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December 4, 2025 40 mins

PHYSIO MOSMAN: https://www.fitasaphysio.com/

Rotator Cuff Tendinopathy: Diagnosis, Care, and Rehabilitation Guidelines

A recent article provides an evidence-based Clinical Practice Guideline (CPG) developed by an international expert panel focusing on the non-surgical diagnosis and treatment of rotator cuff (RC) tendinopathy. The guidelines emphasize that initial assessment must rely on a comprehensive clinical evaluation and detailed patient history, rather than the costly and often unnecessary use of diagnostic imaging like MRI. For objective measurements, the CPG mandates the use of reliable tools such as a handheld dynamometer and validated patient-reported outcome measures. Treatment recommendations strongly support structured exercise programs and manual therapy as primary interventions, noting that pharmacological options like NSAIDs or corticosteroid injections are considered supplemental for short-term pain relief. Finally, the CPG covers the entire management continuum, including specific guidance on referral to a specialist if non-surgical treatment fails and criteria for an athlete’s safe return to function and sport.

READ MORE: https://www.fitasaphysio.com/blog/the-new-rules-for-fixing-shoulder-pain-why-exercise-beats-injections-and-surgery

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