In this article information about Shoulder Bursitis. Like air-filled bubble wrap. A bursa is fluid-filled sacs that cushion areas of friction between tendon and bone or skin. These sacs reduce friction between moving parts of the body, such as the shoulder, elbow, hip, knee, and heel. Shoulder bursitis simply means that there is inflammation of one of these bursae.
Shoulder pain with swelling is usually called Impingement Syndrome. This syndrome occurs when there is inflammation of the rotator cuff tendons and the bursa that surrounds them.
Shoulder Bursitis Symptoms
The pain of shoulder bursitis or impingement syndrome is common with overhead activities of the shoulder and while sleeping at night, especially while lying on the affected shoulder. Pain is usually found over the outside of the shoulder/upper arm.
In most cases, shoulder bursitis comes about when there has been unusual or overloading activity with the shoulder or as a result of repetitive type movements that continuously pinch the tendon/bursa combination.
Often the structure of the bones is such that the opening for the bursa. Or tendon is closed down and creates too much pressure on the softer tissue resulting in inflammation and pain.
Home Treatment for Shoulder Bursitis
Rest the area and stop activities that cause aggravation of the pain (sports or work-related). Home treatment remedies for shoulder bursitis include:
Shoulder ice packs at least twice a day for 15-20 minutes
Shoulder Hot Packs that help relieve pain
Topical pain-relieving gels that can provide temporary pain relief
Magnetic therapy that may help promote the healing process
Shoulder Bursitis Medical Treatment
If the bursitis is not infected, the physician may inject the bursa with a corticosteroid to reduce inflammation. The results last for varying lengths of time. Because of potential complications. Injections are usually given no more than three times per year at least 30 days apart.
If the bursitis is infected, the bursa will be drained with a needle. The physician will most likely prescribe antibiotics to be taken in pill form.
If the infection is very serious or does not respond to oral antibiotics. Or if the immune system is weakened for another reason, the patient may be admitted to the hospital for IV antibiotics. Most cases of infectious bursitis, however, can be managed safely at home.
Shoulder Articular Cartilage Injury
Articular cartilage is a complex, living tissue that lines the bony surface of the shoulder joint and completely surrounds the joint. Its function is to allow the shoulder bones to be separated from each other more than 2.5 cm.
A requirement so that extreme range of motion. Which is peculiar to the shoulder joint. And is needed to perform activities of daily living as well as athletic endeavors, can take place.
Articular cartilage injuries can occur as a result of either traumatic mechanical destruction, or progressive mechanical degeneration (wear and tear). With mechanical destruction, a direct blow or other trauma can injure the artistic cartilage.
Articular cartilage has no direct blood supply; thus, it has little capacity to heal itself. If the injury penetrates the bone beneath the cartilage, the underlying bone supplies some blood to the area, improving the chance of healing.
Occasionally an articular cartilage fragment breaks loose from the underlying bone. This chip, which is called a loose body, can swim in joint interference with normal joint motion.
Shoulder Articular Cartilage Injury Symptoms
In many cases, a patient will experience shoulder swelling and vague pain. At this point, continued activity may not be possible. If a loose body is present. Words such as “locking” or “catching” are often used to describe the problem. With mechanical degeneration (wear and tear), the patient often experiences one or more of the following:
The physician examines the shoulder, looking for decreased range of motion, pain along the joint line, fluid on the shoulder, the abnormal ailment of the bones making up the joint, and ligament injury.
Home Treatment for Shoulder Articular Cartilage Injury: Shoulder Bursitis
For patients with osteoarthritis, non-surgical treatment consists of:
For patients with osteoarthritis, non-surgical treatment consists of:
Lifestyle modification (e.g. reducing activity)
Shoulder bracing and supportive devices
Oral and injection drugs (i.e., non-steroidal anti-inflammatory drugs)
Cartilage protective drugs such as glucosamine.
Surgical options osteoarthritis is very specific for the severity and can provide a reduction in symptoms that are usually short-lived only.
Shoulder Articular Cartilage Injury Medical Treatment: Shoulder Bursitis
When a joint is injured, the body releases enzymes that may further break down the already damaged articular cartilage. Cartilage injuries that do not spread to the bones are not usually good on their own.
Injuries that penetrate to the bone may heal. But the type of cartilage laid down is structurally unorganized and does not function as well as the original articular cartilage.
Defects smaller than 2cm have the best prognosis and treatment options. These options include arthroscopic surgery using techniques to remove damaged cartilage and increase blood flow from the underlying bone. For larger defects, it may be necessary to transplant cartilage from other areas of the joint.
Shoulder Synovial Membrane
Synovia is a transparent alkaline, viscid fluid resembling the white of an egg, secreted by the synovial membrane and contained in joint cavities, bursa, and tendon sheaths.
Each facet joint has its own synovial membrane that surrounds the joint and secretes a tiny amount of lubricating fluid. Joint surfaces are covered with smooth articular cartilage that facilitates movement in the region. After a wound, contusion or strain, or irritation produced by floating cartilage, or exposure to cold and dampness, simple inflammation may attack the synovial membrane.
Shoulder Synovial Membrane Symptoms
Restriction of movement in the joints especially at night
Moderate to severe pain
After a few days, the pain usually lessens and swelling diminishes as the accumulated fluids and blood are absorbed. The limb takes its natural position and recovery follow.
Shoulder Synovial Membrane Diagnosis
A synovial biopsy helps diagnose gout and bacterial infections and may suggest the presence of inflammatory conditions, such as autoimmune disorders.
Home Treatment for Shoulder Synovial Membrane
The affected joint should be placed at rest. Other treatments include:
Cotton or wool applied and bandaged
If there is significant fluids and/or blood in the cavity, aspiration may be required under strict sterile conditions.
Medical Treatment for Shoulder Synovial Membrane
Treatment can vary with the amount of fluid present and according to the type of arthritis present. When the condition is not long-standing and articular fullness is not great rest. And the pressure of the shoulder, preferably immobilized with the cast, is usually recommended.
When long-standing and usefulness is impaired, the condition is called hydrarthrosis. If the above treatment proves ineffective, it is common to aspirate and inject 3% to 5% solution of carbolic acid after inflammation has completely diminished.
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