Shoulder Bursitis (Subacromial bursitis)
What is Bursitis of the Shoulder.
Subacromial bursitis is a common condition affecting the shoulder, characterised by inflammation of the bursa located around the rotator cuff and below the acromion. In layman’s terms, Subacromial bursitis is a name given to inflammation around the tendons encircling the shoulder joint which make up the rotator cuff. The tendons produce fine movement of the shoulder and stabilise the joint to allow the main powerhouse of the shoulder (the deltoid muscle) to produce the main force. Inflammation of the tendons or the lining of the tendons (the bursa) can lead to pain usually felt down the side of the arm and worse with movement, particularly in the painful arc position from waist height
The terms bursitis, tendinopathy/tendinitis or rotator cuff syndrome are often used interchangeably, and relate to inflammation and ageing of the tendon and its lining.to above shoulder height.
This condition can lead to significant shoulder pain and discomfort, particularly during overhead activities. Dr Nimon at Glenelg Orthopaedics, specialises in diagnosing and treating this condition, and aims to provide Quality and Personalised treatment for shoulder bursitis.
Symptoms of Subacromial Bursitis
Common Signs and Symptoms
Patients with subacromial bursitis often report a dull aching pain in the shoulder, especially when lifting the arm above the head and also noted when trying to sleep. The pain typically radiates down the side of the arm and may be accompanied by a clicking or grating sensation.
Causes and Risk Factors
Common Causes
Subacromial bursitis often results from repetitive overhead activities, leading to irritation and inflammation of the bursa. Age-related degeneration of the shoulder tendons can also contribute to this condition.
Risk Factors for Developing Subacromial Bursitis
Factors increasing the risk of developing subacromial bursitis include:
- Age: Incidence increases with age due to wear and tear.
- Occupation: Jobs requiring repetitive overhead movements.
- Sports: Activities like tennis or swimming that stress the shoulder.
- Familial history ( runs in families)
- Previous Shoulder Injuries: Breaks can predispose to bursitis.
Diagnosing Subacromial Bursitis
Assessment by a Specialist Shoulder Surgeon
The diagnosis is usually easily made by taking a thorough history and performing a focused examination. As such Dr Nimon will perform specific movements to assess sites of pain and range of motion and strength in your shoulder.
Diagnostic Procedures
Surprising for many, but overall one of the most helpful tests is an X-Ray, to exclude arthritis or other issues. Imaging tests like ultrasound are often already ordered by the referring general practitioner and can demonstrate buristis or tendon tears whilst Dr Nimon may order an MRI, if more sensitive tests are required. These tests help in assessing the extent of inflammation and ruling out other conditions like rotator cuff tears.
Treatment Options
Non-Surgical Treatments
Most cases of subacromial bursitis respond well to non-surgical treatments, including:
- Rest and activity modification to reduce stress on the shoulder.
- Physiotherapy exercises to strengthen the rotator cuff muscles.
- Pain relief medications and anti-inflammatory drugs.
- On occassions, an ultrasound-guided corticosteroid injections for reducing inflammation may be used.nd can be helped by avoiding the painful position (the painful arc and overhead activities).
- We don’t recommend that the patient sbe immobilised in a sling, and should only be used for temporary episodes of severe pain.
Surgical Treatments
In severe cases where non-surgical treatments are ineffective, surgery may be considered. Procedures like arthroscopic bursectomy (or acromioplasty) can provide relief by removing inflamed tissue or creating more space for shoulder movements, but is usually required where other pathogy exists such as AC joint arthritis, Rotator Cuff Tears, Labral tears or Biceps tendon tears.
Dr Nimon performs the surgery using key-hole or minimally invasive arthroscopic portals.
Rehabilitation and Physiotherapy
Post-treatment, rehabilitation plays a crucial role in recovery. Our physiotherapy program focuses on restoring shoulder strength and flexibility, gradually returning you to your normal activities.
Usually a sling is not required and early movement is encouraged, depending upon the associated pathology treated.
Feel free to email Dr Nimon for information
At Glenelg Orthopaedics, we understand the impact of shoulder pain on your quality of life. Dr Gavin Nimon, an experienced orthopaedic surgeon, is committed to providing comprehensive quality and personalised care for subacromial bursitis. From initial consultation to treatment and rehabilitation, he will support you every step of the way.