Rotator Cuff Bursitis

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Jonathan M. Cooper, D.O. 2700 Vikings Circle Jessica Cicero, PA-C Eagan MN 55121 952-456-7617 Rotator Cuff Bursitis What is a bursa? A bursa is a fluid filled sac that sits between tissue and a bone. They help to reduce friction as the tissues glide across the bone. In the shoulder, the subacromial bursa sits between the acromion and the rotator cuff. The rotator cuff is a group of muscles and tendons that helps to lift and rotate the shoulder. Why do they become irritated? The rotator cuff bursa can become irritated for a variety of reasons. Excessive use of the shoulder can sometime cause inflammation and swelling within the bursa. This can occur from repetitive activity, improper posture or mechanics, or a traumatic event. Some people may be more prone to this condition due to the shape of their bones. What are the symptoms? The symptoms of rotator cuff bursitis can be very similar to a rotator cuff tear. Typically, patients complain of pain along the side or back of the shoulder, especially with overhead activity. Often times, the pain is worse with any lifting away from the body. Occasionally, people describe pain at night or difficulty sleeping. Do I need surgery? Typically, people with rotator cuff bursitis can be treated with conservative treatment including modifying activities, over-the-counter anti-inflammatories, physical therapy, and/or injections. The major focus of treatment involves physical therapy to work on stretching, muscular balance, and proper posture. If modifications in your activity and appropriate physical therapy are not effective in reducing symptoms, then corticosteroid injections may be considered. Occasionally, if your symptoms continue to limit you despite conservative treatment, surgery may be recommended. The goal of surgery would be to remove the bursa and decompress the space where the bursa exists. Are there any adverse outcomes? If left untreated, rotator cuff bursitis can lead to continued limitations in your daily activities. Corticosteroid injections can be helpful, but they are not without risk. The risks should be discussed with your orthopedic team. Surgery also poses some risks including infection, anesthetic complications, blood clots, cardiopulmonary complications, and stiffness. .

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Iliopsoas Tendonitis/Bursitis Exercises
ILIOPSOAS TENDONITIS / BURSITIS What is the Iliopsoas and Bursa? The iliopsoas is a muscle that runs from your lower back through the pelvis to attach to a small bump (the lesser trochanter) on the top portion of the thighbone near your groin. This muscle has the important job of helping to bend the hip—it helps you to lift your leg when going up and down stairs or to start getting out of a car. A fluid-filled sac (bursa) helps to protect and allow the tendon to glide during these movements. The iliopsoas tendon can become inflamed or overworked during repetitive activities. The tendon can also become irritated after hip replacement surgery. Signs and Symptoms Iliopsoas issues may feel like “a pulled groin muscle”. The main symptom is usually a catch during certain movements such as when trying to put on socks or rising from a seated position. You may find yourself leading with your other leg when going up the stairs to avoid lifting the painful leg. The pain may extend from the groin to the inside of the thigh area. Snapping or clicking within the front of the hip can also be experienced. Do not worry this is not your hip trying to pop out of socket but it is usually the iliopsoas tendon rubbing over the hip joint or pelvis. Treatment Conservative treatment in the form of stretching and strengthening usually helps with the majority of patients with iliopsoas bursitis. This issue is the result of soft tissue inflammation, therefore rest, ice, anti- inflammatory medications, physical therapy exercises, and/or injections are effective treatment options.
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Primary and Secondary Consequences of Rotator Cuff
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