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Shoulder Bursitis

Shoulder Bursitis

SHOULDER BURSITIS

WHO?

  • Sports with repetitive overhead activities
  • Gym goers
  • Elderly
  • Desk workers & persons with chronic poor posture

WHAT?

The bursa can be described as a fluid filled sac found between the bones that make up both the shoulder and the hip joint. There are several of these fluid filled sacs within the shoulder joint.  The role of the bursa is to help reduce friction between the structures within the joint allowing better and more fluid range of motion. Inflammation of the bursa is termed as bursitis and symptoms can typically include pain at the front and outside of the shoulder and upper arm, pain at the hand, pain at night when sleeping on the affected shoulder, and activities whereby the arm is lifted over shoulder height.

WHEN & HOW?

Bursitis can occur after an acute injury or trauma, or more commonly as a result of a chronic repetitive strain to the structures within the shoulder joint. Repetitive strain or injury to the structures within the shoulder joint causes an inflammatory effect and subsequent painful symptoms at the shoulder and arm.

Overuse or chronic bursitis is typically associated with shoulder impingement or tendonitis of the rotator cuff muscles. Impingement occurs when the soft tissue structures within the shoulder joint get “pinched” together resulting in inflammation and pain. When the bursa become irritated they tend to become inflamed and enlarged, resulting in less space within the shoulder joint and more chance of soft tissue structures impinging on one another. Physiotherapy aims to reduce the likelihood of impingement by addressing muscular imbalances and weakness around the shoulder, correcting posture, lengthening overactive and tight structures of the shoulder, and specific strengthening of the rotator cuff muscles.

MANAGEMENT?

To manage shoulder bursitis your local move forward physiotherapist will assess the shoulder and entire upper quadrant, including the neck, upper back and arm in order to determine any factors that may be contributing to your injury. An individualized program and treatment plan will then be prescribed to help reduce the strain placed on shoulder joint and associated muscles and tendons in order to best manage your injury and to prevent any ongoing long term pain. A number of techniques may be used throughout your rehabilitation, which may include;
• Deep tissue massage
• Dry needling
• Joint mobilisations
• Stretching exercises
• Strengthening exercises can be incorporated into a Pilates program at both our Quinns Physiotherapy and Jindalee Physiotherapy Move Forward practices.
• Heat and/or ice therapy
• Taping
• Specific activity modifications, performed under physio supervision at our Hillarys Physiotherapy, located just next to Whitfords Shopping centre within Healthy Life Gym.

 

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Shoulder Instability

Shoulder Instability

Shoulder Instability

WHO?

  • Throwers (baseball/ cricket etc.)
  • Swimmers
  • Acute injury (car accident/ footy collision)
  • Young persons (double jointed)

WHAT?

Shoulder instability is broad term that describes the condition whereby the connective tissue around the shoulder joint becomes lax, allowing greater range of motion at the shoulder than is normal.

The shoulder joint, or gleno-humeral joint, is a ball and socket joint, compromised of the head of the humerus sitting within a cup shaped socket, referred to as the acetabulum. Ligaments, tendons and the rotator cuff muscles are responsible for holding the humerus within the acetabulum. When these structures are injured, or are naturally looser, an excessive amount of movement can occur between the humerus and acetabulum.

This increase range can result in patients being able to sublux or even dislocate the shoulder joint. Pain is not necessarily always present but can be common at the joint itself or even referred down the arm and into the hand.

HOW AND WHEN?

Broadly, connective tissue laxity can occur due to an acute injury or trauma, chronic repetitive strain or simply occurs naturally since birth/ early childhood. In an acute incident such as a traumatic fall or collision the ligamentous and muscular tissue can be overstretched or even torn which results in this tissue become loose and less supportive to the joint. Similar chronic injuries such as repetitive throwing and over-head activities also cause the connective tissue to become looser over time. In some cases, however, a person may simply be born with more mobile joints and is often termed as being “double jointed.”

MANAGEMENT?

Management in all cases is fairly similar and straightforward. In order to allow greater support to the shoulder joints, the connective tissue and muscles must be strengthened, whilst movement patterns need to be assessed and activity modifications need to be put in place to prevent re-occurring injuries and damage to the connective tissue.

At any of our Move Forward Physiotherapy clinics an individualized program and treatment plan will be prescribed to help reduce the strain placed on your shoulder muscles and tendons in order to best manage your injury and to prevent any ongoing long term pain.

A number of techniques may be used throughout your rehabilitation, which may include;
• Deep tissue massage
• Dry needling
• Joint mobilisations
• Stretching exercises
• Strengthening exercises can be incorporated into a Pilates program at both our Quinns Physiotherapy and Jindalee Physiotherapy Move Forward practices.
• Heat and/or ice therapy
• Taping
• Activity modifications, performed under physio supervision at our Hillarys Physiotherapy, located just next to Whitfords Shopping centre within Healthy Life Gym.

 

Posted in: Latest News

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