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Hello Matthew , I am Dr. Arun and will be helping you today. The developmental variants of prominent sublabral recess and a sublabral foramen are usually not taken as significant causative for the symptoms. In the presence of these findings usually;1) The symptoms can take more time to resolve.2) The joint may be more prone for the injuries.
Majority of people will respond to physical therapy alone. The program should be daily and assisted by the physical therapist. The regimen consists of active and active-assistive range-of-motion exercises combined with stretching. Pain may occur early but within six to eight weeks progress is usually made. Other treatment modalities such as heat and massage may help. Nonsteroidal anti-inflammatory analgesics may also be beneficial. Deep electrotherapy in the form of short wave diathermy, Interferential current, trans cutaneous electrical stimulation, iontophoresis, phonophoresis also are very helpful. A subacromial-subdeltoid bursitis.may also need a steroid shot for the treatment. Please feel free for your follow up questions.
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