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A "popping" sensation or sound at the time of injury
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Immediate knee pain and swelling
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Instability, especially when trying to pivot or change direction
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Difficulty walking or bearing weight on the affected leg
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Decreased range of motion and stiffness in the knee
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Dr. Romanelli will start with a detailed medical history and a physical examination to assess shoulder movement, tenderness, and strength. Specific tests may be performed to determine whether bursitis is the cause of the pain. Imaging tests, such as an X-ray, ultrasound, or MRI, may be used to rule out other potential causes of shoulder pain and to visualize the inflammation in the bursa.
The goal of treatment for shoulder bursitis is to reduce pain and inflammation while restoring function to the shoulder. In most cases, non-surgical treatments are effective, but surgery may be required in severe cases or if symptoms persist.
Non-surgical treatments are often the first line of defense for bursitis and include:
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Rest and Activity Modification: Avoiding activities that irritate the shoulder, particularly repetitive overhead movements, can allow the bursa to heal.
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Anti-inflammatory Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) may be recommended to reduce pain and inflammation.
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Corticosteroid Injections: A corticosteroid injection into the shoulder joint may help reduce inflammation and provide temporary pain relief.
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Ice and Heat Therapy: Applying ice packs or heat to the shoulder can help alleviate pain and reduce swelling.
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Physical Therapy: Specific exercises to strengthen the muscles around the shoulder and improve flexibility can help reduce pressure on the bursa and prevent future episodes.
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If non-surgical treatments fail to relieve symptoms, surgery may be required to address the underlying cause of the bursitis. Surgical options include:
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Bursa Removal (Bursectomy): This procedure involves removing the inflamed bursa, allowing the shoulder joint to move freely without irritation.
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Arthroscopic Surgery: Most bursitis surgeries are performed arthroscopically, using small incisions and a camera to remove the bursa or repair any damage to the surrounding tissues.
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Physical therapy is essential for a full recovery from shoulder bursitis, whether treated surgically or non-surgically. A physical therapy program will focus on restoring range of motion, increasing shoulder strength, and improving joint stability. Dr. Romanelli and his team will create a personalized rehabilitation plan to help you recover quickly and prevent further injury.
Shoulder Procedures with
Dr. Daniel A. Romanelli
Your shoulders provide the range of motion you need for everyday activities—from reaching and lifting to throwing and rotating. When shoulder pain or injury limits your movement, it can affect your entire lifestyle. Dr. Romanelli specializes in diagnosing and treating shoulder conditions, helping you return to full mobility with personalized, effective care.

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