Clinical recommendationEvidence ratingReferences
Most patients with chronic shoulder pain improve with nonoperative treatment. Worse outcomes are associated with severe pain, prolonged symptoms, or gradual onset.B4, 5
There is little evidence for or against the use of medication for chronic shoulder pain.B10
Physical therapy can provide improved short-term recovery and long-term function for rotator cuff disorders.B11
Although subacromial corticosteroid injections for rotator cuff disorders are very common in clinical practice, there is little evidence to support or refute its use.B1216
Glenohumeral joint injection has been shown to hasten the resolution of symptoms in patients with adhesive capsulitis, but most patients resolve without intervention, and interventions have not been shown to improve long-term outcomes.B16, 19