Key Treatment

Subacromial injection for rotator cuff disease or intra-articular injection for adhesive capsulitis may be effective, although the effect may be minimal and not well maintained (Buchbinder et al., 2003) (SOR: A).

The use of some physiotherapy interventions is indicated in specific and circumscribed cases of shoulder pain (Green et al., 2003) (SOR: B).

Little evidence supports the benefit of manual therapy for adhesive capsulitis, shoulder pain, or subacromial impingement syndrome (Ho et al., 2009) (SOR: A).

The use of acupuncture for shoulder pain can be neither recommended nor refuted (Green et al., 2005) (SOR: A).

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