PT Inquest 399: Subacromial Pain Syndrome Concomitant Diagnoses
Jun 3, 2025
The hosts kick off with light-hearted banter about dog walking and trivia, setting a fun tone. They dive into the complexities of diagnosing subacromial pain syndrome, detailing findings from a study with 741 patients that reveal overlapping conditions. The discussion unpacks the challenges of interpreting imaging results and special tests, emphasizing the need for accurate diagnoses. Personal anecdotes peppered throughout keep the atmosphere lively while highlighting critical treatment strategies for managing shoulder pain.
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SAPS Diagnosis Complexity
- Subacromial Pain Syndrome (SAPS) has no universal accepted definition despite being commonly diagnosed.
- Many patients with SAPS have concomitant diagnoses complicating clear identification and treatment.
SAPS Often Accompanied by Other Diagnoses
- About 29% of patients with signs of SAPS had conflicting diagnoses, mostly frozen shoulder.
- 42% had at least one concomitant diagnosis, showing SAPS often overlaps with other shoulder conditions.
Limits of SAPS Clinical Diagnosis
- SAPS diagnosis is based on clinical signs and symptoms which lack specificity.
- Concomitant diagnoses may be present but may not be the actual source of symptoms.