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Who treats supraspinatus tendinopathy and when to scanSupraspinatus tendinopathy presents as gradually worsening outer-shoulder pain, worse with overhead reaching. A load-related tendon change distinct from structural tears, it resolves with physiotherapy in primary care for most patients; imaging and specialist assessment follow only when conservative care has not succeeded.Supraspinatus tendinopathy presents as gradually worsening outer-shoulder pain, worse with overhead reaching. A load-related tendon change distinct from structural tears, it resolves with physiotherapy in primary care for most patients; imaging and specialist assessment follow only when conservative care has not succeeded.
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When shoulder impingement pain needs a specialistStructured physiotherapy resolves shoulder impingement pain in 60–90% of cases. Specialist referral is warranted if pain persists after three months of treatment, or sooner if it disturbs sleep or restricts overhead arm movement.Structured physiotherapy resolves shoulder impingement pain in 60–90% of cases. Specialist referral is warranted if pain persists after three months of treatment, or sooner if it disturbs sleep or restricts overhead arm movement.
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Who treats shoulder impingement syndrome in the UKAbout half of shoulder impingement cases resolve within six weeks with painkillers and physiotherapy alone; longer-standing symptoms escalate through corticosteroid injections, then surgery only for those unresponsive to conservative treatment or with confirmed rotator cuff tears.About half of shoulder impingement cases resolve within six weeks with painkillers and physiotherapy alone; longer-standing symptoms escalate through corticosteroid injections, then surgery only for those unresponsive to conservative treatment or with confirmed rotator cuff tears.
