An interesting article regarding the difference in specific surgical intervention and diagnostic exploratory surgery for patients suffering with Sub-Sacromial Impingement Pain. There is always a place for further interventions including surgery however a thorough strength and stability program may be more effective.

In this study three groups were used to to compare surgical interventions to exercise therapy. The use of a “diagnostic” surgery group was aimed to account for the placebo effect. What we commonly find is that surgery might be more effective simply because this patient group are more committed to their post-operative rehabilitation and see their treatment through. This did appear the case in this study as their seemed to be very little difference in the outcomes seen in the two surgical groups.

TAKE HOME MESSAGE: Exercise therapy when completed and gradually progressed to your appropriate level of function by a physiotherapist will help with the pain caused by the majority of sub-acromial pain syndromes

https://www.bmj.com/content/362/bmj.k2860