Trigger Point Therapy - Shoulder Bursitis

Immediate treatment

Discontinue all activity causing inflammation of the shoulder. RICER regimen and analgesics to reduce inflammation and pain. Then heat to promote blood flow and healing.

Rehabilitation and prevention

The client should avoid pressure to the injured shoulder and inflamed bursa(e) during recovery as well as any activities likely to irritate the condition. Begin exercising the shoulder when instructed by a healthcare professional in order to restore strength and shoulder mobility.

Warming-up and cooling-down exercises, with an emphasis on stretching, strength training and maintaining looseness in the shoulder can help prevent bursitis from developing.

Long-term prognosis

Shoulder bursitis tends to ease with proper healing and minor rehabilitation, and a full recovery to activity can usually be expected, particularly if no infection of the bursa is present. In some cases, aspiration of bursal fluid by needle is recommended to reduce inflammation and ensure no infection is present.

Trigger Points

Latent trigger points in the shoulder muscles (rotator cuff) may be part of the cause of the initial injury as trigger points make their host muscles shorter, weaker, and less efficient. Compensatory factors come into play which cause additional strain on other muscles.

In almost cases of shoulder injury, trigger point activity will likely increase in what many believe to be a key element in the body's natural protect and defend mechanism.

These trigger points will need to be identified and treated as part of the rahabilitation program, and also to help avoid re-occurrence or the development of other related complications to the shoulder unit.

Look especially for trigger points in teres minor, infraspinatus, supraspinatus, and subscapularis.

Note: Trigger points in the teres minor muscle mainly cause a deep pain in the shoulder which can sometimes be misinterpreted as bursitis. 

This trigger point therapy blog is intended to be used for information purposes only and is not intended to be used for medical diagnosis or treatment or to substitute for a medical diagnosis and/or treatment rendered or prescribed by a physician or competent healthcare professional. This information is designed as educational material, but should not be taken as a recommendation for treatment of any particular person or patient. Always consult your physician if you think you need treatment or if you feel unwell.