Subacromial Bursitis
Bursitis is an inflammation or irritation of the bursa, which is a small sac located between a bone and muscle, skin, or a tendon. The bursa allows smooth gliding between these structures. The subacromial bursa helps the motion of the rotator cuff in activities such as overhead work.
Symptoms:
Gradual onset of your shoulder symptoms over weeks or months.
Pain on the outside of your shoulder.
Pain may spread down your arm towards the elbow or wrist.
Pain made worse when lying on your affected shoulder.
Pain made worse when using your arm above your head.
Painful arc of movement shoulder pain felt between 60 - 90° of arm moving up and outwards.
When your arm is by your side there is minimal pain and above 90° relief of pain.
Shoulder pain with activities such as washing hair, reaching up to high shelf in the cupboard.
Investigation:
MRI
Ultrasound
Shoulder bursitis rarely requires surgical intervention and generally responds favorably to conservative treatment
Physiotherapy treatment
Reduce inflammation
Reduce pain
Prevent weakness and atrophy of muscles as a result of disuse
Increase the patients awareness of bursitis
Prevent/reduce impingement and further tissue damage
Improve muscle control
Improve scapulohumeral rhythm
Improve active and passive range of motion
Restore strength of scapular and rotator cuff muscles
Treatment
Educate the patient about their condition and advise to avoid painful activities and the importance of relative rest of the shoulder.
Educate the patient about the importance of correct posture
Soft tissue massage
Mobilizations
Gentle pendulum range of motion exercises
Scapular exercises
Stretching of tight muscles
Rotator cuff strengthening
pnf
Ice
U.S