Initial treatment | 4-Month treatment | 9-Month treatment | |
---|---|---|---|
CSI group | Education on the benefits of weight reduction, regular low-impact physical activity, and strengthening and flexibility exercises An intra-articular steroid injection with postinjection activity guidance | Intra-articular steroid injection as needed | Intra-articular steroid injection as needed |
PT group | Education on the benefits of weight reduction, regular low-impact physical activity, and strengthening and flexibility exercises Up to 8 clinical sessions for physical therapy treatments consisting of manual therapy and reinforcing exercise | Up to 3 PT clinical sessions as needed | Up to 3 PT clinical sessions as needed |
CSI, corticosteroid injection; PT, physical therapy.