Shoulder Bursitis

Shoulder bursitis is the inflammation of the bursa. Bursitis is caused by overuse, trauma, rheumatoid arthritis, gout, and infections. Bursitis can also occur in the knees, elbows, and hips. Patients with bursitis may experience intense joint pain and tenderness while standing or moving. Increased swelling and stiffness are possible with bursitis. If you are experiencing any of these symptoms, please contact your primary care physician for a shoulder X-Ray to assess the bone structure and an MRI or CT scan to assess soft tissue, tendons, fluid buildup (possible bursitis), and possible tears. Shoulder bursitis is treatable with rest, ice packs for 20 minutes four times per day interchangeably, removal of fluid from the bursa, and physical therapy. NSAIDS (Advil, Aleve, Naproxen, ibuprofen, etc.) are effective for managing the pain and swelling. Steroid shoulder injections may be effective if there are no signs of infection. Also, sleeping on the unaffected side may provide pain relief and can be prevented by warming-up prior to exercising, taking breaks while doing repetitive movement,and stopping if achiness becomes painful.

Shoulder Anatomy

The shoulder is formed where the humerus, collar bone (clavicle), and scapula join. The rotator cuff holds the humerus in place. The muscles that form the shoulder are the supraspinatus, infraspinatus, tres minor, subscapularis, and the deltoid. There are four rotator cuff tendons and two biceps tendons that make up the shoulder. These tendons connect the deep layers of the muscles to the scapula and humerus, and provide support to the glenohumeral joint. The supraspinatus tendon is the most affected tendon due to overuse and trauma. The supraspinatus muscle is responsible for lifting the arms out to the side. An injury to this muscle can result in possible rotator cuff tear(s). Overuse can lead to shoulder (subacromial) impingement.