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.
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.