Shoulder bursitis is often associated with rotator cuff tear, impingement syndrome, or regional soft tissue inflammation, and it is caused by overuse of the shoulder from the throwing motions of tennis, swimming, baseball, and weight training.
The tendons of the rotator cuff muscle rotate the humerus, raising the arm by pulling down the humeral head down. At the same time, the deltoid muscle pulls up the arm. Through excessive repetitions of this action, the subacromial bursa that serves as cushion between the acromion and the rotator cuff may become irritated, which causes inflammation and accumulation of excess fluid in the bursa. Major symptoms are pain in the shoulder, especially when the arm is raised; weakness of the joint; limited motion of the shoulder joint; and pain when the patient sleeps on the injured joint.
Dry needling acupuncture is very effective in treating the pain of this injury. It can be applied at all phases of this injury and in patients with infection of the bursae. Tender, painful, and swelling areas and associated arm and shoulder muscles should be needled. Two sessions per week are recommended.
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