CONTEMPORARY AND PROSPECTIVE DEVELOPMENTS IN THE MANAGEMENT OF SHOULDER TENDINOPATHIES
Abstract
Shoulder tendinopathies constitute a significant issue. Contemporary interventions encompass exercise, physical therapy, corticosteroid injections, and surgical procedures. Nonetheless, the clinical outcomes from randomized controlled trials assessing the efficacy of these therapies are predominantly unremarkable. In light of the evident stagnation in enhancing therapeutic outcomes for patients, it is prudent to explore alternative options. Research has established a correlation between lifestyle-related modifiable risk factors, such as smoking, obesity, and physical inactivity, and the emergence and maintenance of shoulder tendinopathies. Additional research is necessary to see if addressing these characteristics leads to improved clinical outcomes for patients. Teachable moments and shared decision-making are notions that could facilitate doctors in integrating the evaluation and management of various lifestyle issues. Considering that these lifestyle factors also elevate the chance of other prevalent morbidities, such as cardiovascular disease, an evolution of normal clinical care in this manner could signify a significant advancement.