(English) Episode 277-Stop resting your painful shoulder

This article details a consensus exercise conducted by a panel of expert physiotherapists to standardize the diagnosis and treatment of rotator cuff related shoulder pain. The authors advocate for a shift toward exercise-based recovery, recommending a minimum twelve-week program that focuses on progressive loading and functional movement. The findings suggest that diagnostic imaging and steroid injections should generally be avoided as initial options, as they often fail to improve long-term outcomes. Furthermore, the experts emphasize using updated terminology that avoids the word "impingement" to better reflect current clinical understandings of shoulder health. While the study provides a practical benchmark for clinicians, it ultimately highlights a significant need for more rigorous research into specific exercise dosages and long-term recovery patterns.(Littlewood C, Bateman M, Connor C, Gibson J, Horsley I, Jaggi A, et al. Physiotherapists’ recommendations for examination and treatment of rotator cuff related shoulder pain: A consensus exercise. Physiother Pract Res [Internet]. 2019;40(2):87–94. Available from: http://dx.doi.org/10.3233/ppr-190129)