The bursa is a sac-like structure, present throughout the body to decrease the friction between two surfaces such as bones, tendons, muscles and skin, to ensure smooth movement. In the shoulder, a bursa is present between the acromion (bone on top of the shoulder) and rotator cuff (group of muscles and tendons of the shoulder joint), and allows streamlined movement of the rotator cuff tendons when your arm is moved.
Bursitis is a condition, characterized by inflammation of the bursa, due to infection, trauma, or inflammatory disease, which results in pain and reduced movement. It is commonly associated with tendinitis, which is the inflammation of the shoulder tendons.
Bursitis can be caused by excessive repetition of any specific movement, injury or minor impact on the shoulder. Certain medications, a poorly positioned bone or joint, and other conditions such as gout, rheumatoid arthritis, thyroid disorders and psoriatic arthritis can increase your risk of developing shoulder bursitis. In rare cases, shoulder bursitis develops as a result of infection.
The main symptoms associated with bursitis are pain, swelling, excessive warmth and tenderness.
The diagnosis of the bursitis is done by reviewing your medical history and performing a physical examination where your arm is moved around to detect the location of pain. Inflammation can be detected under an MRI scan, whereas X-ray testing is helpful in identifying calcification in the bursae caused due to chronic or recurrent bursitis.
The treatment of shoulder bursitis depends upon the cause; whether it is due to infection, injury or disease. Noninfectious shoulder bursitis can be treated conservatively with cold compression using ice, rest, and medication for pain and inflammation. A corticosteroid can also be injected directly into the shoulder joint to relieve symptoms. Sometimes, your doctor may remove fluid from the bursae with the help of a syringe under sterile conditions (aspiration) and sends a sample for further analysis to the laboratory. Physical therapy is advised to increase the range-of-motion of your shoulder. Surgery may be suggested if conservative methods fail to relieve pain and inflammation but is very rare.
In case of infection, the causative agent is identified in the lab during aspiration, and appropriate antibiotics are prescribed. In severe cases, bursectomy or surgical drainage of the infected bursa may be performed.
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Houston Shoulder Specialists
Advanced Orthopedics and sports medicine has numerous Board Certified/Eligible physicians who are thoroughly educated in the latest treatment techniques both surgical and conservative. They are well versed in advances in shoulder treatments including arthroscopic rotator cuff and Bankart repairs, shoulder stabilization procedures, total shoulder replacement and reverse shoulder replacement.
Drs Elbaz and Brooks now perform Platelet-Rich Plasma (PRP) injections for the treatment of rotator cuff tendinitis, and biciptal tendonitis. PRP stimulates a more rapid healing of tendon, ligament, muscle and bone.
Contact us today to Schedule an Appointment or call us at 281-955-2650 to learn more about our Shoulder Treatment options.
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What Our Patients Are Saying
Overall excellent experience with Dr Cubbage and his outstanding staff. I flew in overseas for a 2nd opinion and was accommodated by his office. My situation was not good and had lower lumbar surgery (METRx discectomy) for a herniated disc. I walked out after surgery and I am on my way to a quick recovery. I have a very small incision and was very well looked after. Thank you Dr Cubbage! Arrived in Houston in a wheelchair and will fly back overseas 10 days after surgery on my own 2 feet
Awesome! Highly recommend Dr.Matthew Cubbage . He is the best of the best Orthopedic Surgeon with special healing hands any patient will experience. He is highly knowledgeable, caring and confident since everything that he explained to me that would happen and what to expect is very accurate. Dr. Matthew Cubbage care and people skills are clearly seen and felt also by his team he selected-Tim and Karen. Courteous and promptly responds on you calls before and throughout your recovery. Reborn.
Each procedure done by Dr. Patel has been an improvement. Very pleased.
Dr. Patel has been a great Doctor for me. When I was referred to after discussion we decided to do injections in my back. The first two did not work so did two more in a different section of my back. These injections worked great. I’m now able to sleep at night and the numbness in my foot is almost gone. The tingling in my foot & leg is gone and I am very happy about that. I am extremely happy that Dr. Patel is my Doctor. She has been a good listener when I tell her where I hurt and talks to me about what she feels should be done. The final decision is always mine.
On Nov. 22, 2017, I had a spinal injection in my lower back and it was an instant miracle in my life! For the first time in 4 intolerable months of pain, I was finally pain free, and I am now getting a second chance to live again! I am so grateful to Dr. Patel for my new life, and to God for guiding me to her! Thank you so very much Dr. Patel – you are God’s gift to me, thank you for being so awesome at what you do.
Dr. Patel is one of the best Doctors I have ever had. She is pretty good at her job. She makes it plain and simple. She is also very thoughtful. I was very glad to have met her. In other words she is pretty good.
The surgery done by Dr. S. Patel (Actually injections) & the mild medications she has prescribed has surely made my lower back -hip-leg less painful. I have complete confidence in her medical judgement & advice. She will administer second injection in June.
Dr. Patel is a very good Pain Management Doctor. She is one of my favorite doctors.
Dr. Patel has been great at my pain relief. She doesn’t force me to take any meds I don’t want, or injections. She will give me the injection I want when I need it. Great friendly Doctor.
Thank you for the opportunity to express how pleased I am with the excellent care of Stacy A. Bacon, M.D. I have confidence in her ability to care for me as she successfully partially replaced a broken hip 10 years ago, 2007. I also want to compliment Cheryl who set up the appointment. She represents Advanced Orthopaedics & Sports Medicine very well.