(English) Episode 174-Shoulder Surgery Showdown - Does 10 Years of Exercise Beat Arthroscopic decompression for chronic pain ?

 Subacromial pain is a common and disabling condition with multifactorial etiology. Increasing evidence supports exercises as first-line treatment and need of surgery is debated. Long-term follow-ups after surgical- and nonsurgical treatment are scarce.The primary aim of the present study was to investigate the 10-year outcomes after a study comparing specific and nonspecific exercise treatment and the need for surgery. Secondarily we compared patients who had undergone exercise treatment, to those having surgery and explored the importance of rotator cuff status in relation to given treatment and outcomes.(Petersson AH, Björnsson Hallgren HC, Adolfsson LE, Holmgren TM. No need for subacromial decompression in responders to specific exercise treatment: a 10-year follow-up of a randomized controlled trial. J Shoulder Elbow Surg [Internet]. 2025;34(6):e477–87. Available from: http://dx.doi.org/10.1016/j.jse.2024.10.027)