Subakromi̇al sikişma sendromunda konservati̇f tedavi̇ni̇n etki̇nli̇ǧi̇

Subacromial impingement is a commom cause of chronic shoulder pain and functional deficit. Many treatment alternatives, ranging from rest to total acromionectomy, have been suggested in the literature. The purpose of this study was to evaluate the effectiveness of conservative treatment in shoulder impingement syndrome. Thirty-nine patients with subacromial impingement syndrome were included in the study. The average age was 54.7±10.4 years. Symptoms had been present for an average of 9 months (range 1.5 to 36 months). Patients were assessed using the American Shoulder and Elbow Surgeons evaluation form, the Constant score, and subjective evaluation. Conservative treatment consisted of rest, activity modification, non-steroidal antiinflammatory medication, physical agents, and exercises. Statistically significant improvements were noted in pain, range of motion, and function scores (p<0.01). The Constant score improved from 48.2 to 71.5 (p<0.001). Subjectively, 43% of the patients felt "much beter", 49% "better", and 8% "the same". The results of this study suggest that most of the patients with subacromial impingement syndrome can be successfully managed with conservative treatment.