The UK’s Leading Orthopaedic Shockwave Clinic
Shoulder Tendinitis & Bursitis Shockwave Treatment
Shoulder tendonitis and bursitis are common causes of shoulder pain and stiffness. They indicate swelling (inflammation) of a particular area within the shoulder joint. Two types of tendinitis can affect the shoulder, biceps tendinitis and rotor cuff tendinitis.
Biceps tendinitis causes pain in the front or side of the shoulder and may travel down to the elbow and forearm. Pain can also occur when raising the arm overhead. The biceps muscle, in the front of the upper arm, helps stabilize the upper arm bone (humerus) in the shoulder socket. It also helps accelerate and decelerate the arm during overhead movement in an activity such as tennis, golf, swimming and work related activities.
Research published in the Clinical Journal of Sports Medicine (https://pubmed.ncbi.nlm.nih.gov/27893487/) concluded that, Shockwave therapy is “a novel, effective, and safe treatment for Chronic Distal Biceps Tendinopathy (cDBT).”
Rotor Cuff Tendinitis
Rotator cuff tendinopathy (RCT), subacromial impingement (SAIS), and medial (MEP) and lateral (LEP) epicondylitis are the most common causes of upper limb pain.
RCT causes shoulder pain at the tip of the shoulder and the upper, outer arm. It can be caused by repeated motion of the arms, or simply the aging process since as tendons age, they tolerate less stress, are less elastic, and tear more easily.
The rotator cuff is primarily a group of four muscles that attach the arm to the shoulder joint and allow the arm to rotate and elevate. If the rotator cuff and bursa are irritated, inflamed, and swollen, they may become compressed between the head of the humerus and the acromion, the outer edge of the shoulder blade. The pain can be aggravated by reaching, pushing, pulling, lifting, raising the arm above shoulder level, or lying on the affected side.
Improper technique in any sport is one of the primary causes of shoulder tendonitis, but you don’t have to be a professional athlete to develop this condition. It is more common in adults, especially those over 40-years of age and those working in jobs that involve overhead assembly work, butchering and heavy lifting – it can also be caused by a direct blow to the shoulder area or falling on an outstretched arm
Treatment goals include reduction in pain and inflammation, as well as preserving mobility and preventing disability and recurrence. Treatment includes:
- Aerobic conditioning
- Flexibility training
- The use of non-steroidal anti-inflammatory medications
- Cryotherapy – ice massage or ice packs
Because most cases of tendonitis are caused by overuse, the best treatment is prevention. It is important to avoid or modify the activities that cause the problem. Underlying conditions such as improper posture or poor technique in sports or work must be corrected.
Shockwave Therapy & Shoulder Tendinitis
Patients who have suffered from shoulder tendinitis for some time and also those that have only recently shown the symptoms, can often make a faster recovery and return to their sport, exercise regime or daily work by undergoing shock wave therapy. In independent research published by The American Journal of Sports Medicine – shock wave therapy appeared to be more effective and safer than traditional conservative treatments in the management of patients with shoulder tendinitis.
We now use castor oil, rather than gel or petroleum jelly as the medium between the shockwave equipment and the patient for many of our shockwave procedures. We have found that the little pain that our patients feel is reduced when we use castor oil, and we believe that the shockwaves reach the areas needing treatment more effectively. You can find out more about this, if you wish, by reading our news item Castor Oil versus Gel in Shockwave Therapy.
To find out more about how we can help you, or to book a free consultation or an appointment, contact us now, or better still call us right away to discuss your problem Tel: 020 8549 6666