The Role of Physical Therapy in Treating Mild Subacromial Subdeltoid Bursitis

Introduction to Subacromial Subdeltoid Bursitis

Subacromial subdeltoid bursitis is an inflammation of the bursae located between the acromion and the deltoid muscle, which can cause shoulder pain and limited movement. Common causes include repetitive overhead activities, trauma, or degenerative joint diseases. Initial symptoms often involve sharp or aching pain in the shoulder, especially during physical activities or at night. Diagnosis usually involves clinical examination and imaging tests, such as ultrasound or MRI, to confirm inflammation and rule out other conditions like rotator cuff tears.

Impact and Complications of Subacromial Subdeltoid Bursitis

This condition affects the shoulder's functionality, impacting activities such as lifting or reaching overhead. If left untreated, chronic bursitis can lead to thickening of the bursa, persistent pain, and further limitations in motion. Short-term side effects may include shoulder stiffness and intermittent pain, while long-term complications can prevent full range of motion and may require surgical intervention. It is crucial to manage bursitis early to avoid these complications and maintain shoulder health.

Recovery and Rehabilitation: The Role of Physical Therapy

Physical therapy is pivotal in treating mild subacromial subdeltoid bursitis. Recovery often involves a combination of rest, anti-inflammatory medication, and rehabilitation exercises designed to strengthen shoulder muscles and improve flexibility. A typical recovery timeline spans several weeks to a few months, depending on severity and adherence to physiotherapy protocols. Barriers to recovery include patient non-compliance, continued overuse of the shoulder, or misdiagnosis. Addressing these barriers with consistent physiotherapy and lifestyle modifications ensures effective recovery.

Key Goals of Physiotherapy for Shoulder Bursitis

1. Pain Reduction and Inflammation Control

Initial therapy focuses on:

• Restoring pain-free range of motion

• Reducing pressure on the inflamed bursa

• Applying modalities such as ice therapy, ultrasound, or electrical stimulation

2. Postural Correction and Shoulder Mechanics

Poor posture is a major contributor. A physiotherapist may work on:

• Scapular stabilisation exercises

• Thoracic spine mobility

• Re-educating safe shoulder movement

3. Muscle Strengthening and Flexibility

Gentle, progressive exercises help:

• Strengthen the rotator cuff and scapular stabilisers

• Improve flexibility in the pectorals, posterior capsule, and neck muscles

These changes reduce strain on the bursa during daily activity.

4. Activity Modification and Ergonomics

Therapists help identify aggravating tasks—such as prolonged typing or overhead reaching—and provide guidance on:

• Workplace ergonomics

• Movement strategies

• Proper warm-up routines

Additional Patient Information and Prevention

Early intervention is essential to prevent progression and complications. Patients should avoid activities that exacerbate symptoms and adhere to prescribed rehabilitation exercises. To prevent future issues, maintaining shoulder strength and flexibility through regular exercises is recommended. If shoulder pain persists despite conservative treatment, or if new symptoms arise, seeking medical advice is necessary. Early treatment can prevent chronic bursitis and enhance the effectiveness of physical therapy.

Frequently Asked Questions (FAQs)

What should I do immediately after a mild subacromial subdeltoid bursitis diagnosis?

Rest the shoulder, apply ice packs to reduce inflammation, and follow your healthcare provider’s advice on medication and physical therapy exercises.

How long does it take to recover from this type of bursitis?

Recovery can take anywhere from a few weeks to a few months, depending on the severity of the condition and the effectiveness of treatment protocols.

Can I prevent future occurrences of shoulder bursitis?

Yes, maintaining shoulder flexibility and strength through regular exercises, avoiding repetitive overhead activities, and taking breaks during physical exertion can help prevent recurrence.

What are the signs of complications from subacromial subdeltoid bursitis?

Severe or persistent pain, significant swelling, and a noticeable lack of shoulder motion are signs to watch for. Seek medical attention if these occur.

How effective is physical therapy for subacromial subdeltoid bursitis recovery?

Physical therapy is highly effective in managing symptoms and improving shoulder function by strengthening muscles and increasing range of motion.

When should I consider surgery for subacromial subdeltoid bursitis?

Surgery may be considered if conservative treatments like physical therapy and medication do not improve symptoms or if there is significant structural damage observed in imaging studies.