Clinical Applications of a New Clinical Practice Guideline on Subacute Rotator Cuff Tendinopathy: A Case Report

Rotator cuff pathology is a frequent source of shoulder pain, commonly addressed through conservative management. This case report aims to detail the strengths and challenges in the application of a new multidisciplinary Rotator Cuff Tendinopathy Clinical Practice Guideline (CPG) in the management of a rotator cuff tear in a college student. A 21-year-old male presented with subacute left shoulder pain after playing volleyball. Examination findings included limited range of motion and painful resistive testing indicative of rotator cuff pathology. Intervention followed CPG recommendations: prioritizing motor control and resistance training. Manual therapy was utilized to reduce pain. Over 7 visits, clinically significant improvements were seen in strength symmetry, functional performance, and patient-reported outcomes. This case highlights the utility of the new CPG but also underscores gaps in diagnostic criteria, loading parameters, and psychosocial considerations. Future research should aim to enhance guideline specificity to better support clinical implementation.