Physical Therapy Nest

Diagnosis of subacromial bursitis may include:

• Medical history review (onset of pain, repetitive movements, previous injuries).

• Physical exam testing shoulder mobility, strength, and tenderness over the bursa.

• Special tests to rule out rotator cuff tears or impingement.

• Imaging such as ultrasound or MRI to confirm inflammation and rule out tendon damage.

Physical therapy is an effective way to manage subacromial bursitis and restore shoulder function. Treatment often includes:

• Manual therapy to improve joint mobility and reduce muscle tension

• Therapeutic exercises to strengthen the rotator cuff and supporting muscles

• Stretching routines to restore flexibility in the shoulder joint

• Postural correction to relieve pressure on the bursa

• Pain management techniques such as ice, heat, or electrical stimulation

• Education on activity modification to avoid aggravating movements
  In some cases, corticosteroid injections may be recommended if pain is severe, but physical therapy is typically the first step.

Common symptoms of subacromial bursitis include:

• Pain at the top or front of the shoulder that worsens with overhead movement

• Localized tenderness when pressing on the outside of the shoulder

• Weakness in the arm due to pain

• Stiffness, especially after rest or inactivity

• Night pain, particularly when lying on the affected side

• Reduced range of motion

To help prevent subacromial bursitis from returning:

• Avoid repetitive overhead activities without breaks

• Strengthen rotator cuff and upper back muscles regularly

• Maintain good posture to reduce shoulder stress

• Warm up properly before sports or heavy lifting

• Stretch the chest and shoulder muscles to keep mobility balanced

• Seek early treatment for minor shoulder pain before it worsens