Subacromial Impingement / Bursitis

Subacromial impingement syndrome (SAIS) and bursitis are conditions that affect the shoulder joint and can cause pain and inflammation in the shoulder area. They are often related and can occur together.

Causes of Subacromial Impingement Syndrome and Bursitis:

The causes of subacromial impingement syndrome and bursitis can include:

  • Overuse of the shoulder joint, such as repetitive overhead activities
  • Age-related wear and tear on the joint
  • Poor posture or biomechanics of the shoulder joint
  • Shoulder joint instability
  • Bone spurs or other structural abnormalities in the shoulder joint

Symptoms of Subacromial Impingement Syndrome and Bursitis:

The symptoms of subacromial impingement syndrome and bursitis can include:

  • Pain in the shoulder joint, particularly during movement
  • Weakness or loss of strength in the shoulder
  • Limited range of motion in the shoulder joint
  • Swelling and tenderness around the shoulder joint
  • A clicking or popping sensation in the shoulder joint

Diagnosis of Subacromial Impingement Syndrome and Bursitis:

I can diagnose subacromial impingement syndrome and bursitis through a physical exam and imaging tests such as X-rays, MRI or ultrasound. During a physical exam, I will check for tenderness, range of motion, and any visible swelling or deformity in the shoulder joint. Imaging tests can confirm the diagnosis and determine the extent of the impingement or bursitis.

Treatment of Subacromial Impingement Syndrome and Bursitis:

Treatment for subacromial impingement syndrome and bursitis depends on the severity of the condition. Mild cases may be treated with rest, ice, and pain medication. More severe cases may require a combination of treatments, such as:

  • Physical therapy: exercises to help maintain range of motion and strength in the shoulder joint
  • Steroid injections: injections of anti-inflammatory medication to reduce pain and inflammation
  • Surgery: if other treatments do not provide relief, surgery may be necessary to remove bone spurs or repair structural abnormalities in the shoulder joint.

Recovery from Subacromial Impingement Syndrome and Bursitis:

Recovery from subacromial impingement syndrome and bursitis depends on the severity of the condition and the type of treatment received. Most patients are able to manage their symptoms and return to their normal activities with appropriate treatment. Physical therapy can help to improve range of motion and strengthen the shoulder joint.

In conclusion, subacromial impingement syndrome and bursitis are conditions that can cause pain and inflammation in the shoulder joint due to overuse, structural abnormalities, or age-related wear and tear. If you suspect you have subacromial impingement syndrome or bursitis, it is important to seek medical attention promptly to receive an accurate diagnosis and appropriate treatment. With proper treatment and rehabilitation, most people are able to manage their symptoms and maintain their shoulder function.