Shoulder bursitis, characterised by inflammation and irritation of the bursa sacs in the shoulder joint, can cause pain, stiffness, and limited range of motion, affecting daily activities and quality of life. While shoulder bursitis can be challenging, targeted physiotherapy interventions can effectively alleviate symptoms, restore function, and promote long-term shoulder health. In this blog post, we'll explore a comprehensive approach to rehabilitating shoulder bursitis, empowering individuals to regain comfort and mobility in their shoulder joint.
Understanding Shoulder Bursitis
Shoulder bursitis occurs when the bursa sacs, small fluid-filled cushions that reduce friction between bones, muscles, and tendons in the shoulder joint, become inflamed or irritated. Common causes include repetitive overhead movements, trauma, muscle imbalances, and underlying shoulder conditions such as rotator cuff tears or impingement syndrome. Symptoms of shoulder bursitis may include:
Shoulder pain, especially with overhead activities or lifting.
Localised tenderness and swelling in the shoulder area.
Stiffness and limited range of motion, particularly with shoulder abduction and external rotation.
Weakness and muscle fatigue in the shoulder girdle muscles.
Rehabilitation Strategies for Shoulder Bursitis
Pain Management and Inflammation Control: Begin by addressing pain and inflammation to alleviate discomfort and promote healing. Use modalities such as ice therapy, anti-inflammatory medications, and rest to reduce pain and swelling in the shoulder joint.
Range of Motion Exercises: Gradually introduce gentle range of motion exercises to maintain flexibility and mobility in the shoulder joint. Perform pendulum exercises, passive range of motion, and assisted stretching to improve shoulder abduction, flexion, and external rotation.
Strengthening Exercises: Strengthen the muscles surrounding the shoulder joint to improve stability and support. Focus on exercises that target the rotator cuff muscles, deltoids, and scapular stabilisers, including internal and external rotation exercises, scapular retraction, and shoulder abduction/adduction.
Postural Correction: Address postural imbalances and muscle weaknesses that may contribute to shoulder bursitis. Emphasise proper alignment of the shoulder girdle, thoracic spine, and scapulae to reduce stress on the shoulder joint and optimise biomechanics.
Scapular Stabilisation: Strengthen the muscles that control scapular movement and stability to improve shoulder function and prevent impingement. Incorporate exercises such as scapular retractions, rows, and wall slides to enhance scapular control and positioning.
Manual Therapy: Consider manual therapy techniques such as soft tissue mobilisation, joint mobilizations, and myofascial release to reduce muscle tension, improve tissue mobility, and alleviate pain in the shoulder region.
Modalities and Taping: Use therapeutic modalities such as ultrasound, electrical stimulation, or heat therapy to further reduce pain and inflammation in the shoulder joint. Additionally, consider taping techniques such as kinesiology tape or shoulder bracing to provide external support and proprioceptive feedback.
Functional Rehabilitation: Progress to functional rehabilitation exercises that mimic real-life movements and activities to prepare for a safe return to daily activities and sports. Incorporate activities such as shoulder presses, push-ups, and functional reaching tasks to improve shoulder strength, endurance, and coordination.
Activity Modification and Ergonomics: Modify activities and work ergonomics to reduce repetitive stress and strain on the shoulder joint. Avoid overhead activities or heavy lifting that exacerbate symptoms, and use proper body mechanics and ergonomic principles to minimise shoulder strain during daily tasks.
Gradual Return to Activity: Gradually reintroduce activities and sports once pain and symptoms have improved, monitoring for any signs of recurrence. Start with low-impact exercises and gradually progress to more challenging activities, adjusting intensity and volume as tolerated.
Rehabilitating shoulder bursitis requires a comprehensive and individualised approach that addresses pain, inflammation, muscle imbalances, and functional deficits. By following a structured rehabilitation program under the guidance of a physiotherapist, individuals can alleviate symptoms, improve shoulder function, and prevent recurrence of shoulder bursitis. Remember to progress gradually, listen to your body, and seek professional guidance if experiencing persistent pain or limitations. At Urban Physiotherapy, our dedicated team is here to support your rehabilitation journey. Contact us today to learn more about how our tailored treatment plans can help you achieve a full and lasting recovery.
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