Tendinitis and Bursitis

Tendinitis is an inflammation of a tendon (a tendon attaches a muscle to a bone). Tendinitis can be a result of impingement syndrome. It can also be the result of trauma like a fall or an over exertion. It can also be the result of chronic overuse similar to that experienced by a baseball pitcher.

There are many subcategories of tendinitis such as Rotator Cuff Tendinitis, Bicipital Tendinitis and Calcific Tendintis.

How we treat Shoulder Tendinitis

Rest, ice, ultrasound, and electrical stimulation help reduce the pain and inflammation. Deep massage helps lossen scar tissue that builds up around the injured tendon. Corrective exercise builds strength in the muscles. Chiropractic adjustments of the shoulder increase mobility of the shoulder joint thus lessening strain on the terndon.


This is inflammation of a bursa sac. It can range from mildly painful to excruciatingly painful. Almost all cases of bursitis are preceded by tendinitis. The tendinitis is caused by repeated microtrauma in a middle aged individual.

With Acute Bursitis there is excruciating pain. You cannot obtain relief by changing the position of your shoulder or arm. All movements are painful.

With Chronic Bursitis the symptoms are vague; there may be pain only after excessive overhead use of the arm or you may have a constant dull pain that cannot be easily localized. There is commonly is pain at night.

How we Treat Bursitis

If Dr. Schwartz diagnoses you with Acute Bursitis he may refer you for a cortisone injection. You have to be careful with the number of cortisone injections you receive because cortisone does weaken tendons and this can result in rupture of the tendon. As your pain level decreases rehabilitation in our office usually goes well.

Chronic Bursitis responds very well to friction massage which brings more blood flow to the healing tissues. Ultrasound, Electrical Stimulation, Nutritional Supplementation and Ice/ Heat help further reduce the pain and inflammation. Corrective Exercise builds strength in the muscles and Chiropractic Adjustments increase mobility in the shoulder joint. The exercise and the adjustments are by far the most important factors in making your shoulder work better and decreasing the chance of the problem happening again.