Subacromial bursitis occurs when a bursal
sac in the shoulder area becomes inflamed. The bursa is
a fluid-filled sac that allows smooth motion between the
bony prominence over the outside of the shoulder and the
firm tendon that passes over the bone. This inflammation
may lead to weakening and later rupture of these
tendons. The shoulder tendons include the rotator cuff
and biceps tendons.
Subacromial bursitis can occur as a
result of injury, overuse, or with aging as the tendon
loses elasticity. Subacromial bursitis can also be seen
in diseases such as rheumatoid arthritis or diabetes.
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Overuse is the most common cause of
subacromial bursitis. People beginning an exercise
program or increase their level of exercise can
experience symptoms of subacromial bursitis. The area is
unaccustomed to the new level of demand, and this
overuse will cause an inflammation and bursitis.
Subacromial bursitis can be caused by a
number of factors. Some of the more common factors
associated with subacromial bursitis include:
-
A
sudden increase in the intensity of training.
-
A
rapid increase in the frequency of training.
-
Repeated training on rigid surfaces.
-
Poor
core strength.
-
Genetic abnormalities.
Symptoms of subacromial bursitis
include:
-
Pain, tenderness and swelling along the tendon,
usually in proximity to the shoulder joint.
-
Pain
that worsens with movement or activity.
-
Shoulder pain at night, especially when lying on the
affected shoulder.
-
Stiffness after exercise involving the shoulder.
-
Pain
associated with arm movement.
-
Weakness with raising the arm above the head, or
pain with overhead activities.
The goal of subacromial bursitis
treatment is to relieve pain and reduce inflammation.
Often, rest, ice and home care pain relievers are all
that's needed. The goals of subacromial bursitis
treatment and shoulder bursitis rehabilitation include;
-
Protection of the injured tissues to allow healing
and to control the early inflammatory phase.
-
Ice
packs or ice massage.
-
Rehabilitate flexibility, strength and muscle
imbalance, and control physical activities with the
aid of taping and splinting.
-
Non-impact aerobic conditioning, flexibility
training and strengthening exercises.
-
Return to full activity as shoulder bursitis
symptoms allow.
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The goal of rehabilitation should be
designed to decrease the symptoms, strengthen the
muscles and improve flexibility. The person with
subacromial bursitis must return to sports activity
carefully and slowly. Criteria for resuming full
physical activity should be based on function, not time.
Inflammation can also be treated with
nonsteroidal anti-inflammatory medications such as
Motrin or Advil. These medications can be helpful
treatments for subacromial bursitis but do have side
effects. Side effects of these medications can include
stomach upset and bleeding problems.
Your doctor might suggest treating your
subacromial bursitis with steroid drug injections.
Injections of cortisone reduce shoulder tendonitis
inflammation and can help ease pain. However, this
subacromial bursitis treatment should be used with great
care because repeated injections may weaken the tendon
or cause undesirable side effects.
Prevention is the best treatment for
subacromial bursitis. The key to avoiding problems such
as subacromial bursitis is to slowly increase the
intensity of your exercise, vary the types of activities
you perform, and try not to cycle between periods of
activity and inactivity. Follow these guidelines to
prevent subacromial bursitis or prevent the recurrence
of subacromial bursitis:
-
Do
not train hard when muscles are stiff from a
previous workout.
-
Introduce new activities or new training levels
gradually.
-
Allow ample warming up and cooling off time.
-
Monitor yourself daily for signs of fatigue. If
fatigued, give yourself a break for the day.
Proper conditioning should include
aerobic fitness, upper body strength training, and upper
body flexibility training. Flexibility is very important
in preventing overuse injuries such as subacromial
bursitis.
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