{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T22:32:44Z","timestamp":1792103564991,"version":"4.4.0"},"reference-count":24,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2023,11,24]],"date-time":"2023-11-24T00:00:00Z","timestamp":1700784000000},"content-version":"vor","delay-in-days":327,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,8,26]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Tendinopathies of the shoulder are a burdensome problem. Current treatments include exercise, physical therapies, corticosteroid\u00a0injections and surgery. However, the clinical outcomes from randomized controlled trials evaluating the effectiveness of these interventions are largely unremarkable. Given the apparent lack of progress in improving clinical outcomes for patients, it is appropriate to consider other avenues. Research has identified a link between lifestyle-related modifiable risk factors, including smoking, overweight and physical inactivity, and the onset and persistence of tendinopathies of the shoulder. Further research is required to understand whether addressing these factors results in better clinical outcomes for patients. Teachable moments and shared decision-making are concepts that could enable clinicians to integrate the assessment and management of these lifestyle factors. Given that these lifestyle factors also increase the risk of developing other common morbidities, including cardiovascular disease, an evolution of routine clinical care in this way could represent an important step forwards.<\/jats:p>","DOI":"10.1093\/rap\/rkad086","type":"journal-article","created":{"date-parts":[[2023,11,24]],"date-time":"2023-11-24T06:59:15Z","timestamp":1700809155000},"source":"Crossref","is-referenced-by-count":11,"title":["Current and future advances in practice: tendinopathies of the shoulder"],"prefix":"10.1093","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7703-727X","authenticated-orcid":false,"given":"Chris","family":"Littlewood","sequence":"first","affiliation":[{"name":"Faculty of Health, Social Care and Medicine, Edge Hill University , Ormskirk, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Moffatt","sequence":"additional","affiliation":[{"name":"Faculty of Health, Social Care and Medicine, Edge Hill University , Ormskirk, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natasha","family":"Maher","sequence":"additional","affiliation":[{"name":"Calderdale and Huddersfield NHS Foundation Trust, Calderdale Royal Hospital , Salterhebble, Halifax, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Greg","family":"Irving","sequence":"additional","affiliation":[{"name":"Faculty of Health, Social Care and Medicine, Edge Hill University , Ormskirk, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2023,10,25]]},"reference":[{"key":"2023112406392299300_rkad086-B1","doi-asserted-by":"crossref","first-page":"1124","DOI":"10.1136\/bmj.331.7525.1124","article-title":"Shoulder pain: diagnosis and management in primary care","volume":"331","author":"Mitchell","year":"2005","journal-title":"BMJ"},{"key":"2023112406392299300_rkad086-B2","doi-asserted-by":"crossref","first-page":"215","DOI":"10.1093\/rheumatology\/kei139","article-title":"Prevalence and incidence of adults consulting for shoulder conditions in UK primary care; patterns of diagnosis and referral","volume":"45","author":"Linsell","year":"2006","journal-title":"Rheumatology"},{"key":"2023112406392299300_rkad086-B3","first-page":"87","article-title":"Physiotherapists\u2019 recommendations for examination and treatment of rotator cuff related shoulder pain: a consensus exercise","volume":"40","author":"Littlewood","year":"2019","journal-title":"Physiother Pract Res"},{"key":"2023112406392299300_rkad086-B4","doi-asserted-by":"crossref","first-page":"1095","DOI":"10.1136\/bjsports-2012-091492","article-title":"Why does my shoulder hurt? 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