder pain .