Bursitis Shoulder Treatment: PRP & steroid injection
Does this happen to you?
Do you have mild shoulder pain at rest and/or movement?
Does it hurt to throw something or raise your arm above your head?
Over time, does the pain bother you at night when you sleep?
Have you ever had to stop the rhythm of your day-to-day life?
If left untreated, bursitis can become uncomfortable and debilitating.
If you have these symptoms come to the clinic Regenerat. We are specialists in the treatment of bursitis and tendinitis in the shoulder without surgery.
We will help you to recover your rhythm of life and do sports normally.
Take the first step towards a full and pain-free life with Regenerative Medicine.
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Specialists in injection treatments for bursitis shoulder
I am Miguel Alfonso Porcar orthopaedic surgeon and director of Regenerat clinic. Recognized specialist in the treatment of bursitis and tendinitis in the shoulder with bioregenerative therapies of platelet-rich plasma, growth factors, serum rich in cytokines…
Our goal is to determine the cause of your shoulder bursitis.
We will perform the appropriate diagnostic tests to determine the extent of your shoulder pain injury.
We will apply the appropriate conservative, regenerative or orthopedic surgery trauma treatment to relieve your pain so that you can recover your well-being as soon as possible.
We want to help our patients using the safest, most successful, least invasive and most economical treatments possible!
English-Speaking Orthopedic Doctor for International Patients
Dr. Carlos Mairal, an orthopedic surgeon and trauma specialist in regenerative medicine, provides expert medical care in English for international patients.
He specializes in ultrasound-guided infiltrations using platelet-rich plasma (PRP) for the treatment of shoulder conditions such as tendinitis, rotator cuff tears, osteoarthritis, and frozen shoulder, promoting faster healing and long-lasting relief.
If you’re seeking advanced, non-surgical treatment for shoulder pain and prefer to communicate in English, Dr. Mairal offers personalized care in a professional and welcoming environment.
Book your appointment today and receive expert care from an English-speaking orthopedic doctor.
What is shoulder bursitis?
The shoulder is made up of three bones: the humerus, the scapula and the clavicle.
The arm is held in the shoulder joint by the rotator cuff.
These muscles and tendons form a sheath around the head of the humerus.
Between the rotator cuff and the bone at the top of the shoulder (acromion) is a lubricating sac called a bursa. The bursa allows the rotator cuff tendons to slide freely when you move your arm.
Inflammation of the bursa is known as shoulder bursitis or rotator cuff bursitis.
Causes of shoulder bursitis or rotator cuff bursitis
Subacromial (below the acromion) or rotator cuff bursitis is usually caused by minor or inadvertent injuries to the shoulder joint associated with certain professions or sports activities.
Rotator cuff pain is common in both young and middle-aged athletes .
- Young athletes who use their arms above the head for: swimming, baseball, tennis… among others, are especially vulnerable.
- People who repeatedly lift objects or perform overhead activities, such as hanging paper, building or painting, are also susceptible.
Other causes are:
- Bony growths of the acromion process.
- Natural degeneration of tendons due to age, especially in people over 40-50 years old.
- They can also be caused by high-impact trauma during a fall or a traffic accident.
Symptoms of shoulder bursitis
Rotator cuff pain usually causes swelling and local tenderness in the front and side of the shoulder.
There may be pain accompanied by functional impotence in any movement of the shoulder, especially in abduction(separating the shoulder from the body to the side) and rotations(putting the hand behind and in front of the body).
Initial symptoms may be mild, and therefore patients often do not seek treatment at an early stage (although this is also recommended).
These symptoms may include pain, tenderness, increased volume and redness.
- Mild pain that is present both with activity and at rest.
- Pain radiating from the front of the shoulder down the side of the arm.
- Sudden pain when lifting and reaching for objects.
As the problem progresses, the symptoms increase:
- Pain at night. Inability to rest at night.
- Loss of strength and range of motion.
- Difficulty performing activities in which the arm is placed behind the back, such as buttoning or closing zippers.
Diagnosis of shoulder bursitis
Dr. Miguel Alfonso Porcar will review your symptoms, medical history and perform a physical evaluation to check range of motion, stability and joint strength.
It will check for tenderness or pain in any area or if there is any obvious deformity.
To measure the range of motion of the shoulder, I will perform a thorough examination of the joint as well as neighboring regions that may involve the shoulder.
Other tests that can help us confirm the diagnosis are:
- X-rays: X-rays do not show the soft tissues of the shoulder such as the rotator cuff and are therefore usually normal. However, they are useful to rule out other types of injuries prior to effective treatment.
- Ultrasound: creates better images of the soft tissues and may show fluid or swelling in the bursa, and/or a partial rotator cuff tear.
- Echo-guided infiltration: we can inject a drug into the space below the acromion to relieve pain. If the pain is relieved, it indicates that the problem was tissue impingement due to bursitis or tendonitis.
- MRI: as a last resort, it will be the test of choice for both bursa and rotator cuff tendon injuries. It performs a broader and more detailed study of the region without irradiating the patient.
Shoulder bursitis: Treatment without surgery
Treatment of rotator cuff bursitis begins with rest, ice, analgesics and/or anti-inflammatory measures.
- Rest and activity modification, avoiding activities with overhead arm movements.
- Anti-inflammatory and/or analgesic medications to alleviate the symptoms.
- Immobilizing orthoses or functional bandages to increase joint rest.
- Physical therapy to restore normal shoulder motion. Specific stretches of the posterior capsule can be very effective in relieving shoulder pain.
Corticosteroid injection
With ultrasound-guided infiltration, we can administer an injection of local anesthetic and a corticosteroid preparation at the most clinical point of the lesion; never intra-tendinous.
Steroid injections into shoulder are a safe medication in most patients. This drug provides temporary pain relief and allows for increased joint function.
At the Regenerat clinic, we have state-of-the-art ultrasound equipment, by means of which a detailed and individual exploration of each patient is performed prior to the infiltration.
Once the lesion has been studied, the injection is applied in the exact or closest point , with the objective of providing the patient with the greatest benefit.
Platelet Rich Plasma Infiltration for Shoulder Bursitis
The infiltration with platelet-rich plasma for the treatment of shoulder bursitis is an effective pre-surgical procedure that uses a concentrated dose of platelets prepared from your own blood.
Prior to the injection, the patient undergoes a blood extraction. After a period of processing, a substance is obtained that has proven to have reparative and regenerative capacity known as Platelet Rich Plasma.
It is a safe technique, since the substance is derived from the patient himself, so it is very difficult for there to be adverse effects after the infiltration. The clinic ensures that the processing of the sample is optimal and then the infiltration is performed with the help of ultrasound.
As PRP injections are performed at the Regenerat clinic, no hospital stay or surgical recovery period is necessary.
It presents neither the risks nor the costs of surgery.
The results are promising. It implies a more effective benefit in the long term and with the security of being a substance derived individually from each patient.
It has been shown to delay and even avoid surgery.
Shoulder bursitis: Operation by arthroscopy
Surgery for shoulder bursitis is indicated when the patient does not experience improvement after the use of non-surgical treatments.
Surgical intervention can be performed by open or arthroscopic surgery.
The surgical procedure consists of the removal of any bony overgrowth at the anterior end of the acromion bone, as well as any inflammation of the bursa.
In this way we create more space for the rotator cuff and allow unrestricted movement of the joint.
Through two or three tiny incisions in the shoulder, a camera is introduced inside the shoulder to explore the injured joint. Through the remaining incisions, the procedure is performed, thus avoiding a large scar and further patient recovery.
After surgery we will place your arm in a sling for a short period of time for a faster recovery. And as soon as possible we will remove the sling to start exercising and strengthening the muscles.
We will then recommend a rehabilitation program based on your needs and the results of the surgery. This will include exercises to restore shoulder range of motion and arm strength.
Why Regenerat Clinic to treat your shoulder bursitis in Valencia?
Specialists in the treatment of rotator cuff bursitis in Valencia
In the field of shoulder bursitis treatment, Regenerat clinic is your reference center.
State-of-the-art technology
In our clinic we use high resolution ultrasound to obtain a correct diagnosis, as well as to locate the lesion and perform our cutting-edge techniques in the injured area.
In this way we are less invasive and manage to alleviate and in many cases eliminate your shoulder bursitis in Valencia, offering better health and quality of life.
Patient Testimonials
Our patients value our experience and multidisciplinary treatment for bursitis and tendonitis in the shoulder, eliminating pain and recovering your activity after treatment.
Causes of shoulder pain that shoulder specialists can treat
Causes related to shoulder pain include pathologies related to the humerus, clavicle and scapula bones, articular cartilage, ligaments, tendons and/or muscles of the region.
- Shoulder tendonitis: Resulting from inflammation of one of the tendons that form the rotator cuff.
- Rotator cuff tear treatment: when inflammation is left untreated tendonitis can eventually lead to a torn cuff.
- Arthritis of shoulder: occurs when the cartilage in the joint wears down and causes pain, stiffness and swelling.
- Bursitis in shoulder: is inflammation of the fluid-filled sacs or bursae that cushion the shoulder. It is usually consequence of tendinitis.
- Frozen shoulder: When the joint capsule thickens contracts and tightens more than it should. It is also called adhesive capsulitis.
- Shoulder sprain: it is an excessive stretching of the ligaments, very common and usually occurs when falling or performing an overexertion.
- Shoulder strain: is the stretching or tearing of a muscle and/or tendon (tissues that connect the muscle to the bone). It is frequent in people who practice sports sporadically.
- Dislocated shoulder: Shoulder dislocation is a serious injury involving a momentary loss of contact between the bones of the shoulder joint.
- Calcifications in the shoulder: appearance of small calcium deposits, usually in the supraspinatus tendon.
New opening Regenerat: Orthopaedic surgeon in Gandía, Denia, Jávea….
Specialists in Regenerative Medicine and Physiotherapy in Gandía
Call ☎ 961 146 834
Regenerat is a paediatric and adult trauma clinic, specialising in regenerative medicine treatments that delay and, in many cases, avoid orthopaedic surgery.
Our patients get an unbiased diagnosis and we offer you various surgical and non-surgical treatment options.
The most common pathologies treated at our medical center are osteoarthritis, back pain, tendon injuries, and sports injuries.
Serving patients from Denia to Javea and throughout Alicante: Expert care at our Gandia clinic.
We are located at C/ Ciutat de Laval, 23, 46702 Gandia, Valencia, Spain.
Make an appointment in Gandia, Catarroja or Torrent
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Contact information
☎ 961 146 834
info@regeneratclinica.com
Schedule
Mornings – 9:30am – 14:00pm
Afternoons – 16:00pm – 20:00pm
Saturday & Sunday – Closed
Regenerat Clinic in Catarroja
Carrer Emili Ferrer Gómez, 4, 46470
Regenerat Clinic in Torrent
C/ del Mestre Lorenzo Fuertes Julvez, 14, 46901
Regenerat Clinic in Gandia
C/ Ciutat de Laval, 23, 46702 Gandia, Valencia
