What is Bursitis / Tendonitis?
The ending of the word "itis" is defined as inflammation. Therefore, bursitis is inflammation of a bursa and tendonitis is inflammation of a tendon. A bursa is a fluid filled sac that sits between muscles or tissues to cushion and reduce friction. In the shoulder there is a rather large bursa between the deltoid muscle and joint. This is called the sub-deltoid bursa. This bursa can often become inflamed due to abnormal joint movements, poor posture and weakness of the surrounding musculature. This causes strain to the tissues and excessive friction on the bursa. People tend to feel pain with movement and especially movement out to the side or reaching behind them.
Tendons connect muscles to bones. In the shoulder common areas for tendonitis are in the rotator cuff tendons (supraspinatus, infraspinatus, teres minor and subscapularis) and bicep tendons. Pain can be felt deep in the shoulder or in the front of the shoulder. Pain is usually felt as a sharp, catching sensation with certain movements.
How physical and/or therapy helps
Physical and occupational therapy are the first line of conservative treatment for bursitis and tendonitis. Since most bursitis and tendonitis is due to underlying abnormal mechanics of movement and weakness, our trained therapists evaluate your movement to pinpoint the exact source of the trouble. Modalities may be used to alleviate pain and discomfort, while hands-on therapy improves joint mechanics and movement.
Finally, gentle strengthening exercises and joint coordination exercises help to restore stability to the affected area and to prevent re–occurrence of the symptoms. Call us today to discover how we can help you relieve your shoulder pain quickly and get back to the activities you enjoy!