Subacromial Bursitis Persisting After Exercise Therapy and Corticosteroid Injection

Clinical Scenario

This protocol addresses subacromial bursitis that has become chronic and treatment-resistant — cases where first-line therapy did not achieve the expected outcomes within the anticipated timeframe.

First-Line Treatment — Failure Condition

The previous management included specific shoulder exercise therapy — eccentric training, scapular stabilization, myofascial trigger point treatment — and subacromial corticosteroid injection where indicated. This protocol is indicated when shoulder pain reduction and improved shoulder function were not achieved within 8 weeks of that first-line approach.

Next Step — Partial Overview

When first-line measures have not resolved subacromial pain syndrome and pain-perpetuating behavior is a contributing factor, the approach involves rehabilitation in a specialized setting. The complete structured regimen is available via the link below.

Instant Access to Structured Evidence-Based Regimens

References

DOI: 10.3109/17453674.2014.920991

Rehabilitation can be considered for chronic, treatment-resistant SAPS, where pain-perpetuating behavior plays a role.

Rehabilitation in a specialized unit can be considered in chronic, treatment resistant SAPS, with pain perpetuating behavior.

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