CauseInitial managementFurther treatment options if no improvement with initial management
Acromioclavicular joint osteoarthritisActivity modification; acetaminophen or NSAIDsCorticosteroid/local anesthetic injection into the acromioclavicular joint; surgery
Adhesive capsulitisActivity modification; physical therapy; acetaminophen or NSAIDs; intra-articular corticosteroid injectionCorticosteroid injection, possible surgery
Glenohumeral instabilityActivity modification; physical therapySurgery
Glenohumeral osteoarthritisActivity modification; physical therapy; acetaminophen or NSAIDs; treat comorbiditiesCorticosteroid injection, possible surgery
Rotator cuff pathologyIf small rotator cuff tear: activity modification; physical therapy; acetaminophen or NSAIDsCorticosteroid injection, possible surgery
If large rotator cuff tear: may either try conservative therapy, as listed above, or go directly to surgery