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A 35-year-old woman presents with right shoulder

A 35-year-old woman presents with right shoulder pain that has been gradually getting worse for the past two months. She paints houses for a living and plays tennis as a hobby. She tried non-steroidal anti-inflammatory drugs (NSAIDs), topical treatment, and activity modification without significant improvement. On examination, she has a full range of motion of the shoulder, no rotator cuff weakness, positive Neer impingement sign, positive Hawkins test, negative speed test, and positive tenderness to palpation at the anterior aspect of the acromion. X-ray is unremarkable. What is the most appropriate treatment for this patient’s condition? A. Steroid injection to the glenohumeral joint, and physical therapy B. Steroid injection to the acromioclavicular joint, and physical therapy C. Steroid injection to the subacromial space, and physical therapy D. Steroid injection to the biceps tendon sheath, and physical therapy SCIENCE HEALTH SCIENCE NURSING

 
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