A bursitis causes pain around the shoulder, sometimes radiating to and in the arm. Movements are painful and there is often a restriction of movement. The cause of a bursitis can be overload, but also trauma (fall on the shoulder). In addition, a bursitis can develop if the head and socket of the shoulder joint do not move properly in relation to each other (positional fault). This is often preceded by a pain stimulus, as a result of which the shoulder avoids the pain stimulus and moves incorrectly.
Also, your starting position (posture) may not be good. Bursitis is an annoying complaint that can persist for a long time if it is not recognized and treated in time. The bursitis can progress to a frozen shoulder, which can take up to two years to recover.
The most commonly affected bursa (bursa) is located on the outside of the shoulder, under the roof of the shoulder. If there is inflammation of the bursa, it is thickened. This thickening makes movements painful. This is because the bursa is wedged between the head of the shoulder and the roof of the shoulder during movements.
Ultrasound can map the bursa and other structures around the shoulder. An ultrasound shows which structure (muscle, tendon or bursa) is affected. Thus, the treatment plan can be drawn up specifically for the affected structure. Our practice has access to an ultrasound machine. As the fysiotherapist thinks it is necessary to make an ultrasound of the shoulder, we can quickly make an appointment.
A bursitis can be treated well with fysiotherapy, where we sometimes ask the GP to prescribe an anti-inflammatory. If fysioIf therapy is not successful, we can ask the GP to give an injection in the bursa or to refer to an orthopedist for further assessment of the shoulder.