Comparing Tight Control Versus Standard Management for Rotator Cuff Tendinopathy in Adults Aged 18 to 65

What this Trial Is About

This research aims to find out if closely monitoring patients early in rotator cuff tendinopathy leads to better clinical improvement compared to standard care. Rotator cuff disorders are common causes of shoulder pain, affecting daily activities and work, especially in adults aged 45 to 64. The study explores whether tight control can speed recovery, reduce chronic cases, and lower healthcare costs including sick leave and treatment expenses. The study compares two management approaches a tight control group and a standard follow-up group. Patients in the tight control group will have monthly consultations for the first three months to assess shoulder pain and function, with treatment adjustments such as steroid injections, medications, or physiotherapy based on set goals. The control group will receive usual care with one follow-up visit three months after the initial consultation to review their progress. Participants will be evaluated using the Oxford Shoulder Score over 3, 6, and 12 months, pain assessments during motion, pain self-efficacy questionnaires, and insomnia severity indexes. Researchers will also track the number of shoulder surgeries and conduct a medico-economic analysis over 12 months. The total participation includes regular assessments and treatment monitoring to measure clinical outcomes and cost-effectiveness over time.

Tight Control for Rotator Cuff Tendinopathy