Physiotherapy similar to shoulder cortisone injection

Physiotherapy and Steroids Similarly Effective for Shoulder Pain

By Amy Orciari Herman

For patients with shoulder impingement syndrome, physical therapy and corticosteroid injections offer similar relief, but injections lead to more healthcare utilization, according to an Annals of Internal Medicine study.

Some 100 adults with unilateral shoulder impingement syndrome at one military medical center were randomized to receive either subacromial injection of triamcinolone acetonide (40 mg; up to 3 injections over 1 year), or physical therapy (6 sessions over 3 weeks) plus home exercises.

At 1 year, both groups had achieved a 50% improvement in average pain and disability score, with no significant differences between the groups at any time during the study. However, the steroid group had more primary care visits for shoulder pain and more additional steroid injections than the physical therapy group.

Editorialists write: “In choosing a management plan, clinicians should consider patient preference, availability of practitioners, and other health care use… If the patient prefers a corticosteroid injection, its effectiveness, safety profile, and potential for additional health care should be discussed.”

Annals of Internal Medicine article (Free abstract)
Annals of Internal Medicine editorial (Subscription required)
Background: NEJM Journal Watch General Medicine summary on focused exercises for subacromial impingement syndrome (Your NEJM Journal Watch registration required)

Author

Rich & Mo Physio

We are physiotherapists passionate about movement and rehabilitation, with a clear goal: helping people better understand their pain and return to an active, unrestricted life.

Through our practice and content, we share practical, science-based approaches to prevent injuries, relieve pain, and sustainably improve mobility. We believe that well-informed patients make better decisions and achieve better outcomes.

Richard Bouzaglou, B.Sc. PT

Physiotherapist | Co-Founder

An experienced professional, Richard is the co-founder of the AMS Medical and Rehabilitation Center, where he has played a key role since 2008. With a background in sports medicine and physiotherapy, he has developed strong clinical expertise, particularly working with elite athletes.

His practice is based on a comprehensive approach that integrates advanced manual therapy, functional rehabilitation, and personalized care. Committed to continuous education and mentoring students, he is known for his clinical rigor and his ability to build lasting, trust-based relationships with his patients.

Moshe Vazana

Physiotherapist

With over 15 years of experience, Moshe is recognized for his precise, evidence-based approach. A physiotherapy graduate with advanced training in several methodologies, including the McKenzie Method (MDT) and the Mulligan Concept, he specializes in treating musculoskeletal and spinal conditions.

His international background and commitment to excellence enable him to provide care that is tailored, effective, and sustainable. Passionate about knowledge sharing, he is also actively involved in training the next generation of physiotherapy professionals.