Shoulder problems - subacromial bursitis

Subacromial bursitis is the inflammation of the fluid sack, or bursa, which sits between the top of the humerus and the end of the shoulder blade. It's position is approximately 1 cm beneath the outer point of the shoulder.

Subacromial bursitis is caused by actions such as:-

-Falling on the point of the shoulder. As in rugby or skiing falls.
-Repeated overhead use of the arm as in decorating a ceiling, bowling in cricket or serving in tennis.

Patients who haver a 'round shouldered' posture are more prone to it.

Treatment for Subacromial bursitis can be:-
- Physical therapy such as osteopathy and physiotherapy, which is usually the starting point.
- Local steroid injection to reduce the inflammation in the bursa
- If the above fail, then persistant cases may need a review by an upper limb surgeon. We invariably refer to Mr Chris Roberts at Nuffield hospital Ipswich. such cases often need an ultrasound or MRI scan.