Shoulder Bursitis

A Comprehensive Guide by Alton Pain Clinic

Introduction

Shoulder bursitis is a painful and often disruptive condition that affects many individuals, limiting shoulder movement and daily function. At Alton Pain Clinic, our clinicians aim to offer clarity and guidance for those experiencing shoulder discomfort potentially related to bursitis. This article explores shoulder bursitis in depth — from understanding its anatomy to exploring the role of image-guided cortisone injections in symptom management.

Understanding the Shoulder Structure

The shoulder is one of the most mobile joints in the human body. This mobility, however, also makes it vulnerable to overuse and injury. The joint comprises:

  • The humerus (upper arm bone)
  • The scapula (shoulder blade)
  • The clavicle (collarbone)
  • Multiple muscles, ligaments, and bursae

Bursae are small, fluid-filled sacs that reduce friction between soft tissues and bones during movement. In the shoulder, the most commonly affected bursa is the subacromial bursa, located between the acromion (part of the shoulder blade) and the rotator cuff tendons.

What Is Shoulder Bursitis?

Shoulder bursitis refers to the inflammation or irritation of the bursa, typically the subacromial bursa. This condition often results in:

  • Pain around the top or outer part of the shoulder
  • Discomfort that worsens with overhead activities or at night
  • Swelling or warmth near the shoulder joint
  • Reduced range of motion

While bursitis can be acute, triggered by an injury or infection, it more commonly develops gradually due to repetitive strain or overuse.

Causes and Risk Factors

Several factors may contribute to the development of shoulder bursitis:

  • Repetitive overhead motions, often seen in sports or occupations (e.g., painters, swimmers, tennis players)
  • Trauma, such as a fall or direct impact to the shoulder
  • Poor posture, leading to altered biomechanics
  • Rotator cuff dysfunction, which can increase pressure on the bursa
  • Inflammatory conditions, such as rheumatoid arthritis or gout
  • Age-related degeneration of surrounding tissues

Common Symptoms

Individuals with shoulder bursitis may report:

  • A dull ache or sharp pain in the outer shoulder
  • Increased discomfort when raising the arm or lying on the affected side
  • Stiffness and difficulty with reaching behind the back or overhead
  • Tenderness over the top of the shoulder
  • In some cases, swelling may be visible or palpable

Diagnosis

Accurate diagnosis is key to addressing shoulder bursitis effectively. At Alton Pain Clinic, clinicians carry out a thorough evaluation that may include:

  • A detailed clinical history
  • Physical examination, focusing on shoulder mobility and points of tenderness
  • Ultrasound imaging, which is helpful in visualising bursal swelling, fluid accumulation, and associated soft tissue changes

Ultrasound is a safe and efficient tool that enables dynamic assessment, often used to both confirm the diagnosis and guide treatment.

Management Strategies

The approach to managing shoulder bursitis is typically multi-faceted. Treatment may involve:

Rest and Activity Modification

Avoiding overhead movements or strenuous activities that aggravate the shoulder can reduce inflammation.

Image-Guided Cortisone Injections

When initial management does not provide sufficient relief, a clinician at Alton Pain Clinic may recommend an ultrasound-guided cortisone injection.

What Is a Cortisone Injection?

Cortisone is a corticosteroid — a type of anti-inflammatory medication. When injected directly into the affected bursa, it may assist in reducing local inflammation and easing discomfort.

Why Ultrasound Guidance?

Using real-time ultrasound guidance ensures:

  • Accurate delivery of the medication into the inflamed bursa
  • Avoidance of surrounding structures
  • Enhanced safety and comfort during the procedure

Ultrasound guidance is particularly valuable in cases where the anatomy is complex or when previous interventions have not been successful.

After the Injection

Following a cortisone injection, individuals may be advised to:

  • Rest the shoulder for 24–48 hours
  • Gradually resume activity
  • Continue with prescribed physiotherapy

Some people may experience temporary soreness at the injection site, but this usually settles quickly.

Long-Term Outlook

With appropriate intervention and rehabilitation, many individuals experience improved shoulder mobility and function. However, maintaining shoulder health requires attention to posture, ergonomics, and strength.

At Alton Pain Clinic, clinicians take a holistic view — considering not just symptom management but also the prevention of recurrence through tailored guidance and treatment planning.

When to Seek Medical Attention

Persistent shoulder pain, night discomfort, or restricted movement that interferes with daily activities warrants further evaluation. Early diagnosis and intervention may help prevent progression or complications such as rotator cuff injuries.

Why Choose Alton Pain Clinic?

At Alton Pain Clinic, we provide:

  • Ultrasound-guided cortisone injections, performed by experienced clinicians
  • A patient-centred approach, with individualised care plans
  • A focus on minimally invasive options before considering surgical alternatives
  • Comprehensive diagnostic and interventional expertise under one roof.

Final Thoughts

Shoulder bursitis, though common, can significantly affect quality of life. Understanding the condition and seeking timely guidance may support more effective management. At Alton Pain Clinic, we aim to support individuals in returning to their daily routines through targeted diagnostics and precision-guided care.

If you are experiencing ongoing shoulder discomfort, feel free to contact Alton Pain Clinic for further information or to discuss whether an ultrasound-guided intervention may be appropriate for your situation.

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