Shoulder bursitis is a common condition affecting many Australians, causing pain and limited mobility. It occurs when the bursa, a small fluid-filled sac in the shoulder, becomes inflamed. The bursa serves as a cushion between bones and tendons, reducing friction. When it’s inflamed, simple movements can become painful. If you’re dealing with this issue, understanding how to fix bursitis in shoulder is essential to relieve pain and restore function. Statistics indicate that musculoskeletal conditions, including shoulder bursitis, contribute significantly to the overall disease burden in Australia, affecting around 7 million people in 2020.

This condition often impacts those involved in repetitive overhead activities, whether due to work or sports. Ignoring early symptoms can lead to chronic issues, making it vital to address the condition promptly.

Causes of Shoulder Bursitis

Shoulder bursitis generally results from repetitive motions or sustained pressure on the shoulder joint. Common triggers include sports like tennis or occupations such as painting, where repetitive overhead movements are frequent. In Australia, physical overuse is a leading cause, especially among workers in trades or those engaged in active sports.

Beyond overuse, other factors can contribute to this condition. These include aging, where wear and tear naturally occur, or underlying conditions like rheumatoid arthritis or diabetes, both of which are prevalent among the Australian population. For instance, the prevalence of diabetes in Australia is over 1.3 million, and it is known to increase the risk of joint and bursa inflammation.

Occasionally, a direct injury to the shoulder or an infection in the bursa can also lead to bursitis. Understanding these causes is critical for early intervention and preventing long-term complications.

Symptoms of Shoulder Bursitis

The symptoms of shoulder bursitis can vary from mild discomfort to severe pain, significantly impacting daily activities. The most common sign is pain around the outside of the shoulder, which often intensifies with movement. Many Australians experience this pain when lifting their arm, particularly when performing overhead activities.

In addition to pain, other symptoms include tenderness and swelling around the shoulder. These can make it difficult to perform simple tasks, such as reaching for objects or getting dressed. Some individuals also report stiffness, which can lead to a reduced range of motion. This stiffness is often most noticeable after periods of inactivity, such as first thing in the morning.

Night-time pain is another frequent complaint, especially when lying on the affected side. This symptom can lead to disrupted sleep, contributing to fatigue and impacting overall well-being. In severe cases, the shoulder may appear red or feel warm, indicating a possible infection or more significant inflammation.

Recognizing these symptoms early is crucial for effective treatment and avoiding progression to chronic bursitis, which affects a growing number of Australians every year.

Diagnosis of Shoulder Bursitis

Diagnosing shoulder bursitis typically begins with a detailed medical history and physical examination. Doctors assess the range of motion, pain levels, and specific movements that trigger discomfort. In Australia, shoulder-related conditions like bursitis are commonly diagnosed through a combination of clinical assessments and imaging techniques.

X-rays are often the first imaging test performed. While they don’t show the bursa itself, they can reveal bone spurs or other abnormalities that may contribute to the condition. For a more detailed view, an ultrasound or MRI may be used. These imaging methods help to identify inflammation, fluid buildup, or other structural issues within the shoulder joint.

In some cases, especially if infection is suspected, a procedure called aspiration may be performed. This involves extracting fluid from the bursa with a needle for laboratory analysis. Blood tests may also be conducted to rule out other conditions such as rheumatoid arthritis or gout, which can also lead to shoulder pain.

Accurate diagnosis is key to developing an effective treatment plan, ensuring that the condition is managed appropriately from the outset.

Nonsurgical Treatment Options for Shoulder Bursitis

Nonsurgical treatments are often the first line of defense against shoulder bursitis. In Australia, most cases of shoulder bursitis can be effectively managed with these conservative approaches, reducing the need for surgical intervention.

The initial focus is on reducing inflammation and relieving pain. Rest is crucial; avoiding activities that aggravate the shoulder allows the bursa to heal. Ice packs can be applied to the affected area to reduce swelling and provide temporary pain relief. Over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, are commonly recommended to help manage both pain and inflammation.

For those whose symptoms persist despite these measures, corticosteroid injections may be considered. These injections deliver powerful anti-inflammatory medication directly into the bursa, providing relief that can last for several months. However, repeated injections should be approached with caution, as they may weaken the tendons over time.

Physical therapy plays a vital role in recovery. A structured program of exercises can strengthen the shoulder muscles, improve flexibility, and restore range of motion. This is particularly important for preventing recurrence, which is a concern for many Australians dealing with repetitive strain injuries.

These nonsurgical treatments are usually sufficient for most patients, helping them return to their regular activities without pain.

Surgical Treatment Options for Shoulder Bursitis

Surgery is generally considered a last resort for treating shoulder bursitis, reserved for cases where nonsurgical treatments fail to provide relief. In Australia, only a small percentage of bursitis cases require surgical intervention, but it remains an important option for those with persistent symptoms.

The most common surgical procedure for shoulder bursitis is arthroscopic bursectomy. This minimally invasive surgery involves the removal of the inflamed bursa through small incisions, using an arthroscope—a thin tube with a camera and surgical instruments. This technique allows for precise removal of the bursa with minimal damage to surrounding tissues, resulting in a quicker recovery.

In some cases, additional procedures may be performed alongside bursectomy, such as the removal of bone spurs or the shaving of the acromion to create more space in the shoulder joint. These steps help to alleviate the pressure on the tendons and prevent future inflammation.

Recovery from shoulder surgery typically involves a period of immobilization followed by physical therapy. Most patients experience significant improvement in pain and mobility within a few weeks, though full recovery can take several months. While surgery is effective, patients must adhere to post-operative care guidelines to avoid complications and ensure a successful outcome.

Prevention of Shoulder Bursitis

Preventing shoulder bursitis involves adopting habits that reduce stress on the shoulder joint. For many Australians, particularly those in physically demanding jobs or sports, these measures are essential to avoid recurrent issues.

One of the most effective preventive strategies is to incorporate regular shoulder exercises into your routine. These exercises should focus on strengthening the muscles around the shoulder, improving flexibility, and maintaining a good range of motion. Regular stretching, especially before engaging in activities that involve repetitive shoulder movements, can significantly reduce the risk of bursitis.

Gradually increasing the intensity of any new physical activity is also important. Whether you’re starting a new sport or taking up a different job role, easing into the activity helps your body adapt without overloading the shoulder. For those in professions that require repetitive movements, taking regular breaks and using ergonomic tools can prevent unnecessary strain on the shoulder.

Maintaining good posture, both at work and during leisure activities, is another key factor in preventing shoulder bursitis. Proper alignment of the spine and shoulders reduces the likelihood of developing musculoskeletal issues.

These preventive steps are not only easy to implement but can also make a significant difference in maintaining shoulder health and preventing future episodes of bursitis.

When to Consult a Healthcare Provider

It’s important to recognize when shoulder bursitis requires medical attention. While many cases improve with rest and nonsurgical treatments, some situations demand a healthcare provider’s expertise.

If you experience persistent shoulder pain that doesn’t improve after a few weeks of home treatment, it’s time to consult a doctor. Pain that worsens, especially during rest or at night, may indicate a more severe issue. Additionally, if you notice signs of infection—such as redness, warmth, fever, or chills—immediate medical attention is necessary, as this could signal septic bursitis, a rare but serious condition.

Also, if shoulder stiffness leads to a significant loss of mobility, or if you struggle to perform everyday tasks, professional assessment is recommended. Early intervention can prevent the condition from becoming chronic and reduce the risk of complications that could require surgical treatment. In Australia, access to healthcare is readily available, and seeking timely advice can help manage shoulder bursitis effectively, preventing long-term problems.