Evaluation begins with a history of the injury, physical examination, and X-rays.
MRI or CT scans are not routinely needed but may be done if there is suspicion of
a rotator cuff tear.
The goal of treatment is to increase motion and decrease pain. Anti-inflammatory
medication and corticosteroid injection are often initial treatments to reduce inflammation.
Physical therapy is critical for range of motion. Therapy often takes several months
for motion to improve and pain to resolve.
Surgery is indicated in those who have continued pain and stiffness despite the
prior described treatments. Arthroscopic capsular release of the tight tissue followed
by early physical therapy and range of motion will allow for improvements in range
of motion. The arthroscopic release is done through small poke holes.