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Future studies stratifying patients by precise etiological subgroups and assessing site-specific bone outcomes will be crucial to determine the role of GM in the OP pathogenesis with different etiological contexts

Activity modification: Avoiding overhead or repetitive motions that aggravate symptoms Physical therapy: Focused on restoring scapular control, rotator cuff strength, and posture NSAIDs: Help reduce inflammation and pain during acute flares Corticosteroid injections: Used selectively to control inflammation but may weaken tendons with repeated use Regenerative Treatments and Peptide Therapy For patients who do not respond to conventional therapies, regenerative treatments such as platelet-rich plasma (PRP) and peptides may offer biologic healing without surgery