By Muireann Prendergast, Contributing Columnist, and Susan Callahan, Health Editor
SHOULDER BURSITIS – A STRANGE NAME BUT A COMMON PROBLEM
Most of us have felt that familiar twinge in our shoulders after a too-enthusiastic day of lifting. But is shoulder pain keeping you awake at night? Do you experience sharp pain in your shoulders each time you lift your arm, move your hand or even turn your head? Is your shoulder region swollen? Do you feel that your shoulder is generally weaker than before?
If so, you might be suffering from shoulder bursitis.
The National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS) explains that shoulder bursitis occurs when a sack called as bursae becomes inflammed. Bursae are slippery, fluid filled, cushions between tendons, muscles and bones, making movement easy and pain free. Without bursae this movement would be difficult and painful.
There are over 150 bursa sacs in the human body in areas such as the knee, elbow and toe but the shoulder bursa is one of the largest. You can therefore experience bursitis in the knees, hips, toes as well as your shoulders.
There are no official figures on the number of Americans who suffer from shoulder bursitis. Part of the reason for the absence of statistics is that the term "shoulder bursitis" often is used interchangeably with shoulder tendonitis and "frozen shoulder". All these conditions can involve the irritation and swelling of soft tissue with the bursa and the tendons often becoming inflamed at te same time as the bursae. What is know is that shoulder pain is one of the most common medical complaints in the US. and shoulder bursitis is one of the most common orthopedic diagnoses in the US.
CAUSES OF SHOULDER BURSITIS
According to research studies, shoulder bursitis has numerous causes, including direct trauma such as injuries from falling down and the overuse of the shoulder joint. Workers who repeatedly move the shoulder joint in their work such as tennis players and gardeners are more susceptible to the condition.
Inflammatory conditions such as rheumatoid arthritis are further causes of shoulder bursitis. The aging process can also trigger the condition.
TREATMENT OF SHOULDER BURSITIS
Here are the most recommended treatments for non-septic shoulder bursitis. Septic bursitis requires different treatment.
1. REST The first recommendation for the treatment of shoulder bursitis is the most obvious one, rest the affected area. Any activity that causes pain such as lifting arms above the head or moving the neck should be avoided.
2. HEAT AND ICE A cold or hot compress is equally effective in reducing pain and whichever can be chosen as it is largely a matter of personal preference. A wet towel, applied for 15 minutes, can increase blood flow to the shoulder while a hot compress has the same effect.
3. SOFT TISSUE INJECTIONS A soft tissue injection administered by a doctor can give quick relief to shoulder pain and inflammation. As the anti- inflammatory used might be a Corticosteroid, it is important to let your doctor know if you are allergic to steroids before going ahead with the treatment.
4. ANTI-INFLAMMATORY MEDICATION Your doctor might also recommend a non-steroidal anti- inflammatory medication to be administered orally for relief. An over the counter version such as Ibuprofen can offer short term pain relief.
5. PHYSICAL THERAPY A course of specific exercises, carried out in conjunction with a physical therapist, rather than medical treatments, might be the most effective option in the long term. Discuss options with your doctor.
HOW TO PREVENT SHOULDER BURSITIS
1. TRY NOT TO OVERWORK THE SHOULDER AREA For those who use the shoulder region repeatedly in their work, it is important to allow for periods of rest in the day so as not to overwork the region. This will help to avoid Shoulder Bursitis in the long term.
2. SPECIFIC EXERCISIES If you feel that you might be susceptible to the condition or if you have a history of it, a set of exercises, to be practiced regularly, can be developed in conjunction with a physiotherapist so as to strengthen the area.
3. IMPROVE YOUR POSTURE A straight, non-hunched, posture can work wonders for shoulder and back health. Slouching can put unnecessary pressure on the shoulder region which over time could develop into a painful problem.
4. TRY NOT TO LIFT OVERLY HEAVY OBJECTS The lifting of heavy objects over time can also cause Bursitis as this puts extra pressure on the shoulder area. If heavy lifting is an unavoidable part of your job it is a good idea to develop a warm up exercise regime with a physiotherapist so as to better prepare the shoulder region for the impact of heavy lifting. Where possible use a trolley to move heavy objects.
5. USE PADS It’s a good idea to place pads on the shoulder area if it is used to move or carry objects. Also, cushioned rather than hard chairs are vital for back and shoulder comfort in people prone to shoulder problems.