Doctor evaluating patient symptoms for Shoulder Bursitis diagnosis at Mountain Spine & Orthopedics
Condition/Condition Details

Shoulder Bursitis

Shoulder bursitis is inflammation of the bursa, a fluid-filled sac that cushions the rotator cuff tendons, causing pain and limited motion.

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About Shoulder Bursitis

Shoulder bursitis is inflammation of the subacromial bursa, a fluid-filled sac that cushions the rotator cuff tendons and allows smooth movement between the tendons and the acromion bone. When the bursa becomes inflamed, it causes pain, swelling, and limited shoulder motion. At Mountain Spine & Orthopedics, our shoulder specialists understand that bursitis often occurs in conjunction with shoulder impingement or rotator cuff problems. We use comprehensive evaluation including physical examination and advanced imaging to identify the condition and develop a personalized treatment plan.

Bursitis typically results from repetitive overhead activities, shoulder impingement, or direct trauma. The inflammation causes the bursa to thicken and produce excess fluid, leading to pain and limited motion. Early diagnosis and treatment are essential to prevent progression to more serious shoulder problems.

What Are the Symptoms of Shoulder Bursitis?

Patients with shoulder bursitis typically experience pain with overhead activities or reaching, pain at night especially when lying on the affected side, and tenderness over the top of the shoulder. Many patients notice the pain is worse with specific movements like raising the arm. Some individuals experience swelling or warmth in the shoulder area.
Shoulder Bursitis
Shoulder bursitis is inflammation of the bursa, a fluid-filled sac that cushions the rotator cuff tendons, causing pain and limited motion.

Are There Specific Risk Factors for Shoulder Bursitis?

Risk factors include repetitive overhead activities (sports or occupations), shoulder impingement, rotator cuff problems, advancing age, previous shoulder injuries, and direct trauma to the shoulder.

Diagnosing Shoulder Bursitis?

Diagnosis involves a comprehensive physical examination including assessment of range of motion and specific tests for impingement. X-rays can reveal bone spurs or other structural issues. MRI or ultrasound can visualize the bursa and identify inflammation or fluid. We offer complimentary MRI reviews to accurately assess your condition.

Treatment for Shoulder Bursitis?

Non-Surgical Treatment Options

Initial treatment includes rest from aggravating activities, anti-inflammatory medications, ice, and physical therapy to strengthen the rotator cuff and improve shoulder mechanics. Corticosteroid injections into the bursa can provide significant pain relief.

Surgical Treatment

When conservative treatment fails, our surgeons may perform arthroscopic subacromial decompression to remove the inflamed bursa and create more space for the rotator cuff tendons. This minimally invasive procedure is highly effective for relieving bursitis and preventing recurrence.

Does Shoulder Bursitis Cause Pain?

Bursitis pain typically worsens with overhead activities and can become constant over time if left untreated. The pain often disrupts sleep, especially when lying on the affected shoulder. Early treatment can prevent the condition from progressing to more serious shoulder problems.

What Can Patients Do to Prevent It?

Preventing shoulder bursitis involves reducing inflammation and maintaining proper shoulder mechanics:

  • Avoid repetitive overhead activities without proper rest
  • Strengthen rotator cuff and scapular stabilizer muscles
  • Address shoulder impingement early to prevent bursitis
  • Use proper lifting techniques and body mechanics
  • Practice shoulder flexibility exercises regularly
  • Seek prompt treatment for shoulder pain

Schedule a Consultation Today

If you're experiencing shoulder pain with overhead activities, schedule a consultation with Mountain Spine & Orthopedics today. Same-day and next-day appointments are available. Take advantage of our complimentary MRI review to get a precise diagnosis and personalized treatment plan.

Locations Offering Evaluation

Our board-certified specialists offer shoulder bursitis evaluation and treatment at locations across Florida, New Jersey, New York, and Pennsylvania. Schedule a consultation at a clinic near you.

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Frequently Asked Questions

What is shoulder bursitis?

Shoulder bursitis (subacromial bursitis) is inflammation of the fluid-filled sac between the rotator cuff and acromion bone. It cushions tendons during arm movement. Bursitis often coexists with impingement syndrome or rotator cuff tendonitis.

What causes shoulder bursitis?

Causes include repetitive overhead activities, direct trauma, prolonged pressure, inflammatory arthritis, or infection (septic bursitis). It frequently develops alongside rotator cuff problems due to reduced subacromial space and increased friction.

What are the symptoms of shoulder bursitis?

Symptoms include dull aching shoulder pain that worsens with overhead activities, tenderness over the outer shoulder, swelling, pain at night, and weakness due to pain inhibition. The painful arc (60-120 degrees of elevation) is characteristic.

How is shoulder bursitis treated?

Treatment begins with rest, ice, and NSAIDs to reduce inflammation. Physical therapy improves mechanics and strengthens stabilizers. Corticosteroid injections directly into the bursa provide significant relief. Chronic cases may require arthroscopic debridement.

How long does shoulder bursitis take to heal?

Acute bursitis typically improves in 2 to 4 weeks with proper treatment and activity modification. Chronic bursitis may persist for months, especially if underlying impingement isn't addressed. Surgical bursectomy is rarely needed but provides definitive treatment for refractory cases.