State University of New York at Buffalo
Arthritis of the shoulder glenohumeral joint is a growing problem in an aging population. Treatment options for glenohumeral arthritis can be grouped into three main categories: 1) shoulder replacement surgery, 2) injections (corticosteroid, hyaluronic acid and PRP) and physical therapy (PT). Surgery comes with risks and the potential for implant failure or revision over time. Therefore, it is typical for doctors to prescribe injections and/or PT before discussing surgery. Sometimes, insurance companies will require PT before considering a shoulder operation. It is unknown if PT is effective for improving function or pain with patients with glenohumeral arthritis. The aim of this study is to compare pain and functional outcomes after undergoing a 12 week PT program, at home PT exercises or delaying conservative treatment.
Inclusion Criteria: * Patient diagnosed with glenohumeral arthritis * Patient \> 18 years of age (adults) * Patient provided written informed consent for study participation with IRB approved consent form * Patient is willing and able to comply with scheduled clinical and radiographic evaluations and physical therapy regimen Exclusion Criteria: * -Have had corticosteroid injections in the affected shoulder(s) within 6 weeks of starting physical therapy. * Those that have glenohumeral arthritis that is inflammatory, post traumatic or related to rotator cuff tear arthropathy in nature * Have…
12 weeks of designated physical therapy focused on improving shoulder strength and range of motion
12 weeks of home therapy program focused on improving shoulder strength and range of motion
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