Conservative interventions in shoulder impingement

What are the most effective conservative interventions for shoulder impingement syndrome?

For the management of shoulder impingement syndrome (SIS), exercise was found to be superior to control interventions; specific exercise showed greater effectiveness than generic exercise.

Ultrasound-guided corticosteroid injections, NSAIDs and manual therapy were superior to non-guided injections and placebo, respectively. Manual therapy was superior to exercise in short follow-up periods.

ECSWT, laser and tape were superior to sham treatment. It remains unclear how these treatments compare to exercise.


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