The
subacromial-subdeltoid bursa
(SASD) is a potentially pain-sensitive structure of the glenohumeral joint. Along with the rotator cuff tendons, it has been implicated as a primary pathology in painful shoulder conditions of overhead athletes (eg swimmers, weightlifters, gymnasts, tennis players etc).
How do you treat deltoid bursitis?
Depending on the type of shoulder bursitis, treatment may include
activity modification
, immobilization with a splint, icing, injections, aspiration of the bursa (removing fluid with a syringe), antibiotics or anti-inflammatory pain medication. Surgery is rarely needed to treat bursitis.
What is Sasd Bursa?
The subacromial-subdeltoid bursa (SASD), also simply known as the subacromial bursa, is
a bursa within the shoulder
that is simply a potential space in normal individuals.
What causes subacromial bursitis?
Subacromial bursitis is a common etiology
of shoulder pain
. It results from inflammation of the bursa, a sac of tissue present under the acromion process of the shoulder. It is usually brought about by repetitive overhead activities or trauma.
Where is subacromial bursa?
Bursitis of
the Shoulder
(subacromial bursitis) is a condition caused by the swelling of a fluid-filled sac called the “subacromial bursa.” It’s in the shoulder, between a bony protrusion called the “acromion” and the rotator cuff. You have similar sacs near other large joints throughout your body.
How painful is Subdeltoid bursitis?
Subdeltoid Bursitis causes pain in the joint of the inflamed Shoulder bursa which may build up gradually or
be sudden and severe
. Shoulder Pain is aggravated during or after activity and often the Shoulder joint is stiff the next morning with reduced range of movement.
What does Subdeltoid bursitis feel like?
If you have subacromial bursitis, you may notice
shoulder stiffness and pain
. It may hurt badly enough to wake you up at night. There might also be swelling and redness. Your shoulder may be sore to the touch, especially on the front side or the upper third of your arm.
What happens if bursitis is left untreated?
Chronic pain: Untreated bursitis can lead to
a permanent thickening or enlargement of the bursa
, which can cause chronic inflammation and pain. Muscle atrophy: Long term reduced use of joint can lead to decreased physical activity and loss of surrounding muscle.
What foods should you avoid if you have bursitis?
Eat
whole grains, fruits, vegetables, and fatty fish
to help reduce inflammation. Avoid processed foods and foods high in sugar and fat.
Is it OK to massage bursitis?
Massage Therapy can be very helpful for people with bursitis. Massage therapy can reduce the pain of bursitis and increase blood supply to the tissues, allowing the body to recovery faster and heal itself. The treatment goal is to
reduce compression and relieve pressure on the bursa
.
What is the fastest way to heal bursitis in the shoulder?
Apply ice to reduce swelling
for the first 48 hours after symptoms occur. Apply dry or moist heat, such as a heating pad or taking a warm bath. Take an over-the-counter medication, such as ibuprofen (Advil, Motrin IB, others) or naproxen sodium (Aleve, others), to relieve pain and reduce inflammation.
What can you not do with shoulder bursitis?
Reducing the inflammation is the first step in treating shoulder bursitis. Avoid doing the things that
cause pain
, such as reaching or stretching beyond your comfort zone. Inflammation can also be treated with anti-inflammatory medications such as Motrin or Advil. These drugs help reduce the swelling and pain.
What are symptoms of bursitis in the shoulder?
- Shoulder stiffness or a feeling of swelling.
- Painful range of motion.
- Nighttime pain when lying on the affected side.
- Sharp or pinching pain with overhead shoulder motions.
How do you sleep with shoulder bursitis?
Sleeping on your back
: The best sleeping position for shoulder impingement is sleeping on your back. When you sleep on your back, little to no pressure is placed on your shoulders, neck, and back. This neutral position can provide a pain-free sleeping posture for shoulder pain and help keep your spine aligned.
How long can bursitis last?
Acute bursitis usually flares over hours or days.
Chronic bursitis can last from a few days to several weeks
. Chronic bursitis can go away and come back again. Acute bursitis can become chronic if it comes back or if a hip injury occurs.
Can you drain a shoulder bursa?
Because a swollen bursa can press against other structures such as nerves and blood vessels, or may even rupture, the standard treatment is to drain it. Draining easily can be
done by aspiration
, in which a needle is inserted through the skin into the bursa, then the excess fluid is sucked out.
