Bursitis of the shoulder impingement syndrome occurs when there is swelling and redness between the top of the arm bone and the tip of the shoulder. Between these bones lie the tendons of the rotator cuff and a fluid-filled sac called the bursa, which protects the tendons.
Normally, the tendons slide effortlessly within this space. In some people, this space becomes too narrow for normal motion.
This causes irritation to the tendons and bursa, which become inflamed. Inflammation causes the tendons and bursa to swell, making the space for movement still smaller. Eventually, this space becomes too narrow for the tendons and the bursa. Every time they move, they are pinched between the bones. This is the impingement.
What causes bursitis of the shoulder? The most common causes of bursitis are injury or overuse. Infection may also cause it. In many people with this problem, the shape of the bones is such that they have less space than most other people. Even small thickenings of the tendons or bursa can cause symptoms. What are symptoms of bursitis of the shoulder? Often there is an initial injury that sets off the inflammation.
After that, the problem can spiral into a worse condition. This inflammation causes a thickening of the tendons and bursa. The thickening then takes up more space, pinching on the tendons and bursa even more. This causes more inflammation, and more thickening of the tendons and bursa, and so on.
How is bursitis of the shoulder diagnosed? In addition to a complete medical history and physical exam, diagnostic tests for bursitis may include: X-ray. A diagnostic test that uses invisible electromagnetic energy beams to make pictures of internal tissues, bones and organs on film. Magnetic resonance imaging. An imaging test that uses a combination of large magnets, radiofrequencies and a computer to make detailed pictures of organs and structures within the body.
An imaging test that uses high-frequency sound waves to look at the internal organs and tissues. A procedure that involves using a thin needle to remove fluid from the swollen bursa to check for infection or gout as causes of bursitis.
Blood tests. Lab tests may be done to confirm or rule out other conditions. How is bursitis of the shoulder treated? Nonsurgical Treatment Reducing the inflammation is the first step in treating shoulder bursitis.
An orthopedist, a physician who specializes in treating conditions that affect the bones, muscles, joints, and other connective tissue in the body, can evaluate you if you feel that you have shoulder bursitis. Orthopedic surgeons trained in sports medicine, and specialists in upper extremity, hand and wrist can address conditions affecting your shoulders as well.
Here are some important details about shoulder bursitis, including the causes, symptoms, and treatment options available to you. The most recognized cause of shoulder bursitis is repetitive arm motion, especially pulling and rotating. Certain movements put pressure on the bursae in your shoulder. Long periods of repetitive pressure on the shoulder can cause the bursa sacs to swell up. Bursitis is more common as you age, but your lifestyle can increase your chances of developing swollen bursae.
Painters, carpenters, athletes, and other people who frequently work with their arms are very likely to develop shoulder bursitis.
However, an injury to your shoulder also may result in swollen bursae. People who currently suffer from arthritis or gout may develop shoulder bursitis as a secondary condition, or a problem as a result of a more major health issue.
Symptoms of shoulder bursitis include shoulder pain, especially pain when trying to move or engage your shoulder. If your shoulders feel sore for long periods of time, or even stiff and limited in range of motion, these can also be signs of shoulder bursitis.
Keep an eye out for shoulder redness, swollen-looking shoulders, or pain and sensitivity when you touch your shoulder. Very sharp pains, bruising, and a fever are signs of shoulder bursitis that is already advanced or serious.
Visit an orthopedist to discuss your symptoms. The physician will inspect your shoulder, ask you to try moving it for them, and may then recommend testing. Testing can include laboratory analyses of fluid from the bursae. They may also recommend an X-ray, which will take an internal look at your shoulder tissue.
Shoulder bursitis symptoms can disappear on their own, however, your physician may also prescribe a pain medication. Other recommendations may include resting the shoulder, avoiding strenuous activities, and applying ice as needed to reduce swelling. Your orthopedist may recommend certain light exercises that can help reduce the swelling in your shoulder bursae. Additional treatment options might include administering a corticosteroid injection, which will rapidly work to reduce pain and swelling.
On rare occasions, surgical drainage of the bursae may be necessary. If you're experiencing symptoms of shoulder bursitis, contact an orthopedic and sports medicine specialist near you to learn about appropriate treatment options that may be right for you. Start with OrthoAtlanta, the leading resource for shoulder surgery specialists in Atlanta. Visit orthoatlanta. Make an Appointment. Patient Portal. If you do tear a meniscus, you might be tempted to "walk it off.
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