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September 02, 2010  
EDUCATION CENTER: Shoulder Conditions
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  • Bursitis

    Quick Reference

    Reviewed by Dr. Peter Simonian

    The point of contact between your bones, tendons and ligaments is cushioned by a small fluid-filled sac is called a bursa (plural: bursae). When a joint is overused or injured, these bursae can swell up with extra fluid, leaving less room for the tendons and bones of the shoulder to move freely. As a result, the tendons rub against the acromion (or AC) joint, causing pain, inflammation, tenderness, and swelling. If bursitis is left untreated, it can lead to pain and inflammation in the soft tissues, which may restrict the motion in that shoulder and cause pain when it is moved. Untreated bursitis may also lead to bone spurs, which will worsen the pain.

    Detailed Description

    Symptoms
    • Pain while raising your arm above your shoulder
    • Pain while reaching backwards, as if to grab something in a rear pants pocket
    • Pain when pressing on the area
    • Warmth of area
    • Stiffness
    • Swelling
    • Shoulder “catches” while raising or lowering it

    Causes and Risk Factors
    Causes

    • Injury
    • Use, especially during overhead exercises
    • Pressure on one joint for a long time
    • Repetitive exercises, especially throwing

    Risk Factors


    • Strenuous activity
    • Repetitive action

    Bursitis is not usually accompanied by fever, although the joint area may feel mildly warm.

    Treatment

    Immediate Action

    • Know your physical limitations.
    • Don’t “tough out” the pain in strenuous activity.
    • With any recent injury, use RICE: Rest, Ice, Compression and Elevation.
    • For frequent pain, if the joint is not warm or swollen, heat may help relieve some of the joint pain.
    • Mild exercise will loosen and strengthen joints.

    See your doctor...
    If: you have pain in one joint for several days straight, you take a prescription painkiller or anti-inflammatory drug, but swelling persists.
    To: get medication for pain and swelling.

    Procedures
    For severe cases, it may be necessary to inject corticosteroids. In very severe cases, surgery may also be considered to remove the affected bursae or associated bone spurs.

    Medications
    Possible medications include nonsteroidal anti-inflammatory drugs such as ibuprofen and pain medications such as acetaminophen (Tylenol).

    Prevention
    Take steps to avoid excessive overhead lifting or shoulder injury and pay attention to ergonomics in daily activities, such as comfortable desk and work surroundings.

    Last updated: 10-Oct-00

       
     
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