What is Subacromial Bursitis?
Subacromial bursitis is a prevalent shoulder condition that occurs when the bursa, a fluid-filled sac that reduces friction between tissues, becomes inflamed. This condition can lead to pain and restricted movement, affecting an individual's ability to perform routine tasks. Physical therapy plays a crucial role in the management and recovery from subacromial bursitis. In this blog post, we will explore the causes, signs and symptoms, and effective physical therapy interventions for this condition.
Subacromial bursitis can be caused by a variety of factors. Repetitive overhead activities, common in sports like swimming or tennis, can lead to irritation and inflammation of the subacromial bursa. Shoulder impingement, where the space between the shoulder bones narrows, can also pinch the bursa, leading to bursitis. Poor posture, especially hunched shoulders, can increase the risk of developing this condition. Additionally, trauma or a direct blow to the shoulder can cause the bursa to become inflamed. Individuals with subacromial bursitis often experience a dull, achy pain on the outer side of the shoulder, which can worsen with overhead activities or at night. The affected area may appear swollen due to inflammation. There may also be difficulty in moving the shoulder, especially when lifting the arm overhead, and a feeling of weakness in the shoulder, making it hard to perform daily tasks.
Physical Therapy for Subacromial Bursitis
The management of subacromial bursitis typically involves a combination of rest, activity modification, cold therapy, therapeutic exercises, manual therapy, posture correction, and possibly ultrasound or electrical stimulation. Initially, avoiding activities that exacerbate symptoms is crucial for reducing inflammation. Applying ice packs to the affected area can help reduce swelling and pain. A physical therapist may prescribe exercises to improve shoulder mobility, strength, and stability, including range-of-motion exercises, rotator cuff strengthening, and scapular stabilization exercises. Techniques such as soft tissue mobilization and joint mobilizations can help alleviate pain and improve movement. Educating patients on proper posture and ergonomic adjustments can prevent further irritation of the bursa.
Physical therapy is essential in the management of subacromial bursitis as it addresses the root causes of the condition and provides a comprehensive approach to recovery. By improving shoulder mechanics, strength, and flexibility, physical therapy can help reduce pain, prevent future episodes, and restore function. Additionally, a physical therapist can provide guidance on activity modification and self-management strategies to ensure long-term success. If you are experiencing shoulder pain or suspect you may have subacromial bursitis, seeking the expertise of a physical therapist is a crucial step toward recovery.