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Management of symptoms for recent-onset shoulder pain ≤3 months duration 

Based on shared decision-making between the patient and provider, any one of the following therapeutic interventions is recommended: 

• Low-level laser therapy for short-term pain reduction

• Spinal manipulation and mobilization as an adjunct to usual care for shoulder pain associated with cervico-thoracic spine pain or restricted movement

• Multimodal care that includes the combination of:

  1. Heat/Cold

  2. Joint mobilization

  3. Range of motion exercise​

Interventions that are NOT recommended include:

• Diacutaneous fibrolysis

• Ultrasound

• Interferential current therapy

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Discuss the risks and benefits of the care plan with the patient.

No

No

Yes

Yes

Yes

No

Yes

Yes

No

No

Yes

Yes

No

Literature search updated April 2015