Shoulder Pain Tendonitis and Bursitis

[Aaliawilliam]

It is a very common occurrence Backhero Posture Corrector Review for a person to come and explain to me that they have been diagnosed with bursitis or tendinitis in the shoulder. "Itis" is another way of saying there is inflammation, in this particular case, inflammation of the bursa or an area of the shoulder joint that is painful. When these problems occur together, and because there is a limited amount of space within the shoulder joint, the muscles and tendons become irritated and squeezed between the humerus and the shoulder blade, "impinging" these structures. Repetitive movements and stresses irritate the tendons, muscles and associated soft tissues in the joint area. The symptoms of impingement syndrome can be very mild or very severe. The fluid filled bursa between tendon and bone, or tendon and skin, when inflamed is called bursitis.

Symptoms of impingement syndrome or bursitis usually include a gradual onset of pain, most commonly in the upper arm or shoulder region. Once irritated, the tendons are easily inflamed and the swelling continues to irritate and cause more pain and inflammation. Sleeping on their side or on the shoulder can be painful and difficult. If the front area of the upper arm and shoulder area is involved, the biceps tendon may be exhibiting some tendinitis also. It is fairly common to see pain referral to areas in the forearm and elbow also.

Consultation and examination of an individual with impingement syndrome or bursitis symptoms would include a thorough history, a physical exam, and other tests such as imaging (x-rays or MRI) and neurological tests may be necessary. The most common approach to treating the shoulder pain with conservative management includes rest initially from sports, work related activities, or heavy lifting, that may have been part of the initial injury causing the irritation and inflammation. Ice, and alternating ice and heat combined may help to reduce or limit the inflammation. Some gentle shoulder stretching, and strengthening exercises may be added once the pain starts to reduce.

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