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Initial trial is always given to physical therapy. Failure of it would warrant an arthroscopic surgery.
Majority of people with above problems 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 initially. Thus following would be likely recommended to you;
1) passive stretching and later strengthening exercises
2) physical therapy
3) deep electrotherapy; iontophoresis, phonophoresis, short wave diathermy, electrical stimulation
4) local analgesic patch / ointment / spray
5) anti-inflammatory analgesics; Ibuprofen (Motrin / Advil)
6) ischemic compression therapy; pressure on the points
7) very mild massage
8) steroid shots
Those people who do not respond to the above are considered for the following;
1) A subacromial corticosteroid injection
2) A glenohumeral intra articular injection
3) Surgery; arthroscopic (usually) or open surgery, if all the above fail.
Please feel free for your follow up questions.
I would be happy to assist you further, if you need any more information.
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