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 .
Are intra-articular corticosteroid injections better than conventional TENS in treatment of rotator cuff tendinitis in the short run? A randomized study.
AIM Rotator cuff problems are common causes of pain and restriction of movement in shoulder . The aim of this study to compare the effect of intra-articular injection of corticosteroid and conventional transcutaneous electrical nerve stimulator ( TENS ) treatment in treatment of rotator cuff tendinitis . METHODS Subjects were r and omly allocated into Group 1 ( intra-articular injection of corticosteroid ) and Group 2 ( conventional transcutaneous electrical nerve stimulation-TENS ) . Outcome measurements were performed using the Visual Analogue Scale ( VAS ) for pain , range of motion ( ROM ) , the Shoulder Disability Question naire ( SDQ ) , the Short Form-36 ( SF-36 ) , and Beck Depression Scale ( BDS ) question naires and paracetamol consumption . RESULTS In both groups , significant improvement was observed in all weeks in VAS , ROM and SDQ scores ( P<0.05 ) . Improvement was detected in most of the SF36 scores at the end of the treatment in both groups ( P<0.05 ) , while no significant change was observed in BDI score ( P>0.05 ) . In both treatment groups ,  paracetamol consumption decreased in time ( P<0.05 ) . When the groups were compared , a significant difference was found between the groups in favor of Group 1 in terms of VAS-at night and VAS-at rest in weeks 1 , 4 and 12 , and VAS-during movement in week 1 and 12 ( P<0.05 ) . The comparison of two groups revealed a significant difference in favor of Group 1 in weeks 1 in the passive abduction and the active and passive IR ROM measurements ( P<0.05 ) . There was also a significant difference in favor of Group 1 observed in weeks 1 in SDQ scores ( P<0.05 ) . CONCLUSION Intra-articular injection of corticosteroid and conventional TENS are efficient in the treatment of rotator cuff tendinitis . When two treatments are compared , it may be concluded that intra-articular steroid injection was more effective especially in the first weeks regarding pain , ROM and disability . Otherwise , use of TENS allow to patients to increase activity level , improve function and quality of life like that in our study . TENS , as it is cheaper , non-invasive , more easily performed and efficient , may be preferable for the treatment of shoulder pain . Further studies are needed to include these results in the prospect i ve treatment guidelines
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 .