Shoulder Bursitis: Understanding, Managing, and Seeking Care

 Shoulder pain can often be attributed to a relatively common yet frequently misunderstood condition — shoulder bursitis. For many individuals, this condition presents as persistent discomfort, reduced range of motion, and difficulty performing daily activities. At Joint Injections, we recognise the challenges this condition brings and aim to offer insight and guidance on navigating it — from diagnosis to tailored care options, including ultrasound-guided cortisone injections.

What Is Shoulder Bursitis?

The shoulder houses several small, fluid-filled sacs known as bursae. These bursae act as cushions, reducing friction between bones and surrounding soft tissues. In the shoulder, the subacromial bursa is one of the most commonly affected. When this bursa becomes inflamed, the result is what’s medically referred to as shoulder bursitis.

This inflammation can occur due to repetitive movements, minor trauma, or underlying conditions that increase stress on the shoulder joint.

Anatomy of the Shoulder

To appreciate the impact of shoulder bursitis, it helps to understand the basic anatomy of the shoulder:

  • Bones involved: Humerus (upper arm), scapula (shoulder blade), and clavicle (collarbone)
  • Joints: The glenohumeral joint and the acromioclavicular joint are most relevant in movement
  • Soft tissues: Tendons of the rotator cuff, ligaments, and the bursae

The subacromial bursa, situated between the acromion and the rotator cuff tendons, is most commonly implicated in bursitis cases. When inflamed, it can press against surrounding tissues, causing pain and restricted movement.

Common Causes of Shoulder Bursitis

Bursitis may develop for several reasons, some of which include:

  • Overuse or repetitive overhead motions (e.g., painting, lifting, swimming)
  • Sudden shoulder trauma
  • Poor posture, especially over long periods
  • Underlying shoulder impingement or rotator cuff issues
  • Systemic inflammatory conditions such as rheumatoid arthritis or gout

Often, the condition is gradual in onset but may also present suddenly after unusual exertion or strain.

Symptoms That May Be Experienced

Individuals with shoulder bursitis may notice:

  • Persistent ache in the shoulder, especially the outer area
  • Pain when raising the arm, particularly above shoulder height
  • Increased discomfort at night, especially when lying on the affected side
  • Swelling or tenderness over the shoulder
  • Limited range of motion

These symptoms may overlap with other conditions like rotator cuff tendinopathy, so a precise assessment by a clinician is crucial.

Diagnosis of Shoulder Bursitis

Clinicians often begin with a thorough clinical examination, including questions about:

  • Onset and nature of the pain
  • Activities that aggravate or relieve symptoms
  • Past injuries or repetitive movements

Physical examination may include tests to assess range of motion, strength, and points of tenderness. In many cases, ultrasound imaging is used to visualise the inflamed bursa and confirm the diagnosis. Ultrasound can also help rule out related conditions such as rotator cuff tears or impingement.

Management Options for Shoulder Bursitis

Treatment of shoulder bursitis is typically guided by the severity, duration, and underlying causes of the condition. Options may include:

Activity Modification

Avoiding overhead or aggravating activities can help reduce mechanical stress on the bursa.

Ice and Rest

Applying ice packs and limiting shoulder movement for a short duration may provide relief in early phases.

Ultrasound-Guided Cortisone Injections

At Joint Injections, clinicians may consider ultrasound-guided cortisone injections in appropriate cases. Cortisone is a type of corticosteroid medication used to reduce inflammation. Administering the injection under ultrasound guidance ensures precise delivery of the medication into or near the affected bursa, helping target the area more effectively. These injections are typically performed as a day procedure, requiring no hospital stay.

The Role of Ultrasound Guidance in Injections

Ultrasound-guided injections offer a number of advantages:

  • Visual confirmation of the bursa location
  • Accurate needle placement
  • Ability to avoid surrounding structures such as nerves and tendons
  • May be helpful in cases where previous treatments were ineffective or where diagnosis is unclear

Ultrasound guidance is also non-invasive and performed in real-time, allowing clinicians to adjust the injection approach based on live feedback.

When to Consider a Referral

If shoulder pain persists despite conservative measures, referral to a clinic like Joint Injections may be considered. Clinicians can perform advanced imaging, offer guided injections, and develop a targeted care plan aligned with the individual’s lifestyle and symptoms.

Why Choose Joint Injections?

At Joint Injections, our approach to shoulder bursitis is:

  • Clinician-led: All consultations and procedures are performed by experienced clinicians.
  • Evidence-informed: Care plans are based on up-to-date clinical practices.
  • Imaging-supported: We use ultrasound guidance to enhance accuracy and confidence during procedures.
  • Tailored: Management is customised according to the needs and goals of each individual.

Final Thoughts

Shoulder bursitis can significantly affect quality of life, especially when it interferes with sleep, movement, or daily tasks. However, with early recognition and a structured approach, it is often manageable. At Joint Injections, we work closely with individuals to explore appropriate options, including ultrasound-guided cortisone injections where indicated, and support them on the journey towards improved shoulder function and comfort.

Comments

Post a Comment

Popular posts from this blog

Ultrasound-Guided Cortisone Injections for Baxter’s Nerve Entrapment

Image
  Introduction Baxter’s Nerve Entrapment , also known as inferior calcaneal nerve entrapment, is a condition that can contribute to chronic heel pain. It is often misdiagnosed as plantar fasciitis due to the overlap in symptoms. The condition arises when the first branch of the lateral plantar nerve, known as Baxter’s nerve, becomes compressed or irritated. Anatomy of Baxter’s Nerve Baxter’s nerve is a branch of the lateral plantar nerve, which originates from the tibial nerve. This small but significant nerve travels along the medial aspect of the heel and innervates the abductor digiti minimi muscle of the foot. Due to its anatomical course, Baxter’s nerve is prone to compression between the deep fascia of the abductor hallucis muscle and the medial calcaneal tuberosity. Pathology and Causes of Entrapment Baxter’s nerve entrapment  occurs when the nerve is compressed or irritated due to various factors, including: Repetitive stress and overuse  — Activities such as prol...
Read more

Ultrasound-Guided Cortisone Injections for Achilles Tendinopathy

Image
  Achilles tendinopathy   is a common condition affecting the Achilles tendon, which connects the calf muscles to the heel bone. This condition is characterised by pain, stiffness, and reduced function in the tendon, often developing due to repetitive strain or overuse. While it is prevalent among athletes, particularly runners, it can also affect individuals who engage in activities that place excessive stress on the tendon. Management options for  Achilles tendinopathy  vary depending on the severity and chronicity of the condition. Among the available treatment modalities, ultrasound-guided cortisone injections have gained attention as a potential intervention for managing tendon-related pain and inflammation. This blog will provide a comprehensive overview of Achilles tendinopathy, including its anatomy, pathology, risk factors, symptoms, diagnosis, and various management approaches. It will also explore the role of ultrasound-guided cortisone injections in manag...
Read more

Ultrasound-Guided Cortisone Injections for Heel Bursitis

Image
  Introduction Heel bursitis  is a condition that affects the bursae, which are small fluid-filled sacs that cushion and reduce friction between bones, tendons, and muscles. Inflammation of these bursae in the heel region can result in significant pain and discomfort, impacting daily activities such as walking, running, and standing for extended periods. Heel bursitis  can occur due to repetitive stress, excessive pressure, or biomechanical abnormalities. While various treatment options exist,  ultrasound-guided cortisone injections  have been used to target inflammation with precision. Anatomy of the Heel The  heel  is a complex structure composed of bones, soft tissues, and bursae. Key anatomical components include: Calcaneus (heel bone)  — The largest bone in the foot, responsible for weight-bearing. Achilles tendon  — Connects the calf muscles to the heel bone and plays a crucial role in movement. Retrocalcaneal bursa  — Located betw...
Read more