Brisement Injection with Physical Therapy: A Novel Approach to Managing Glenohumeral Joint Osteoarthritis.

Glenohumeral osteoarthritis (GHOA) presents significant challenges for patients, often resulting in debilitating pain, stiffness, and progressive loss of function. While conventional non-operative treatments such as physical therapy, medications, and corticosteroid injections can provide relief, their benefits may diminish over time. For many patients, total shoulder arthroplasty may not be a viable option due to associated risks or the demands of an extensive recovery process. This leaves a critical need for alternative innovative and effective treatment options. The synergistic pairing of brisement and PT aims to improve range of motion, reduce pain, and enhance strength and function. This approach has the potential to fill gaps in the current treatment landscape for GHOA. The purpose of this clinical commentary is to introduce a novel treatment approach combining brisement, an ultrasound-guided hydrodilatation procedure, with a structured physical therapy program to manage GHOA.