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 .
Low-energy extracorporeal shock-wave treatment (ESWT) for tendinitis of the supraspinatus. A prospective, randomised study.
We have performed a controlled , r and omised study to analyse the effects of low-energy shock-wave therapy ( ESWT ) on function and pain  in tendinitis of the supraspinatus without calcification . There were 20 patients in the treatment group and 20 in the control group . The former group received 6,000 impulses ( energy flux density , 0.11 mJ/mm2 ) in three sessions after local anaesthesia . The control group had 6000 impulses of sham ESWT after local anaesthesia . The patients were examined at six and 12 weeks after treatment by an independent observer who evaluated the Constant score and level of pain . We found an increase in function and a reduction of pain in both groups ( p < or = 0.001 ) . Statistical analysis showed no difference between the groups for the Constant score and for pain . We therefore do not recommend ESWT for the treatment of tendinitis of supraspinatus
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 .