A sling for several days until pain decreases may help in pain control. This should not be continued for more than a week without the addition of gentle daily range of motion exercises to prevent loss of motion. If from overuse, a steroid injection often is helpful in pain control. Most often is due to degenerative changes in a rotator cuff tendon. Avoidance of painful motions to the degree possible is important in control of pain.
Oral medications are as outlined above, the first line drugs for mild inflammation.
Amitriptyline may help night pain and improve sleep. At times the second line drugs referred to earlier may be required, especially at HS for sleep. Inform the patient that improvement is usually very slow and often requires much patience. F. Trochanteric bursitis 1. Injection of corticosteroid is the best form of therapy.