Shoulder bursitis is a common inflammatory condition of a fluid filled sac in the shoulder that functions as a cushion between the rotator cuff tendons and bone. Symptoms usually occur in patients over forty who are involved with repetitive overhead activities often related to sporting activities or work. Shoulder bursitis can occur from a specific injury but frequently is noted without any significant trauma. Patients usually complain of a sharp deep pain within the shoulder often radiating down the outer side of the upper arm when raising the arm overhead. Pain during sleep is also common.

Standard treatment consists of anti-inflammatory medication and physical therapy for strengthening of the rotator cuff and shoulder girdle musculature. Often an injection of cortico-steroid medication directly into the bursa is required to reduce or cure the patient's symptoms. Failure of non-operative treatment can be associated with a bony spur located above the bursa. Removal of the spur and inflamed bursa can be accomplished with a short outpatient arthroscopic surgical procedure. Following a brief period of rest and rehabilitation, patients are expected and encouraged to return to normal activities.

Peter S. Borden, MD
Diplomate, of American Board of Orthopaedic Surgery
Shoulder and Knee Sports Medicine Specialist
Member, South Bay Independent Physicians Medical Group, Inc.