Current and future advances in practice: tendinopathies of the shoulder.

Littlewood, Chris, Moffatt, Maria ORCID: 0000-0002-8385-7418, Maher, Natasha and Irving, Greg (2023) Current and future advances in practice: tendinopathies of the shoulder. Rheumatology advances in practice, 7 (3). rkad086-rkad086. ISSN 2514-1775, 2514-1775

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Official URL: https://doi.org/10.1093/rap/rkad086

Abstract

Tendinopathies of the shoulder are a burdensome problem. Current treatments include exercise, physical therapies, corticosteroid injections and surgery. However, the clinical outcomes from randomized controlled trials evaluating the effectiveness of these interventions are largely unremarkable. Given the apparent lack of progress in improving clinical outcomes for patients, it is appropriate to consider other avenues. Research has identified a link between lifestyle-related modifiable risk factors, including smoking, overweight and physical inactivity, and the onset and persistence of tendinopathies of the shoulder. Further research is required to understand whether addressing these factors results in better clinical outcomes for patients. Teachable moments and shared decision-making are concepts that could enable clinicians to integrate the assessment and management of these lifestyle factors. Given that these lifestyle factors also increase the risk of developing other common morbidities, including cardiovascular disease, an evolution of routine clinical care in this way could represent an important step forwards.

Item Type:	Article
Uncontrolled Keywords:	corticosteroid, exercise, lifestyle, rehabilitation, review, risk factors, rotator cuff, shoulder, surgery, tendinopathy
Divisions:	Faculty of Health and Life Sciences Faculty of Health and Life Sciences > Institute of Population Health Faculty of Health and Life Sciences > Institute of Population Health > School of Health Sciences
Depositing User:	Symplectic Admin
Date Deposited:	26 Mar 2024 10:25
Last Modified:	06 Dec 2024 14:17
DOI:	10.1093/rap/rkad086
Open Access URL:	https://doi.org/10.1093/rap/rkad086
Related URLs:	Author Publisher
URI:	https://livrepository.liverpool.ac.uk/id/eprint/3179946