Q. A 55-year-old man presents to the physician’s clinic complaining of increasing pain in his right shoulder over the past 6 months. The pain is exacerbated when lifting his arm overhead and during sleeping. He states that the pain sometimes radiates down to his elbow. He has been taking over-the-counter ibuprofen with minimal relief. On physical examination, the physician notes a painful arc of motion during shoulder abduction and tenderness over the greater tuberosity. An MRI reveals inflammation but no tear in the rotator cuff. What is the most appropriate next step in the management of this patient?

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