Symptom Finder - Treatment of Rotator Cuff Impingement Syndrome
Rotator Cuff/Impingement Syndrome (Otherwise
named subacromial bursitis)
1. Acute cases can be managed with ice, heat, rest (a sling may be used) and NSAIDs such as naproxen (Naprosyn) 500 bid–tid. Other NSAIDs may be effective
2. If conservative treatment is ineffective or the condition becomes chronic, an injection of methylprednisolone acetate (Depo-Medrol) 40–80 mg with lidocaine 1–2%, 3–5 cc into the bursa may be successful. No more than 3 injections should be administered.
3. If the above measures fail, referral to an orthopedic surgeon or a
course of physiotherapy is in order.
named subacromial bursitis)
1. Acute cases can be managed with ice, heat, rest (a sling may be used) and NSAIDs such as naproxen (Naprosyn) 500 bid–tid. Other NSAIDs may be effective
2. If conservative treatment is ineffective or the condition becomes chronic, an injection of methylprednisolone acetate (Depo-Medrol) 40–80 mg with lidocaine 1–2%, 3–5 cc into the bursa may be successful. No more than 3 injections should be administered.
3. If the above measures fail, referral to an orthopedic surgeon or a
course of physiotherapy is in order.