Shoulder bursitis

What is shoulder bursitis (Bursal joint) and what danger does it carry? The fact is that when working, bones, muscles and ligaments are able to rub.

That this process was not painful and unpleasant, special liquid is allocated. So, near each joint is the so-called bursa, in which this fluid is formed. During the exertion of joints, it can become inflamed and bring a number of unpleasant sensations to the person.

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Causes of bursitis of the shoulder joint

Do you know the main causes of bursitis of the shoulder joint and how to distinguish it from other diseases? Often this phenomenon occurs with excessive "use" of the joint. This happens because of injuries, in general, the cause of inflammation of the synovial sac lies in the repetition of the same exercise or exercise. So, when playing golf, it’s pretty easy to get BPL. Even ordinary kneeling during harvesting can provoke inflammation of the knee bursa. Therefore, care must be taken everywhere. Notice that something is not quite that simple. Swelling may occur, mobility may decrease, and a number of unpleasant sensations will generally appear.

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Symptoms of bursitis of the shoulder joint

How to determine what happened inflammation and whether there are certain symptoms of bursitis of the shoulder joint? To feel that something is not quite that simple. First, there will be visual signs of inflammation. So it can be redness, and swelling. In general, everything is accompanied by pain, especially with a sharp movement of the hand. In addition, the movement will be somewhat limited, because all this can be accompanied by a number of unpleasant sensations. In any case, if such symptoms are detected, you should consult a doctor, because everything may not be so harmless.

Limetic bursitis of the shoulder joint

It occurs in the same cases as the ordinary inflammation of the synovial sac. This can contribute to sports and even outdoor games. Getting sprained or injured is pretty simple. The main thing is to notice in time that something is wrong and go to the reception to an experienced specialist. Especially if the BPL is accompanied by swelling and redness. After all, in fact, it may turn out that everything is much more serious than it seemed. Therefore, it is not necessary to risk once again. There is nothing wrong with that, but, nevertheless, assistance must be provided in a timely manner.

Subacromial bursitis of the shoulder joint

What is the subacromial bursitis of the shoulder joint? It must be understood that absolutely any movement of the tendons and bones is always accompanied by friction. But the fact is that this process is often softened by a special liquid, which is in a special “bag”. So, when there is inflammation of the bursa, this fluid is not released. This “handbag”, for some period, begins to be under constant pressure, whence there is an obsession. That is why the timely help of a doctor can alleviate this pressure. Thus, a person will again be able to return to the usual kind of activity. After all, the inflammation of the synovial bag of the shoulder joint gives a lot of discomfort.

Subdeltoid shoulder joint bursitis

How to distinguish subdeltoid bursitis of the shoulder joint? In fact, only an experienced doctor can determine what actually happened. Otherwise, to say something is too difficult. After all, there are a lot of types of inflammation of the synovial sac and each of them is characterized by something special. So, in this case, the pain appears not only in the whole arm, but also in the shoulder. And it is so sharp that a person is able to cope with it, only with the help of good pain pills. Leave the case to chance. It should immediately seek help from an experienced specialist. This situation can lead to serious consequences.

Ossifying shoulder bursitis

What is the characteristic of ossifying shoulder bursitis? In fact, there is no particular difference between all types of inflammation of the synovial sac. In this case, you need to pay attention to the nature of the pain. It can be both nagging and cutting. In the latter case, the hospital will have to go without fail. After all, it can be any complication. Also, the picture is the same. Redness, swelling, pain in the shoulder, which gives to the muscles of the arm. It is advisable to immediately start taking measures to eliminate pain. After all, if you do not do this, then you can easily aggravate the situation. .

Subcoracoidal bursitis of the shoulder joint

How can I determine subcoracoid bursitis of the shoulder joint? In this case, everything is not so difficult. True, if you do not provide timely assistance, then there may be some discomfort. Therefore, to draw a visit to the doctor is meaningless. The fact is that with the inflammation of the synovial bag there are almost all athletes and people who do the monotonous work. BPL ultimately quickly inflamed and for this you do not need to do anything special. Therefore, if we are talking about strong physical exertion, it is desirable to give the muscles to rest, so that no unpleasant sensations arise in the future.

Calculous bursitis of the shoulder joint

How is it characterized and how to help the victim? Symptoms are the same, inflammation, swelling and pain. Only in some cases, the pain is so severe that it is difficult for a person to cope with it independently. In this case, the immediate help of a specialist is needed. To let this situation take its course is stupid, because it would entail unpleasant feelings and even complications in the future. Therefore, when any symptoms appear, you should immediately seek help from a specialist. Inflammation of the synovial sac of the shoulder joint requires immediate elimination.

Causes

Shoulder bursitis is a consequence of the influence of negative factors on the movable joint. Inflammation of the articular bag of the shoulder joint is often noted, and occurs for the following reasons:

  • Strengthened load on the shoulders.
  • Damage of varying complexity:
    • bruises
    • fractures,
    • sprains,
    • subluxations
    • stretching
    • ligament breaks.
  • Allergy. Chronic allergic reaction or temporary to specific substances leads to exacerbation of bursitis.
  • Disrupted metabolic processes.
  • Prolonged tension in the shoulder joint.
  • Diseases of autoimmune origin.
  • Poisoning of the body, through which inflammation develops easier.
  • Bad habits. Smoking and drinking alcohol increases the chances of developing bursitis in the shoulder area.
  • Arthritis of a different type.
Sometimes a boil can provoke progression.

Bursitis of the shoulder joint develops very quickly and does not pass for a long time. The mechanism of its development can affect even a slight boil or cut. The disease is more common in a strong half of the population, whose age is less than 35 years. As well as the source of the inflammatory reaction are infections and other pathogens that penetrate into the articular sac.

Classification

Symptoms of bursitis of the shoulder joint differ depending on the type and form of the violation. It is customary to divide the disease into such species, given the course of:

  • acute,
  • chronic,
  • subacute
  • recurrent.

Taking into account the composition of the fluid accumulated in the articular bag, the deviation is of the following types:

  • purulent
  • fibrous,
  • serous,
  • with blood impurities.

There are also other types of bursitis, which differ in symptoms, causes, and therapeutic approach:

The calculous form of the disease is characterized by the deposition of calcium salts in the problem area.

  • Ossifying With such a violation of the patient worried aching pain in the shoulder, giving in the hand.
  • Calculous. The disease is characterized by multiple calcium deposits in the articular sac, which are noticeable on x-rays. Surgical treatment is required.
  • The delta. Inflamed periarticular tissues of the mobile humeral articulation. The patient is worried about severe pain, which can be removed with blockades from Lidocaine.
  • Sublurgeal or sublurgeous. The inflammatory response is concentrated in the area under the scapula. Often this form is diagnosed in people professionally engaged in swimming or military personnel.
  • Subdeltoid and subcoracoidal bursitis of the shoulder joint. Injured subdeltoid intraarticular bag. The deviation is connected with constant physical activities.
  • Lime. It has this name because of lime, which is formed in the bag due to the accumulation of calcium. Such a deviation is more difficult to treat, as the inflammation of the synovial sac progresses rapidly.

How to recognize: main symptoms

Inflammation of the bursa can be identified in the early stages by visual changes in the shoulder area. Its contour is slightly swollen and rounded. The muscles become larger, and when you click on it, the pain of a whining character appears. The patient is unable to move his arm and shoulder normally. Bursitis is accompanied by the following symptoms:

Chronic bursitis of the shoulder joint occurs with less severe symptoms, as a rule, the patient is concerned only with minor pain and difficult movements.

Diagnostics

If the patient does not treat the deviation for a long time, then synovitis and other serious complications occur. Therefore, at the first manifestations it is required to contact a medical institution for help. The doctor will conduct a site inspection and review the history. It is possible to identify bursitis of the shoulder joint in such ways as:

  • X-ray. By successive images it is possible to find out the form and complexity of the inflammatory process.
  • Puncture of a damaged joint bag. It is performed to clarify the composition of the fluid and to identify pus or blood.
  • Ultrasound diagnosis or MRI.

Effective drugs

It is necessary to treat the disease in a complex, using medicines of different effects. It is important to arrest the inflammatory response and pain attack. Tablets, ointments, gels, creams with anti-inflammatory and analgesic effects help to cope with the pathological manifestations. Such drugs are effective:

Some products are available in the form of a plaster, which is convenient to stick to the damaged place. This therapeutic form eliminates negative manifestations for 12-24 hours. Infectious bursitis of the shoulder requires antibacterial treatment. First, the patient is prescribed antibiotics with a wide range of effects. Then the diagnosis is carried out and the treatment is adjusted depending on the results. In severe cases, when using conservative methods fails to cope with bursitis of the shoulder joint, an operation is prescribed. During manipulation, the damaged joint is removed, and an individual implant is put in its place.

Physical Education

Exercise therapy for bursitis is performed under the supervision of the attending doctor, and this exercise must be done with caution. Physical culture is carried out only after the elimination of the inflammatory reaction and unpleasant manifestations of articular disease. Gymnastics is selected for each patient individually and adjusted according to the form and severity of the disease. Exercise is recommended during the recovery phase after surgical treatment. This therapeutic measure allows you to restore motor activity and normalize blood flow in the shoulder joint.

Physiotherapy measures

Treatment for bursitis of the shoulder joint includes physical procedures prescribed by the doctor. They are required for chronic or subacute course. Main manipulations:

  • electrophoresis using Hydrocortisone,
  • UHF-therapy,
  • treatment with magnetic and ultrasonic waves,
  • massage,
  • acupuncture.

Nontraditional therapeutic measures

Home treatment with folk remedies is carried out after consultation with the doctor in order to avoid complications of bursitis of the shoulder joint.

It is possible to cure pathology with healing compresses, natural ointments, herbal decoctions. Effective folk recipes:

  • Cabbage Leaf Few beat him and impose on the damaged area of ​​the shoulder. Top sheet cover with a warm scarf. After 4 hours, change the compress fresh. The duration of treatment is 7 days.
  • Lilac. Fresh leaves of the plant safely eliminate the inflammatory response in the shoulder joint. In this case, it is necessary to observe peace during the procedure.
  • Propolis. From the component is prepared tincture on vodka. During the preparation of the drug adhere to the ratio of 1:10. Use a compress no more than 10 days.
  • Extract of needles and senna. They have a calming and warming effect. Used for massage.

How to prevent?

To avoid bursitis of the shoulder joint, it is required to regularly carry out preventive recommendations. It is important to normalize the load on the movable articulation. It is necessary to lead a healthy lifestyle, do not abuse alcohol and tobacco products. Full rest and balanced nutrition reduces the chances of developing bursitis. It is equally important to pay attention to emerging infectious and other diseases that can provoke an inflammatory reaction in the shoulder. When the first symptoms come to the doctor, and do not self-medicate.

Do you still think that it is impossible to cure the joints?

Judging by the fact that you are reading these lines now - the victory in the fight against cartilage tissue inflammation is not on your side yet.

And you already thought about inpatient treatment? This is understandable, because pain in the joints is a very dangerous simtom that, if not treated promptly, may result in limited mobility. Suspicious crunch, stiffness after a night of rest, the skin around the problem area is stretched, swelling in a sore spot. All these symptoms are familiar to you firsthand.

But perhaps it is more correct to treat not the effect, but the cause? We recommend reading the article on modern methods of treatment of joints. Read the article >>

Shoulder bursitis

Shoulder bursitis - This is an inflammatory process in the synovial bags in the shoulder area. It may be infectious or aseptic, acute, subacute or chronic. Manifested by pain, limitation of movement and swelling in the shoulder joint. Perhaps numbness, weakness and increased muscle tone of the affected limb. When infection reveals symptoms of general intoxication: fever, headache, fatigue, weakness, chills. To clarify the diagnosis is assigned to MRI, CT, ultrasound, radiography and other studies. Treatment depends on the form of the disease and can be both conservative and operational.

General information

Bursitis of the shoulder joint - inflammation of one of the synovial bags (bursa) located in the shoulder joint. Subacromial and subdeltoid bags are commonly affected. Chronic aseptic bursitis is mainly observed in young and middle-aged people — athletes and people who, due to their profession, have to intensively load the shoulder joint (loaders, miners, etc.), men suffer more often than women. Infectious bursitis can occur in people of any age and gender. Surgeons deal with the treatment of acute aseptic and infectious bursitis, chronic aseptic bursitis - orthopedic traumatologists, rheumatologists - bursitis caused by autoimmune diseases.

Most often, the aseptic bursitis of the shoulder joint develops due to constant overload and repeated microtraumas of the affected area. Athletes are exposed to this disease (throwers of a nucleus, spears, etc.), porters, hammermen and representatives of other specialties associated with regular weight lifting and repetitive movements in combination with an increased load on the shoulder joint. Sometimes the disease occurs after a single injury (bruise, sprain or strain of the ligament). With gout and some other pathological conditions caused by metabolic disorders, aseptic bursitis is triggered by the accumulation of salts in the wall of the synovial sac. In autoimmune diseases, the aseptic process in the bursa is a reflection of a similar process in the joints.

The cause of infectious bursitis is the penetration of microbial agents into the synovial bag. Infectious agents can enter the bursa by direct contact of the cavity of the bag with the external environment (penetrating wounds), through tissues (superficial wounds, abrasions, pustules in the joint area), through the lymphatic pathways (purulent wounds, boils, abscesses in the limb area) or with current blood (common infectious diseases, any purulent processes in the body). Infectious bursitis can develop both initially and against the background of already existing aseptic inflammation in the synovial bag.

Pathology

Normally, a bursa is a narrow slit-like cavity with a small amount of fluid produced by the inner shell. Localized in places where bony protrusions closely “fit” to the skin. It protects the skin and underlying tissues from possible injury. In the human body there are about 160 such bags, most located in the area of ​​large and medium-sized joints.

When inflammation of the inner shell of the bursa begins to produce more fluid. The bag increases in size and takes the form of a filled bag. The composition of the liquid depends on the type of inflammation. During aseptic inflammation, serous exudate accumulates in the bursa, pus is formed during infection. Acute purulent or long-existing aseptic process can cause the formation of adhesions, areas of scar tissue, foci of fibrosis and calcification.

Treatment of bursitis of the shoulder joint

The treatment regimen depends on the type and characteristics of the course of the pathology and may include the following methods: drug therapy, exercise therapy, massage, physiotherapy, surgery. Nonsteroidal anti-inflammatory drugs are prescribed to eliminate pain and relieve inflammation in acute and chronic aseptic bursitis. NSAIDs can be used in tablets for oral administration, and in the form of gels and ointments for local use. In infectious bursitis, antibacterial therapy is carried out. At the initial stage, broad-spectrum antibiotics are prescribed. After examining the fluid obtained by puncture or opening of the bursa, they are replaced with drugs selected according to the sensitivity of the pathogen.

In case of purulent bursitis, surgery is performed - opening and drainage of the bursa. Physical therapy prescribed for chronic bursitis, as well as in acute processes after subsiding inflammation. Ultraviolet radiation, UHF, phonophoresis with hydrocortisone and other steroid preparations, ozocerite, paraffin and ultrasound therapy can be used. Physical therapy is used after the elimination of the inflammatory process, to restore muscle strength and range of motion in the joint. Exercises are selected individually. The massage is shown after the inflammation subsides. This method of treatment allows to normalize the blood supply to the shoulder joint, to improve the nutrition of the tissues and to accelerate the recovery processes.

Varieties

Depending on how the disease proceeds, bursitis happens:

The composition of the liquid disease is:

  • purulent,
  • fibrous,
  • serous,
  • with blood impurities.

In addition, in the medical field, there are other types of shoulder bursitis, which have similar causes, but differ in their course:

  • calcareous bursitis of the shoulder joint, which is also called stone - clusters of calcium salts are transformed into lime,
  • calculous - calcium deposits are localized so deeply that surgery is performed to restore shoulder function,
  • subacrominal - which is characterized by the manifestation of acute pain when the joints are strained, and when the arm is down, in a free droop, all unpleasant sensations disappear,
  • tendobursit - combines the inflammatory process with the thinning of the tendon structure.

In addition to the main symptom of shoulder bursitis - pain of varying intensity, the disease has the following symptoms:

  • swelling and tingling in the affected area,
  • redness of the skin at the site of inflammation,
  • a slight increase in body temperature
  • weakening and quick hand fatigue.

Such signs are characteristic of the acute form and the stone type of the disease. With the chronic course of the pathological process, these symptoms slightly intensify and appear wavy - periods of increased painful sensations alternate with periods of their subsidence.

Tendobursitu has symptoms such as dull pain with a specific location, to which the patient can easily indicate a decrease in motor function. Outwardly, no changes in the shoulder are observed. This form of bursitis can be detected only on X-ray.

Subacrominal bursitis is accompanied by such symptoms as:

  • severe pain that occurs not only when moving, but also at rest,
  • weakness in hand
  • touching the affected area causes discomfort,
  • shoulder bag fluid contains pus and blood.

Prevention

Preventive measures to avoid the occurrence of such inflammation consist of:

  • reduction of physical activity (aimed at the shoulder joints),
  • maintaining a healthy lifestyle and avoiding bad habits,
  • good rest,
  • performing gymnastic exercises in the breaks between hard work,
  • rational nutrition, which must be enriched with vitamins and calcium,
  • timely diagnosis and treatment of any infectious diseases.

Causes of development

Inflammation of any of the synovial membranes of the shoulder joint may be either aseptic or infectious. The most common causes of the disease are:

  1. Gout.
  2. Rheumatoid arthritis.
  3. Secondary arthropathy in various lesions of organs and systems.
  4. Injuries or permanent microtrauma (bruises, dislocations, sprains, ligament ruptures).
  5. Significant physical exertion, leading to overstrain of the tendon-ligament apparatus.
  6. Acute or chronic infection (staphylococcal, streptococcal, tuberculosis, syphilis, gonorrhea).

In most cases, a staphylococcal infection leads to a purulent bursitis of the shoulder joint.

Symptoms and photos of shoulder bursitis

Manifestations of bursitis of the shoulder joint are as follows:

  • pain, palpable inflammation. Especially acutely felt when stretching or kneading in the implementation of any training exercises,
  • swelling in the joint area - at the initial stage it is not a problem, because the ability to move in the joint is not limited, there are also no painful sensations,
  • redness of the skin and an increase in temperature only over the joint area,
  • the limitation of the motor volume, which is accompanied by sharp pain, perhaps the absence of pain.

In protracted cases, it appears:

  • high temperature - up to 38 degrees,
  • pains become strong and throbbing,
  • purulent processes - with this scenario, manifestations begin to manifest themselves, indicating intoxication of the body - chills, migraines and an increase in temperature to 39-40 degrees. Without proper treatment, there is the likelihood of a purulent type of arthritis.

The photo below shows how the disease manifests itself in humans.

Surgery

When purulent bursitis should be punctured. In case this method did not show the expected results, it is necessary to remove the pus formed with the help of the intervention of a surgeon.

After this, the treatment of the wound is carried out by standard methods. Analyzing the results of the operation, in some cases, the attending physician prescribes a course of antibiotics. In severe cases of the disease, the introduction of sulfa drugs is also required.

Surgical intervention involves the implementation of the following methods:

  1. Opening the focus of the disease and the subsequent plugging of the wound.
  2. Cutting off part of the bursitis bag in order to cleanse it from excess formed fluid and inject healing agents for speedy healing.
  3. Removal of part of the bag and treatment of the wound with antiseptic agents.
  4. Complete removal of the bag with the inflammation formed in it without first opening it.

The quicker recovery of the patient is favorably affected by the use of UHF or the application of dry heat to the forearm. After treatment of the inflammatory process, a massage session may be prescribed by a specialist.

How to treat shoulder bursitis at home

Pain of low intensity can be removed with the help of simple folk remedies:

  1. Apply fresh lilac leaves to the sore area and bandaged. Ensure that the limb is at rest.
  2. The compress from propolis tincture helps. The tincture is prepared on vodka (ratio of one to ten) for five days.
  3. Take 200 grams of natural honey, add 100 ml of juice squeezed from aloe, mixed with 300 ml of alcohol. All ingredients are mixed until a homogeneous mass, which is then placed on the damaged area, fixed with a bandage and insulated. Compress hold on the joint for 60 minutes, the procedure is carried out twice a day. The duration of treatment is two weeks.
  4. A lightly broken cabbage leaf is placed on the affected area and warmed with a woolen scarf or scarf on top. Compress should be changed after four hours during the day, the duration of treatment reaches a week. Good helps and fresh potatoes.
  5. Showing soothing, warm bath with pine extracts, hay. Useful daily self-massage (15 minutes twice a day), aimed at relaxing the muscles in the area of ​​edema. Massage can be performed with lavender or pine oil. After the procedure, be sure to wrap the sore joint with a warm cloth.
  6. A simple and effective tool - salt compresses. In 500 ml of boiled water dilute a large spoonful of salt. In the resulting composition moisten gauze and impose it on the affected joint for eight hours. Then apply a fresh compress. The duration of treatment is 14 days.

If there are pronounced changes, severe pain syndrome, as well as long-lasting inflammation, it is highly recommended not to self-medicate and to see a doctor as soon as possible in order to avoid the development of complications. In the absence of proper treatment, the disease can progress and lead to significant movement disorders of the shoulder joint.

Watch the video: Subacromial Bursitis (December 2019).

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