Subacromial Bursitis Treatment & Surgery

What is Subacromial Bursitis?

Subacromial bursitis is a condition characterized by inflammation of the bursa located beneath the acromion, the bony prominence on the top of the shoulder blade. The bursa is a small, fluid-filled sac that acts as a cushion between the bones, tendons, and muscles around the shoulder joint, reducing friction and allowing smooth movement. When the bursa becomes inflamed, it can cause pain, swelling, and restricted movement in the shoulder, particularly during overhead activities.

What Causes Subacromial Bursitis?

Subacromial bursitis can be caused by various factors, including:

• Overuse and Repetitive Motion: Repetitive overhead activities, such as lifting, throwing, or swimming, can irritate the bursa, leading to inflammation.
• Injury or Trauma: A direct blow to the shoulder or a fall can cause the bursa to become inflamed.
• Poor Posture: Slouching or poor posture can alter the alignment of the shoulder joint, increasing the risk of bursitis.
• Shoulder Impingement: Conditions like shoulder impingement syndrome can compress the bursa, causing irritation and inflammation.
• Infection: In rare cases, the bursa can become infected, leading to septic bursitis, which requires prompt medical attention.

Signs and Symptoms of Subacromial Bursitis

Symptoms of subacromial bursitis can vary in intensity and may worsen with certain activities. Common signs and symptoms include:

• Shoulder Pain: A dull or aching pain in the shoulder, particularly when lifting the arm overhead or reaching behind the back. The pain may worsen at night, especially when lying on the affected side.
• Swelling and Tenderness: Swelling and tenderness around the front or side of the shoulder.
• Limited Range of Motion: Difficulty moving the shoulder through its full range of motion without pain or stiffness.
• Weakness: Weakness in the shoulder, making it challenging to perform everyday tasks or engage in physical activities.
• Popping or Clicking Sensations: A popping or clicking sensation in the shoulder joint during movement.

Diagnosis of Subacromial Bursitis

To diagnose subacromial bursitis, a healthcare provider will perform a physical examination to assess shoulder pain, swelling, and range of motion. They may ask you to perform specific movements to evaluate the extent of discomfort and inflammation. Imaging tests, such as X-rays or ultrasound, may be used to rule out other conditions and confirm the diagnosis of bursitis. In some cases, an MRI may be necessary to provide a more detailed view of the shoulder structures.

Treatment for Subacromial Bursitis

Treatment for subacromial bursitis aims to reduce inflammation, alleviate pain, and restore shoulder function. Options include:

• Rest and Activity Modification: Avoiding activities that exacerbate symptoms and allowing the shoulder to rest can help reduce inflammation and pain.
• Ice Therapy: Applying ice packs to the affected shoulder for 15-20 minutes several times a day can help reduce swelling and pain.
• Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) may be prescribed to help manage pain and reduce inflammation.
• Physical Therapy: A structured physical therapy program focusing on stretching and strengthening exercises can help improve shoulder mechanics, reduce inflammation, and enhance function.
• Injections: Corticosteroid injections into the bursa can provide temporary relief from pain and inflammation, particularly in cases of severe bursitis.
• Surgery: In rare cases where conservative treatments are ineffective, surgical intervention may be necessary to remove the inflamed bursa or address underlying conditions contributing to bursitis.

If you’ve suffered from persistent shoulder pain and suspect subacromial bursitis may be the cause, don’t wait to seek relief. At Cross Bay Orthopedic Surgery & Sports Medicine, our expert team provides advanced diagnostics, personalized treatment plans, and, when necessary, minimally invasive surgical options to restore your shoulder function and comfort. Take the first step toward lasting recovery contact us today to schedule your consultation and get back to doing what you love, pain-free.

Frequently Asked Questions (FAQs)