Subacromial Impingement Syndrome: Effectiveness of Pharmaceutical Interventions–Nonsteroidal Anti-Inflammatory Drugs, Corticosteroid, or Other Injections: A Systematic Review

Sande, Renske van der; Rinkel, Willem D.; Gebremariam, Lukas; Hay, Elaine M; Koes, Bart W.; Huisstede, Bionka M. A.

doi:10.1016/j.apmr.2012.11.041

Cited by 43 publications

(44 citation statements)

References 31 publications

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“…Comparisons were against placebo [94, 95], other pharmacological agents [48, 49, 96–100], corticosteroid injections [101], and no treatment [102, 103]. A few comparisons were made with other treatments such as laser and acupuncture [7]. Over 60% of the reviews on oral and topical analgesics were of high methodological quality while the rest were moderate.…”

Section: Resultsmentioning

confidence: 99%

“…NSAIDs and opioid analgesics (especially for acute pain) were generally found to be effective but beneficial effects were evident mostly in the short-term [7, 14, 16, 29, 38, 94, 104, 105]. Cyclooxygenase (Cox)-2 selective inhibitors (e.g.…”

Section: Resultsmentioning

confidence: 99%

“…Evidence base: The evidence base for the effectiveness of injections for musculoskeletal pain involved the synthesis of three clinical guidelines [16, 112, 113] and one care pathway document [38], six Cochrane reviews [104, 114–118] and 13 other systematic reviews [7, 64, 66, 101, 119–127]. The systematic reviews were mostly high in methodological quality.…”

Section: Resultsmentioning

confidence: 99%

“…However, for the overarching aim of reducing pain and improving function, recommendations are equivocal in respect to the effectiveness of various treatment options that are used across a range of common musculoskeletal pain presentations. For example, evidence for the effectiveness of corticosteroid injections for relief of shoulder or knee pain is inconsistent [6, 7]. Similarly, the efficacy and safety of simple analgesics and NSAIDs for reducing symptoms associated with osteoarthritis and back pain is uncertain [8–11].…”

Section: Introductionmentioning

confidence: 99%

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Effective treatment options for musculoskeletal pain in primary care: A systematic overview of current evidence

Babatunde¹,

Jordan²,

Windt³

et al. 2017

PLoS ONE

277

226

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Background & aimsMusculoskeletal pain, the most common cause of disability globally, is most frequently managed in primary care. People with musculoskeletal pain in different body regions share similar characteristics, prognosis, and may respond to similar treatments. This overview aims to summarise current best evidence on currently available treatment options for the five most common musculoskeletal pain presentations (back, neck, shoulder, knee and multi-site pain) in primary care.MethodsA systematic search was conducted. Initial searches identified clinical guidelines, clinical pathways and systematic reviews. Additional searches found recently published trials and those addressing gaps in the evidence base. Data on study populations, interventions, and outcomes of intervention on pain and function were extracted. Quality of systematic reviews was assessed using AMSTAR, and strength of evidence rated using a modified GRADE approach.ResultsModerate to strong evidence suggests that exercise therapy and psychosocial interventions are effective for relieving pain and improving function for musculoskeletal pain. NSAIDs and opioids reduce pain in the short-term, but the effect size is modest and the potential for adverse effects need careful consideration. Corticosteroid injections were found to be beneficial for short-term pain relief among patients with knee and shoulder pain. However, current evidence remains equivocal on optimal dose, intensity and frequency, or mode of application for most treatment options.ConclusionThis review presents a comprehensive summary and critical assessment of current evidence for the treatment of pain presentations in primary care. The evidence synthesis of interventions for common musculoskeletal pain presentations shows moderate-strong evidence for exercise therapy and psychosocial interventions, with short-term benefits only from pharmacological treatments. Future research into optimal dose and application of the most promising treatments is needed.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Effective treatment options for musculoskeletal pain in primary care: A systematic overview of current evidence

Babatunde¹,

Jordan²,

Windt³

et al. 2017

PLoS ONE

277

226

View full text Add to dashboard Cite

show abstract

“…To help physicians select the most appropriate non-surgical intervention and to identify gaps in scientific knowledge, we explored the effectiveness of these interventions. Articles on the evidence for effectiveness of extracorporeal shock wave therapy and medication (oral, injected and patched) have been published elsewhere 9 10. This article concentrates on the effectiveness of physiotherapy and manual therapy as treatment for SIS.…”

Section: Introductionmentioning

confidence: 99%

Subacromial impingement syndrome—effectiveness of physiotherapy and manual therapy

et al. 2013

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The aging athlete

Catapano

Ahmed

Breslow³

et al. 2022

PM&R

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Aging athletes, those 60 years and older, are a growing population of mature, active individuals who value sports and exercise participation throughout their lifespan. Although recommendations for younger and masters athletes have been extrapolated to this population, there remains a paucity of specific guidelines, treatment algorithms, and considerations for aging athletes. The benefits of living an active lifestyle must be weighed against the risks for unique cardiovascular, metabolic, and musculoskeletal injuries requiring diagnostic and therapeutic interventions. In this article, we review the unique cardiovascular and muscular physiology of aging athletes and how it influences the risk of specific medical conditions. We also discuss general prevention and treatment strategies. Finally, we identify areas of future research priorities and emerging treatments.

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Subacromial Impingement Syndrome: Effectiveness of Pharmaceutical Interventions–Nonsteroidal Anti-Inflammatory Drugs, Corticosteroid, or Other Injections: A Systematic Review

Cited by 43 publications

References 31 publications

Effective treatment options for musculoskeletal pain in primary care: A systematic overview of current evidence

Effective treatment options for musculoskeletal pain in primary care: A systematic overview of current evidence

Subacromial impingement syndrome—effectiveness of physiotherapy and manual therapy

The aging athlete

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