Clinical follow-up is recommended in 7 to 14 days. To simply diagnose "bursitis" and treat the symptoms does the patient a disservice and places the patient's shoulder at risk for future dysfunction. At the time of follow-up, if the patient's symptoms have diminished, a supervised course of therapy with emphasis on rotator cuff strengthening may be prescribed. If symptoms persist or have worsened, a subacromial injection of a glucocorticoid may help arrest the inflammatory response. If symptoms persist despite full conservative measures after 6 to 12 weeks of treatment, further workup with arthrography or MRI to rule out rotator cuff disease may be initiated at the discretion of the patient's primary clinician.
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