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Randomised controlled trial
Steroid injection and regular shoulder-specific exercises reduce the need for surgery in subacromial impingement syndrome
  1. Philip G Conaghan
  1. Division of Musculoskeletal Disease, University of Leeds and NIHR Leeds Musculoskeletal Biomedical Research Unit, Leeds UK
  1. Correspondence to Philip G Conaghan
    Division of Musculoskeletal Disease, University of Leeds, Chapel Allerton Hospital, Leeds LS7 4SA, UK; p.conaghan{at}leeds.ac.uk

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Shoulder pain is a common presenting problem in primary care; the limited epidemiological data suggest at least half of patients have persistent symptoms at 18 months.1 Subacromial impingement syndrome (SIS) represents the most common clinical group of shoulder pain patients. Conservative management is employed before surgical interventions, with both exercise and corticosteroid injections as useful non-surgical therapies for SIS.2 ,3 It is not totally clear how to optimise use of these therapies. A recent large randomised trial of patients with SIS with at least …

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