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Recent News and Articles on the Keywords: shoulder bursitis + bursitis + shoulder  Related to the article below (Last Update: 8/5/2008)

Hudson reckons his season is over San Jose Mercury News,  USA - Aug 3, 2008 The right-hander, recovering from shoulder tendinitis and bursitis, is set to rejoin the Dodgers on Monday in St. Louis, and is tentatively scheduled to ... NL inside pitch Arizona Daily Star all 2 news articles » Times Online Injured Sharapova out of Olympic Games InTheNews.co.uk, UK - Aug 1, 2008 World number three Maria Sharapova has pulled out of the Rogers Cup with a shoulder injury and now looks a major doubt for the upcoming Olympic Games. ... Sharapova pulls out of Olympics Bob Larson Tennis News all 982 news articles » Penny hits 98 mph in rehab start MLB.com - Aug 2, 2008 Penny, out since June 15 with shoulder tendinitis, is scheduled to start for the Dodgers on Friday night in San Francisco if he comes out of this outing ... Dodger infirmary: Penny set to start Friday SportingNews.com - Aug 3, 2008 By John Borneman It looks like Brad Penny's shoulder injury isn't bugging him too much -? the Dodgers starter threw 55 pitches in his latest Triple-A rehab ... Penny allows 2 runs in 4-inning rehab stint International Herald Tribune, France - Aug 2, 2008 He was 5-9 with a 5.88 ERA in 15 starts for the Dodgers before going on the disabled list, retroactive to June 15, with shoulder tendinitis and bursitis. ... Penny set to return to LA rotation Los Angeles Dodgers, CA - Aug 3, 2008 The big right-hander has been out since June 15 with right shoulder soreness. He had lost seven straight decisions before being placed on the disabled list, ... Closer news: Wagner will undergo forearm MRI SportingNews.com - Aug 3, 2008 Pittsburgh closer Matt Capps threw a bullpen session of his own Saturday, tossing 25 pitches as he returns from shoulder bursitis. ... Los Angeles Times Manny has big weekend in Los Angeles The Associated Press - He hasn't pitched for the Dodgers since June 14 because of shoulder tendinitis and bursitis, but is scheduled to pitch Friday night at San Francisco. ... Ramirez's HR, 3 RBIs leads Dodgers over D'Backs The Associated Press all 1,100 news articles » Colts.com Polian reports 'no setbacks' Indianapolis Star, United States - Aug 3, 2008 7 regular-season opener against the Chicago Bears -- are Freeney (foot), Sanders (shoulder), guard Ryan Lilja (knee) and rookie tight end Tom Santi (knee). ... HART ATTACK Colts.com all 35 news articles » TSN.ca White Sox's Jenks on DL with bursitis near shoulder Fort Wayne Journal Gazette, IN - Jul 10, 2008 Jenks has bursitis near his left (non-pitching) shoulder. The move is retroactive to June 30. ?He (Carrasco) was the last guy to be cut this spring training ... White Sox closer Bobby Jenks should be ready after all-star break The Canadian Press White Sox place closer Jenks on DL Calgary Herald Impact Analysis: Bobby Jenks, Chicago White Sox KFFL The Associated Press - Chicago Daily Herald all 359 news articles »

Bursitis of the Shoulder

Bursitis of the shoulder (impingement syndrome) occurs when there is inflammation (swelling and redness) between the top of the arm bone (humerus) and the tip of the shoulder (acromion). Between these bones lie the tendons of the rotator cuff and a fluid-filled sac (the bursa) that protects the tendons. Normally, the tendons slide effortlessly within this space. In some people, this space becomes too narrow for normal motion. This causes irritation to the tendons and bursa, which become inflamed. Inflammation causes the tendons and bursa to swell, making the space for movement still smaller. Eventually, this space becomes too narrow for the tendons and the bursa. Every time they move, they are pinched between the bones. This is the impingement.

Often there is an initial injury that sets off the process of inflammation. After that, the problem can spiral into a worse condition. Once there is an initial injury, the tendons and bursa become inflamed. This inflammation causes a thickening of these structures. The thickening then takes up more space, pinching on the tendons and bursa even more. This causes more inflammation, and more thickening of the tendons and bursa, and so on.

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In many people with this problem, the shape of the bones is such that they have less space than most other people. Even small thickenings of the tendons or bursa can cause symptoms.

Reducing the inflammation is the first step in treating shoulder bursitis. Avoid doing the things that cause pain, such as reaching or stretching beyond your comfort zone. Inflammation can also be treated with anti-inflammatory medications such as Motrin or Advil, among many others. These drugs help reduce the swelling and pain.

For many patients, a few weeks of these measures will be enough to treat shoulder bursitis. After the pain is gone, simple exercises or physical therapy may help you return to normal, pain-free activities.

If the symptoms don't go away, the next step is usually a cortisone injection, or steroid shot, into the swollen area. Cortisone is a powerful drug that treats swelling, not pain. If your initial symptoms are significant, your doctor may give you a cortisone injection on your first visit. The most significant downside is that cortisone injections may weaken tendons. Repeated cortisone injections should be considered with care.

Surgery is sometimes needed to treat shoulder bursitis. The surgical procedure is called a subacromial decompression. This can be done using a small incision with a special, minimally invasive probe called an arthroscope (arthroscopic subacrominal decompression). During the surgery, the inflamed bursa, some of the bone and any spurs are removed to create a larger space for the rotator cuff tendons. The doctors at the Cedars-Sinai Orthopedic Center can discuss whether this is an option for you.