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An August 2022 study (1) examines the routine prescribing of exercise for rotator cuff-related shoulder pain. The researches write: “Exercise is considered to be both essential and at the forefront of the management of rotator cuff-related shoulder pain.. Despite this, many fail to substantially improve with exercise-based treatment. . . . The causal explanation for the beneficial effect of exercise for rotator cuff-related shoulder pain in clinical research is dominated by biomedical mechanisms (physical injury), despite a lack of supporting evidence.” 1 Powell JK, Schram B, Lewis J, Hing W. “You have (rotator cuff related) shoulder pain, and to treat

An August 2022 paper (1) compared Reverse total shoulder arthroplasty replacement with standard total shoulder arthroplasty (replacement). These are the findings: “Reverse total shoulder arthroplasty (Reverse total shoulder arthroplasty replacement), which was originally designed mainly for irreparable rotator cuff damage, has gained popularity in recent years for the treatment of advanced shoulder osteoarthritis instead of the clinically standard total shoulder arthroplasty (replacement). However, this Reverse total shoulder arthroplasty has some nonnegligible flaws such as higher complications rate and economic cost, not mention the following problems caused by irreversible physical structural damage. Therefore, the employment of Reverse total shoulder arthroplasty needs to

An August 2022 (1) opinion from Monash University writes: “Arthroscopic treatment should no longer be offered to people with subacromial impingement. In many people, subacromial impingement (or subacromial pain syndrome) is self-limiting and may not require any specific treatment. This is evident by the fact that almost 50% of people with new-onset shoulder pain consult their primary care doctor only once. The best-available evidence from randomized controlled trials indicates that glucocorticoid injection provides rapid, modest, short-term pain relief. Exercise therapy has also been found to provide no added benefit over glucocorticoid injection. Subacromial decompression (bursectomy and acromioplasty) for subacromial pain