Shoulder Bursitis
What is Shoulder Bursitis?
Shoulder bursitis refers to inflammation of the bursa in the shoulder, often the subacromial bursa, causing pain and reduced range of motion.
- Inflammation of the shoulder bursa
- Commonly associated with impingement
Overview of the Condition
Overuse, repetitive overhead activities, or rotator cuff issues can lead to bursitis, presenting as pain during abduction.
Symptoms
- Shoulder pain, particularly overhead
- Swelling and tenderness over lateral shoulder
- Painful arc in mid-range abduction
Causes
Repetitive stress or impingement of the subacromial bursa, sometimes secondary to rotator cuff pathology.
Diagnosis
Clinical exam reveals tenderness in the subacromial region. Ultrasound or MRI can confirm bursa inflammation.
Treatment Options
- Rest and physical therapy
- NSAIDs or corticosteroid injections
- Arthroscopic debridement if persistent
Conservative Management
Focuses on reducing inflammation, modifying activities, and strengthening the rotator cuff to reduce impingement.
Rehabilitation Exercises
- Gentle shoulder range-of-motion
- Rotator cuff strengthening
- Scapular stabilization drills
Surgical Options
Subacromial bursectomy or decompression may be indicated in cases unresponsive to conservative treatment.
Anatomy Overview
The subacromial bursa lies between the acromion and rotator cuff tendons, reducing friction. Inflammation causes pain and impingement.
Affected Areas
- Subacromial bursa
- Rotator cuff region
Frequently Asked Questions
| Question | Answer |
|---|---|
| Is bursitis the same as impingement? | They are closely related; bursitis often occurs with impingement syndrome. |
| How long does it take to recover? | Mild bursitis may improve in weeks with therapy and medication. |
Prevention Strategies
- Avoid repetitive overhead lifting
- Maintain balanced shoulder strength
- Use proper posture and mechanics