Shoulder Bursitis Information

Shoulder Bursitis Information

While bursitis isn’t as often discussed as tendon, muscle, and ligament ailments, bursitis is actually a common cause of pain and discomfort. Furthermore, bursitis often accompanies inflammatory injuries of the tendons, muscles, and ligaments. There are around 160 bursae in the average human body, most of which are located near the major joints of the body. Due to the extensive range of motion of the shoulder joint, the shoulder bursae are highly susceptible to injury.

 

 

Shoulder Bursae Anatomy


Bursae are cushioning fluid-filled sacs. They secrete a small amount of lubricating fluid that’s rich in protein and collagen. Bursae are situated where the surface of soft tissues, such as muscles, ligaments, tendons, and skin, rub across the much harder surface of a bone. The bursae have a very important role in the structure of the human body. They act to absorb shock and provide a lubricated gliding surface for soft tissues to move over bones without suffering a friction injury. Imagine a bursa as a section of bubble wrap that’s absorbing shock and secreting a substance similar to the consistency of an egg white to reduce friction. While there are certain bursae alike to most human bodies, additional bursae often form as they are needed.

In the shoulder, there are four main bursae:

1. Subscapular bursa - located between the shoulder joint capsule and the subscapularis muscle tendon.

2. Subacromial bursa - located just under the acromion process and just above the greater tubercle (humeral head) of the humerus. The subacromial bursa prevent friction between the acromion and the rotator cuff tendons in the subacromial space.

3. Subdeltoid bursa - located between the shoulder joint and deltoid muscle. This bursa is usually attached to the subacromial bursa and is sometimes not distinguishable as a separate bursa.

4. Subcoracoid bursa - located between the shoulder joint capsule and coracoid process on the scapula.

Of these, the subacromial bursa and subdeltoid bursa are the most prone to bursitis.

What Is Shoulder Bursitis?

Shoulder bursitis describes one of the shoulder bursa becoming inflamed.

What Causes Shoulder Bursitis?


Bursitis begins as the affected bursa is subjected to a blunt force or more pressure or friction than the structure can withstand. During trauma, the affected shoulder bursa may fill with blood and become inflamed. During pressure or friction injuries, the bursa may begin to produce too much lubricating fluid. If the friction or pressure continues, then the bursa begins to fill will the excess fluid and become inflamed.

Shoulder bursitis may also be caused by infection (septic bursitis). This may be a systemic infection, but is more often a localized infection after a direct trauma produces an open wound near a shoulder bursa.

The subacromial bursa frequently becomes inflamed following: tendonitis of the supraspinatus tendon, a rotor cuff injury, impingement syndrome, or a bone spur. Subacromial bursitis is also common among those participating in a sport, occupation, or hobby that involves frequent and/or repetitive overhead arm movements like swimming, painting, or throwing a ball.

What Are The Symptoms Of Shoulder Bursitis?

* localized pain, swelling, tenderness to the touch, warmth to the touch, and redness
* shoulder motions may produce a deep dull ache, burning sensation, or pain severe enough to limit motion
* laying on the affected shoulder may cause pain to worsen and can interfere with sleep

 

Strengthening Exercises

These Shoulder Bursitis Exercises are ideal to build strength and flexibility.

Massage Treatment

These Shoulder Bursitis Massage Techniques are of great value in pain relief; circulation stimulation; dispersing blood and fluid accumulations; swelling reduction; and relaxing muscle spasms, especially when used alongside the Sinew Therapeutics liniments, soaks and massage oil.

 

ACUTE STAGE SYMPTOMS AND TREATMENT

 

This stage is characterized by swelling, redness, pain, and possibly a local sensation of heat, indicating inflammation. If coolness makes your pain feel better, then the Acute Stage Treatment is recommended.

 

ACUTE STAGE SYMPTOMS:

 

The acute stage starts the moment an injury occurs and lasts until the swelling and inflammation are gone. The swelling is the result of the blockage of blood, tissue fluids and circulation in the shoulder because their normal movement has been disrupted by the force of the injury. Just like cars back up behind a traffic jam, causing congestion, exhaust and overheating; blood and fluids back up behind the injured shoulder, causing pain, inflammation, lumps and swelling.

The sensation of heat is due to the warming action of the blood and fluids overheating in the injured shoulder as they back up and accumulate. Stiffness and decreased mobility are due to spasms in tendons and ligaments that have contracted reflexively beyond their normal range from the impact of the injury.

As ligaments and tendons stretch and tear, blood from ruptured blood vessels becomes trapped in the local tissues. As the trapped blood clots up, it sticks the tissues together creating adhesions. Adhesions cause pain, inflammation and restricted movement because the layers of tissue that used to slide smoothly across one another now adhere and snap which interferes with normal functioning. It is essential to break up clotted blood as quickly as possible to prevent adhesions and scar tissue from forming.

During the acute stage it is very important to restore normal circulation to the shoulder, break up clotted blood and stagnant fluids, reduce swelling, and reduce the redness and heat associated with inflammation. By restoring the flow of blood, fluids, and circulation in the shoulder, then pain is relieved, damaged tissues can regenerate with healthy functional tissue, and the shoulder can strengthen and regain it's mobility.

 

ACUTE STAGE TREATMENT:

 

1. Apply the Sinew Herbal Ice on your shoulder to reduce redness, swelling, and inflammation while dispersing accumulated blood and fluids to help restore normal circulation to the shoulder. This first-aid treatment is used in place of ice to significantly speed up the healing process. It reduces the swelling and inflammation more effectively than ice, allowing you to more quickly regain range of motion. Acute Sinew Liniment can be used in-between applications.

Ice is not recommended because it does not help repair damaged tissues and keeps everything in the injured area frozen, causing the stagnation of blood and fluids and the contraction of muscles, tendons and ligaments. In Chinese sports medicine ice is not used and is considered a culprit in injuries that donít heal well.

2. Massage your shoulder with Acute Sinew Liniment to relieve pain, reduce swelling and inflammation, break up clotted blood and stagnant fluids, and stimulate circulation of blood and fluids to help cells quickly repair damaged tissues. Sinew Herbal Ice can be used in-between applications.

3. The Sinew Sports Massage Oil is recommended for use before and after exercise, sports and strenuous activity. It warms and stimulates your muscles, increases circulation and relieves tightness, hence improving your performance and helping to prevent injury.

 

 

CHRONIC STAGE SYMPTOMS AND TREATMENT

 

This stage begins once the swelling and inflammation are gone, but you still feel pain, stiffness, weakness, and/or sensitivity in cold and damp weather. If heat makes your pain feel better, then the Chronic Stage Treatment is recommended.


CHRONIC STAGE SYMPTOMS:

 

The chronic stage begins once the swelling and inflammation are gone, but you still feel aching pain and stiffness. This is because there are still accumulations of stagnant blood and fluids in your shoulder that are blocking circulation and blood supply to damaged tissues, creating residual pain, stiffness and weakness. You may actually feel hard nodules like sand in the tissue, indicating accumulation, calcification, and adhesions, which all cause pain, stiffness, and joint instability.

Your shoulder may feel more sensitive to the cold and ache in cold and damp weather due to impaired circulation. When you move your shoulder you may hear a clicking or popping sound from the tendons and ligaments slipping very slightly in and out of their natural alignment indicating weakness and joint instability, causing chronic pain and a cycle of reinjury. These symptoms are often the result of failure to treat the injury properly from the outset and over-icing.

Increasing circulation and blood supply to the damaged tissues is very important in treating chronic injuries because tendons and ligaments do not have an extensive direct supply of blood. That is why chronic injuries can be slow to heal. Increasing local circulation also prevents cold and dampness from penetrating the injured area, preventing pain and stiffness.

During the chronic stage it is very important to break up remaining accumulations of blood and fluids, and increase circulation and blood supply to the damaged tissues. By increasing circulation and blood flow in the shoulder, then pain and stiffness is relieved, and the tendons and ligaments can strengthen to restore stability.


CHRONIC STAGE TREATMENT:

 

1. Massage your shoulder with Chronic Sinew Liniment to relieve pain and stiffness, strongly stimulate circulation and blood flow to damaged tissues, and promote the healing of overstretched tendons and ligaments. Sinew Injury Poultice can be used in-between applications.

2. Apply the Sinew Injury Poultice on your shoulder to relieve residual pain and stiffness, significantly stimulate circulation and blood flow to damaged tissues, and further promote the healing of overstretched tendons and ligaments. The Sinew Injury Poultice is particularly useful if your shoulder is more painful in cold and damp weather. Chronic Sinew Liniment can be used in-between applications.

3. The Sinew Sports Massage Oil is recommended for use before and after exercise, sports and strenuous activity. It warms and stimulates your muscles, increases circulation and relieves tightness, hence improving your performance and helping to prevent injury.