If you have shoulder pain from Subacromial Bursitis, Chiropractic can provide relief! This post is about West Palm Beach Chiropractic Care: Shoulder Pain and Subacromial Bursitis.

 

West Palm Beach Chiropractic Care: Symptoms of Subacromial Brusitis

With acute subacromial bursitis, your pain may be severe.  Also, your shoulder range of motion will be limited due to the pain. There may be swelling and there may or may not be an underlying calcific tendinitis.

In contrast, with chronic subacromial bursitis, the symptoms can be very subtle.  Your shoulder may only hurt following excessive “over head” activities.  Additionally, the shoulder pain may be a dull diffuse ache.  You may experience difficulty sleeping due to the pain. 

West Palm Beach Chiropractic Care: What is bursitis?

Bursae are fluid-filled, sac like cavities. Bursae are located where muscles and tendons move over bony joint areas. They reduce friction caused by muscles and tendons moving against skin and bones.  Also, they facilitate movement.

A shoulder bursa is like a cushion. So when one becomes inflamed, increased tension and pain can occur in a condition known as bursitis. The bursa in the shoulder increases with fluid and redness in the area it occurs.

 

West Palm Beach Chiropractic Care: the subacromial bursa

Firstly, the subacromial bursa is in the subacromial space. The subacromial space lies below the coracoacromial arch and above the humeral head and greater tuberosity of the humerus  (upper arm bone). And the coracoacromial arch is an osteofibrous structure resulting from the acromion (portion of the scapula or shoulder blade that meets the clavicle) , coracoacromial ligament, and coracoid process (also part of shoulder blade) with each other. 

Secondly, the subacromial bursa is inferiorly bordered by the rotator cuff muscles and the shoulder joint capsule.  Next, the bursa extends over the proximal (closest to body) humerus beneath the deltoid. 

Thirdly, the bursa’s function is to support normal movement of the shoulder.

West Palm Beach Chiropractic Care: Causes of Subacromial Bursitis

1.While there are many bursas (e.g. subdeltoid, subcoracoid, supraspinatus bursae) in the shoulder, the subacromial bursa most often develops into bursitis. 

2.Bursitis is usually preceded by a rotator cuff tendinitis (irritation of tendon connecting bone to muscle) or tenosynovitis (inflammation of the fluid-filled synovium within the tendon sheath). So the rotator cuff is a group of muscles (supraspinatus, infraspinatus, teres minor, subscapularis) that hold the shoulder joint in place and allow you to move your shoulder.  Additionally, a biceps tendinitis could precede the bursitis.  In other words, the tendinitis caused the bursitis.

3.There could be an inflammatory process going on in the shoulder joint.  Ultimately, the same inflammation would spread to the bursa and cause bursitis.

4.Repeated “microtrauma” due to repetitive activity (e.g. throwing sport) may cause injury to the soft tissue ultimately leading to subacromial bursitis. In fact, bursitis being a primary condition only occurs with: infection, rheumatoid arthritis, and gout.

West Palm Beach Chiropractic Care: Treatment for Subacromial Bursitis at Meiri Chiropractic

First, chiropractic manipulative therapy (adjustments)/mobilization is rendered to the shoulder and associated spine and extremity (limb) joints. 

Second, manipulation of muscle/bursa contractures with soft tissue techniques is utilized.  Some Techniques include gentle PNF/PIR (e.g. post isometric relaxation) and/or myofascial release techniques.  

Finally, therapeutic exercises for rehabilitation/ strengthening are prescribed.  Flexibility and strengthening are important.  And correction of posture and recommendations for activity modification maybe necessary.

 

Getting regular chiropractic treatment at a chiropractic center in West Palm Beach can help naturally relieve the pain and dysfunction of the shoulder. Chiropractic is a natural way to not only treat existing conditions, but to keep your body in its best working condition.

Contact Meiri Chiropractic today at 561-253-8984 to make an appointment or to learn more about  West Palm Beach Chiropractic Care: Shoulder Pain and Subacromial Bursitis.