Shoulder bursitis is a common condition that can cause pain and discomfort in the shoulder joint. In this comprehensive guide, our expert physiotherapists will explore what shoulder bursitis is, how it develops, the risk factors, and the importance of shoulder mobility and rotator cuff physio in managing this condition.

What is Shoulder Bursitis?

To effectively treat and fix shoulder bursitis, we first need to understand what bursitis is. Shoulder bursitis is the inflammation of the bursa sacs in the shoulder joint. Bursa sacs are small fluid-filled sacs that cushion the joint and reduce friction between the bones and soft tissue structures, such as tendons and ligaments. The bursa that commonly becomes inflamed in the shoulder is the one that sits under the acromioclavicular joint where your collarbone and shoulder blade meet at the tip of the shoulder. Under this joint lies part of the rotator cuff – the supraspinatus. The bursa's purpose is to protect the joint space and supraspinatus and act as a cushion between the bones. The bursa will then become inflamed if the shoulder isn't moving correctly due to trauma or shoulder positional deficiencies such as rolled forward shoulders.

How Does Shoulder Bursitis Develop?

When conditions such as postural distortion or poor rotator cuff control cause decreased space for the bursa, the bursa will repeatedly get irritated in overhead or pressing positions. This microtrauma leads to the bursa inflaming and creating pain in surrounding tissues.

Risk Factors for Shoulder Bursitis

Several factors can increase the risk of developing shoulder bursitis, including:

• Poor shoulder mobility – generally, we see tight latissimus dorsi, pecs, teres major, and subscapularis

• Poor thoracic mobility – in chronically hunched positions (desk work), the mid-back loses its flexibility, leading to forward-rolled shoulders

• Poor rotator cuff strength and control

Symptoms of Shoulder Bursitis

The most common symptoms of shoulder bursitis include:

• Pain in the shoulder joint, which may worsen at night or with movement

• Swelling and tenderness in the shoulder joint

• Limited range of motion in the shoulder joint

• Weakness in the shoulder joint

• A clicking or popping sensation in the shoulder joint

Importance of Shoulder Mobility

Maintaining shoulder mobility is essential for preventing shoulder injuries and maintaining shoulder function. When we lose shoulder mobility, we become more prone to shoulder impingement, rotator cuff injuries, and other shoulder-related conditions. Regular stretching and physio exercises that improve shoulder mobility can help reduce the risk of injury and promote the healing of existing injuries.

There are several exercises that can be done to improve shoulder mobility, including:

• Latissimus dorsi stretches and foam rolling

• Pec major stretching

• Thoracic mobility work – puppy dog pose and wall angels

Rotator Cuff Rehabilitation

The rotator cuff is a group of muscles and tendons that surround the shoulder joint, providing stability and allowing for movement. Rotator cuff injuries are common, especially among athletes and individuals who engage in repetitive overhead activities.

There are several rotator cuff rehabilitation exercises that can help strengthen the shoulder joint and prevent future injuries.

• External rotation

• Banded pull-aparts

• Supine KB twist

• Overhead KB walk

*All of these exercises and mobility work are shown in the video above.

What To Do Next?

If all these methods fail, then it's likely that further care is required with hands-on physiotherapy and a tailored rehab plan. Reach out to our physiotherapists in Brisbane via the contact us page, and we will be happy to guide you on the next steps and how treatment can resolve this injury quickly. Our skilled physiotherapists will provide you with personalised care and a customised treatment plan to ensure you regain full mobility and function in your shoulder in no time. 

Shoulder bursitis is a common and often painful condition that can significantly impact your daily activities. But the good news is that you can effectively manage and prevent shoulder bursitis by understanding the risk factors, engaging in regular shoulder mobility exercises, and focusing on rotator cuff rehabilitation. If you're experiencing persistent pain or need guidance on proper exercises and techniques, don't hesitate to contact our Brisbane-based physiotherapy clinic for professional help and support.