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Shoulder Bursitis and Impingement

Shoulder bursitis or also known as subacromial bursitis is a common condition characterized by intense shoulder pain accompanied by stiffness and limited range of motion. There is usually marked increase in pain when trying to raise the shoulder. In addition, symptoms of redness and warmth can also be seen in the shoulder.

Bursas are small fluid filled sacs near joints and muscles that help provide cushion between bones, muscles and tendons, allowing them to glide freely and easily past one another.

In shoulder bursitis, the main shoulder bursa known as the subacromial bursa, located between the shoulder muscles and the acromion process (the bone that sits on top of the shoulder muscles), becomes acutely inflamed.

Drawing explaining how the shoulder works

Causes of shoulder bursitis

Common Cause for bursitis includes repetitive overuse movements. These include overhead movements common in swimming, tennis, weight lifting and jobs that require overhead activity such as painting. These movements cause the rotator cuff muscles and the deltoid muscle to become impinged under the acromion process. Trauma to the shoulder and chronic conditions such as Gout and Rheumatoid Arthritis can also increase the chance for developing bursitis of the shoulder.

Other conditions that increase the chance for developing bursitis include increasing age, poor posture and having bone spurs or calcium deposits in the shoulder which can cause irritation to the bursa. Other rare causes for a bursitis include infection.

Diagnosis of shoulder bursitis

Most of the time, subacromial bursitis can be easily diagnosed by physical exam. X-rays may be performed to rule out other causes can to look for other abnormalities such as calcific tendonitis and bone spurs which can also contribute to shoulder bursitis. MRI can also be ordered to further assess additional injuries such as rotator cuff or labral tears.

Treatment of Shoulder Bursitis

Many of the patients who come to see us in the clinic suffer from acute shoulder pain have tried conservative measurements including rest, ice Packs and Non-Steroidal Anti-inflammatory medications (NSAIDS), without much relief.

Our clinic has performed the largest number of ultrasound guided subacromial bursa injections in Orange County. The procedures take less than 5 minutes with essentially no pain and no downtime. Most of our younger patients or athletes have gotten excellent results with Platelet Rich Plasma injections into the subacromial bursa. Other patients, such as those with chronic inflammatory conditions such as Rheumatoid Arthritis and Gout, are usually treated with Cortisone injections into the subacromial bursa. Every procedure is performed with exact precision under ultrasound guidance to ensure the best results. Finally, surgery is the last option but can be almost always avoided if early treatment and precautions are taken.

Contact the Advanced Healing Institute today if you would like to schedule a consultation and treatment. We are dedicated to helping our patients find effective pain relief from shoulder bursitis, shoulder impingement syndromes, and other painful shoulder conditions.

Our Patient Reviews

Advanced Healing Institute

5 / 5.0

Based on 39 reviews

Rich G.

Dr. Reza is a genius. My knee has been bothering me for YEARS since I tore my meniscus playing football. Achy, bothersome, with occasionally a limp. I went in to to get PRP (Platelet Rich Plasma) and it was everything I thought it would be and then some. The whole procedure took less than an hour, very little to no pain and in less than 24 hours my knee felt brand new. If you are looking for a quality Doctor who offers PRP -- go here! The rates are very on point. He is literally THOUSANDS of dollars less than some other clinics and believe me he does such an amazing job, he could charge 10x's and it would still be worth it. Don't sit there suffering, get up and get help. I am actually thinking of getting my other knee done and its not really necessary. Lol.. 10 STARS...

E Y.

Dr Reza is FANTASTIC. Staff is friendly and very accommodating. I was in such pain. He diagnosed the issue (Bursitis) and clearly understood everything about it from A-Z. So efficient and understanding, not to mention making the procedure painless. I barely slept a hour the night before, saw Dr. Reza at 5pm and was feeling a million times better by 7pm. It's been 36 hours and I went from practically a frozen shoulder in pulsating pain to gaining back 70% of my movement range and most importantly "NO PAIN". just stiffness which is the normal symptoms as kindly explained to me by Dr. Reza. Everything is as promised, I am fully confident that I will be back to 100% range of motion within 3 days. I'm still gonna take it easy and slowly stretch my shoulder back to full strength. Without his service, I would probably be feeling like I was hit by a truck laying in bed miserable. Thank you very much Dr. Reza for helping my aging old bones. Cheers!

Geri C.

I can’t say enough about how intelligent Dr. Reza Dehdari is! I came to him to read my MRI for my ankle and he found a tear that multiple Doctors missed!!!! Simply incredible and I trust him throughly. Thank you so much!

Marina S.

Had the PRP procedure and I have to say no pain at all, going on 6 weeks, if you decide to have the PRP listen to Dr. Dehdari's instructions thoroughly and do the physical therapy, it works and I am so pleased and it's getting better and better as days go on, Dr. Reza Dehdari is the best and very emphatic in explaining all your questions soothing away your doubts, and he checks up on you to make sure all is well, after the PRP procedure. Very trustworthy PRP procedure and his assistant Sandy is also the sweetest caring person you will ever meet. I'm a satisfied customer and patient.

Micheal W.

Dr. Reza Dehdari you are an amazing person. Thank you for going the extra mile on my shoulder after three Doctors told me I needed surgery. You took your time and explained everything about what to expect and to be patient while I heal. And that’s exactly what I did was heal, I can’t thank you enough for what you did for me.

Helena L.

Within the last 6 months I've suffered two minor injuries on the same knee which have restricted my mobility and caused me a lot of pain. I've seen an orthopedic dr.,, a pain management dr., and a sports medicine dr., all of which simply told me either surgery or learn to live with the pain! I've heard about PRP as an alternative with a high percentage of success. Thus, I made an appointment to see Dr. Dehdari, and was pleasantly surprised by his high level of knowledge, professionalism and thoroughness. Dr. Dehdari reviewed my MRI (previously ordered by the Orthopedist) explained the extent of my injuries, took X-Rays and an ultrasound to carefully determined if I was a good candidate for PRP. I can only say that I wish more doctors will give you the time, attention and care that Dr. Dehdari provides. Thank you Dr Dehdari, thank you for such high work ethics and patient care. Many thanks to his staff as they are as attentive and caring as Dr. Dehdari. It has been only 24 hrs since I received my PRP treatment and my pain levels have drastically gone down! I highly recommend Dr. Dehdari.

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