Health Physio+

This text presents an evidence-based clinical practice guideline for rotator cuff (RC) disorders, which account for more than half of all shoulder conditions. It provides clinical recommendations for the evaluation, diagnosis, non-surgical management (medical and rehabilitation), and return to sport in adults with rotator cuff tendinopathy, with or without calcifications, as well as partial tears.

The guideline emphasizes an evidence-based approach, discourages excessive diagnostic imaging in the initial management, and highlights the importance of clinical evaluation and conservative treatments such as exercise.

It excludes full-thickness tears and serves as a resource for patients, policymakers, payers, and healthcare professionals.

(Desmeules F, Roy J-S, Lafrance S, Charron M, Dubé M-O, Dupuis F, et al. Rotator cuff tendinopathy diagnosis, nonsurgical medical care, and rehabilitation: A clinical practice guideline. J Orthop Sports Phys Ther [Internet]. 2025;55(4):235–74. Available from: http://dx.doi.org/10.2519/jospt.2025.13182)

Neck pain is defined as pain localised in the neck, with or without radiating to one or both upper limbs, lasting at least one day.

In 2008, the Neck Pain Working Group defined the anatomical region concerned. This anatomical definition was developed by consensus, as the group had identified over 300 different clinical definitions for neck pain.

People suffering from neck pain may also have headaches or shoulder pain, but neck pain remains their main complaint.

(Verhagen AP. Physiotherapy management of neck pain. J Physiother [Internet]. 2021;67(1):5–11. Available from: http://dx.doi.org/10.1016/j.jphys.2020.12.005)

La douleur cervicale est définie comme une douleur localisée au niveau du cou, avec ou sans irradiation dans un ou les deux membres supérieurs, durant au moins un jour.

En 2008, le Groupe de travail sur la douleur cervicale a défini la région anatomique concernée. Cette définition anatomique a été élaborée par consensus, car le groupe avait identifié plus de 300 définitions cliniques différentes pour la douleur cervicale.

Les personnes souffrant de douleurs cervicales peuvent également présenter des maux de tête ou des douleurs à l’épaule, mais la douleur au cou reste leur plainte principale.

(Verhagen AP. Physiotherapy management of neck pain. J Physiother [Internet]. 2021;67(1):5–11. Available from: http://dx.doi.org/10.1016/j.jphys.2020.12.005)

Nous avons voulu savoir si courir beaucoup plus que d’habitude, en une seule séance ou sur une semaine, augmentait le risque de se blesser à cause d’un surmenage

(Schuster Brandt Frandsen J, Hulme A, Parner ET, Møller M, Lindman I, Abrahamson J, et al. How much running is too much? Identifying high-risk running sessions in a 5200-person cohort study. Br J Sports Med [Internet]. 2025;bjsports-2024-109380. Available from: http://dx.doi.org/10.1136/bjsports-2024-109380)

We wanted to find out whether running much more than usual, in a single session or over a week, increased the risk of injury due to over-exertion.

(Schuster Brandt Frandsen J, Hulme A, Parner ET, Møller M, Lindman I, Abrahamson J, et al. How much running is too much? Identifying high-risk running sessions in a 5200-person cohort study. Br J Sports Med [Internet]. 2025;bjsports-2024-109380. Available from: http://dx.doi.org/10.1136/bjsports-2024-109380)

La lombalgie non spécifique (ou lombalgie commune) touche les personnes de tous âges et constitue l'un des principaux facteurs de la charge de morbidité à l'échelle mondiale.

Les recommandations de prise en charge préconisent un triage afin d'identifier les rares cas de lombalgie causés par une pathologie grave, qui nécessitent par conséquent un bilan diagnostique, une orientation vers un spécialiste, ou les deux. Étant donné que la lombalgie non spécifique n'a pas de cause patho-anatomique connue, le traitement vise principalement à réduire la douleur et ses conséquences. La prise en charge repose sur l'éducation et la réassurance du patient, les médicaments antalgiques, les thérapies non pharmacologiques et un suivi régulier.

(Maher C, Underwood M, Buchbinder R. Non-specific low back pain. Lancet [Internet]. 2017;389(10070):736–47. Available from: http://dx.doi.org/10.1016/s0140-6736(16)30970-9)

Non-specific low back pain (or common low back pain) affects people of all ages and is a major contributor to the global burden of disease.

Management recommendations call for triage to identify rare cases of low back pain caused by serious pathology, which therefore require diagnostic work-up, referral to a specialist, or both. Given that non-specific low back pain has no known patho-anatomical cause, the main aim of treatment is to reduce the pain and its consequences. Treatment is based on patient education and reassurance, analgesic medication, non-pharmacological therapies and regular follow-up.

(Maher C, Underwood M, Buchbinder R. Non-specific low back pain. Lancet [Internet]. 2017;389(10070):736–47. Available from: http://dx.doi.org/10.1016/s0140-6736(16)30970-9)