An Overview of Shoulder Bursitis


Bursae (plural for bursa) are flattened sacs of synovial fluid that function as cushions between your bones and the muscles (deep bursae) or bones and tendons (superficial bursae) to reduce friction and allow your soft tissue to slide over bone easily during muscle use. They are lined with synovial tissue that secretes fluid rich in protein and collagen. This slick fluid helps the bursa act as a lubricating buffer between areas in your body where friction (rubbing) is greatest.

We have over 150 bursae (plural for bursa) in our bodies with most of them located in our joints.

Bursitis: the inflammation or irritation of a bursa sac.

Subdeltoid, subacromial, subscapularis and subcoracoid bursae in the shoulder

In amongst your bones, muscles and tendons in the shoulder there are 8 bursae, the most of any single joint in your body. The major bursae in your shoulder include: the subscapular bursa, the subdeltoid bursa, the subacromial bursa, and the subcoracoid bursa.

Subscapular Bursa

The Subscapular Bursa is located between the tendon of the subscapularis muscle and the shoulder joint capsule.

Subcoracoid Bursa

The Subcoracoid Bursa sits between the coracoid process of the scapula and the shoulder joint capsule.

Subacromial Bursa

The Subacromial Bursa is situated below the acromion process and above the greater tubercle of the humerus -lessening the friction when you move your arm or raise it overhead. The subacromial bursa protects the supraspinatus tendon from rubbing against the coracoid process and acromion.

The subacromial is the bursa in the shoulder that is most commonly affected by bursitis. It acts as a cushion to allow the supraspinatus tendon to slide smoothly over the neighboring soft tissue and bone. Due to its location and relationship to the acromion and supraspinatus, the subacromial bursa tends to be most at risk of being impinged or irritated.

The most common symptom of subacromial bursitis is experiencing pain when lifting overhead. This is because the head of the humerus is compressing the swollen bursa against the glenohumeral joint and the underside of the acromion. If you have pain when lifting over head, however, it could indicate one or more soft tissue injuries in the shoulder. Subacromial bursitis is very often diagnosed alongside other rotator cuff problems or impingement syndrome.

Subdeltoid Bursa

The Subdeltoid Bursa is located between the deltoid muscle and the shoulder joint cavity. This bursa protects the deltiod muscle - cushioning it from bones in the shoulder joint capsule. The subdeltoid bursa and subacromial bursa are quite close together and are usually joined together.

infraspinatus muscle teres minor muscle movement guide
subscapularis muscle movement guide
supraspinatus muscle movement guide

When a bursa becomes swollen, the sac itself can develop little tears and may cause tears to the surrounding soft tissue. In some cases, the inflamed bursa also becomes infected with bacteria (referred to as septic bursitis) and in such cases it is important to get to a doctor asap as they can quickly become life threatening.

Shoulder bursitis is often connected to impingement syndrome and rotator cuff tendonitis. For this reason, it is always wise to address and treat shoulder pain as soon as possible so that the problem doesn't get worse. A healthy subacromial bursa is usually about the size of a small plum, but can swell to the size of an orange when bursitis sets in. This is what creates soft tissue damage and a possible impingement in the shoulder joint.



What is Shoulder Bursitis?

Subacromial Bursitis is a general medical term used to describe inflammation of the bursa of the shoulder. When pressure or friction is too great, excess fluid can build up in the bursa sac causing swelling and inflammation. When a bursa becomes inflamed, moving the shoulder becomes very painful and movement can be difficult. Any actions that put pressure on the inflamed bursa can increase irritation and cause further inflammation and pain.

Your bursae play an important role in leading a healthy, active life. When the bursae are not irritated and working properly, your joints move smoothly and painlessly. However, when a bursa becomes swollen and inflamed, the condition is known as bursitis. As you know, when you suffer from bursitis you will experience pain during physical activity.

Although all of the bursa in the shoulder can become inflamed due to trauma, infection or other conditions, the subacromial bursa is the most commonly inflamed. Frequently, bursitis in the subacromial bursa occurs with tendonitis in the supraspinatus tendon, although you can experience these conditions independently. Since the subacromial bursa and subdeltoid bursa are usually joined together, inflammation in one usually results in inflammation of the other. Over-straining, infection, abnormal bone growth or trauma in the rotator cuff can cause rubbing in your shoulder joint, inflaming the tissue in the area.

Subacromial Bursitis pain pattern.

Even mild inflammation of your tendons or bursa can produce redness, swelling, and soreness. Failure to treat the inflammation can lead to bursitis and/or tendonitis. If this occurs, the bursa or tendon can become enlarged and the area between the acromion process and the top of the humerus (the subacromial space) may decrease causing the bursa or tendon to rub against the acromion. If the space becomes too crowded, the acromion can begin to pinch the bursa or tendon (impingement) when your arm is raised in a forward reaching or overhead position; this will cause further irritation and swelling.

Subacromial and subdeltoid bursae impingement in the shoulder

This condition is often referred to as swimmer's shoulder, pitcher's shoulder, tennis shoulder, or shoulder impingement syndrome. This impingement can cause further inflammation in the bursa. In addition, degeneration of the tendon can occur which frequently results in a major rotator cuff strain and/or tear. If this continues, your pain will get worse and your tendon may split or completely tear away from the bone. Without prompt, proper treatment of bursitis with a conservative treatment protocol to heal this inflamed soft tissue, you may experience severe tissue damage and surgery may be necessary.

Bursitis in the shoulder is often due to overuse or repetitive actions common in athletes or workers who use frequent overhead arm movements such as throwing a ball, swinging a racket, swimming, lifting weights, dusting high shelves, painting, or completing manual labor tasks. It can also result from something simple - like an awkward fall or an attempt to lift something up high with a weakened shoulder.

Shoulder bursitis most commonly occurs in people older than 40 years of age and/or have bone spurs on one of their shoulder bones. However, these injuries can also affect younger people who often partake in new or repetitive activities, are already injured, and/or have chronic weakness in their shoulder.



Subacromial Bursitis - Who is at Risk?

If you are suffering or have suffered from other shoulder problems such as rotator cuff tendonitis, bone spurs, a hooked acromion, and/or impingement syndrome your subacromial bursa is at risk of becoming inflamed. These conditions can irritate the bursa which will result in bursitis if left untreated.

Repetitive overhead shoulder movements, especially if they are weight bearing, may cause fatigue or general weakness in the shoulder muscles and tendons. As a result, your shoulder joint could become misaligned causing more pressure on the subacromial bursa.

Calcification of the bursa sac can also cause inflammation from within the bursa.

treating  deltoid bursitis


Symptoms of Subacromial Bursitis

The symptoms of subacromial bursitis are similar to the symptoms of bursitis that occur in other joints of the body; pain, limited range of motion, weakness, difficulties sleeping, swelling and tenderness, and possibly a fever if the bursa is infected.

Shoulder bursitis can cause pain during activities requiring abduction of the rotator cuff.
  • Direct pressure on the bursa will increase the pain and should be avoided if possible. Subdeltoid or subacromial bursitis causes pain when you move your shoulder, particularly during activities requiring abduction and extension.

  • The pain of bursitis starts gradually, originating deep inside your shoulder, and develops over a few days or even months. You will usually feel the pain on the outside of the shoulder and it may spread down the outer arm towards the elbow. If you raise your arm above your head, as you would when washing your hair or reaching high to get something off a shelf, the pain will worsen.
  • If your bursitis is caused by an infection in the bursa (septic bursa) you will usually experience a fever. If you are experiencing tenderness, warmth, and redness around the bursa, it is recommended that you see a doctor for medication to get rid of the infection.
  • When you have subacromial bursitis, the pain often limits your range of motion in the shoulder as you stop performing motions that make the pain worse. If bursitis is left untreated the inflammation can increase, causing more pain, limiting movement even more. Eventually weakness in the shoulder muscles and tendons can set in.
  • You may have interrupted sleep patterns. Simply rolling over on the affected shoulder during the night can cause pressure on the inflamed bursa increasing the pain at the pressure point. The pain can range from mild to very sharp depending on the amount of inflammation in your shoulder.
  • Your shoulder may be tender to the touch and often feel warm and swollen. The tenderness will appear over the outside (lateral) shoulder and the subacromial space. It is common to suffer from tendinitis at the same time as bursitis - in such cases, the tenderness and swelling may extend beyond the area of the bursa. There may also be redness on your skin over the area.
  • Your shoulder will most likely feel weak due to significant pain triggered by movement


Many people don't know that shoulder bursitis is a very real injury affecting the bursa sac in your shoulder. It can happen to anyone who regularly has repetitive shoulder movements as part of your job, or sports related activities such as swimming or tennis.

Shoulder bursitis is one of those injuries that can really bring down the quality of your life quite quickly. Anyone - young or old - can suffer from this injury, and if you're active this condition will keep you from doing the things you love to do. It will even start interrupting any of your normal daily tasks and make living life harder than it really needs to be.

It is important to treat bursitis in the early stages to reduce the symptoms, minimize damage and maintain motion and strength in your arm and shoulder. Resting your shoulder and reducing any activities that add pressure on your bursa will help to reduce your pain and bursitis inflammation. By treating your rotator cuff bursitis in the early stages with a Cold Compress or Ice Pack, then boost blood flow with a T•Shellz Wrap® - especially before activity, you are more likely to prevent long-term damage and chronic conditions from setting in.

Reduce shoulder bursitis pain at night by using a pillow


What Causes Shoulder Bursitis?

People older than 40 years of age are most susceptible to shoulder overuse injuries, which can easily lead to bursitis. Younger people who participate in repetitive activities, are already injured, and/or have chronic weakness in the shoulder are also at greater risk of experiencing bursitis. There is also a higher incidence of shoulder injuries among women.


Repetitive overhead movements at work or during sports can increase your risk of subacromial bursitis

Repetitive overhead shoulder movements, especially if they are weight bearing, may cause fatigue or general weakness in the shoulder muscles and tendons. As a result, your shoulder joint could become misaligned causing more pressure on the subacromial bursa.

Shoulder over-straining can lead to inflammation in your joint, which can result in tendinitis and bursitis. You can experience these conditions independently or simultaneously. Without prompt treatment of inflammation in the rotator cuff, impingement (pinching of the tendon and bursa) may occur and cause degeneration in the tendon.

Acute bursitis is often due to overuse or repetitive actions common in athletes or workers who use frequent overhead arm movements such as throwing a ball, swinging a racket, swimming, lifting weights, dusting high shelves, painting, or completing manual labor tasks. Bursitis in the shoulder is often referred to as Swimmer's Shoulder, Pitcher's Shoulder, Tennis Shoulder, or Shoulder Impingement Syndrome.


Are You Sure It Is Shoulder Bursitis?

Pain, swelling and inflammation in your shoulder could mean that you have shoulder bursitis. It's also important to consider that there are other conditions that might cause pain in your shoulder as well. Our shoulders are very complicated joints with 6 major bones, ligaments connecting the bones, muscles in the front, back, top and side of our shoulders and tendons connecting those muscles to bone. With so many parts to the shoulder you can easily have a different injury than bursitis, or even suffer from more than 1 injury at a time. Some other shoulder injuries include: shoulder tendonitis, impingement syndrome, and frozen shoulder.

Shoulder Tendonitis

Shoulder tendonitis usually causes pain and tenderness in the side and front of the shoulder. If you have shoulder tendonitis you may also have an inability to move your arm or hold it in different positions. Other common symptoms of this injury include pain or a dull ache in your shoulder and/or upper arm, pain when using your arm (either reaching around your body to the front, side, back or overhead), pain that radiates down your arm. The injured area could be red, swollen, or hot the the touch.

Severe tendonitis in your shoulder (possibly from a tendon rupture or ruptured tendon) could result in pain when sleeping at night (especially when laying on the affected shoulder), increased pain first thing in the morning, and general weakness or instability in your shoulder joint.

Anyone can suffer from tendonitis, but it's most common in adults due to degeneration of tissue as we age. Over time the tendons in the foot will wear down resulting in something called degeneration. This is where the fibers in your tendons will become more weak - it's just a natural process that happens as we age.

bicep tendonitis pain pattern

Much like shoulder bursitis, there are different kinds of shoulder tendonitis that you can suffer from. You might have overuse tendonitis, calcific tendonitis (from a calcium deposit or bone spur). You might also have tendonitis in different areas of the shoulder - like biceps tendonitis or supraspinatus tendonitis (rotator cuff tendonitis).

Impingement Syndrome

Impingement Syndrome happens when the tendons or bursa in your shoulder get caught by the bones in your shoulder. Impingement syndrome can damage your bursa and/or cause the tendon to break down near its attachment on the humerus bone further increasing inflammation and swelling. Overtime if left untreated impingement syndrome can result in shoulder tendonitis, bursitis and can cause tearing in your rotator cuff tendons. If this continues, your bursa pain will get worse and your tendon may split or completely tear away from the bone.

There are generally 3 stages in impingement syndrome: Stage 1 (pain, swelling and inflammation in the rotator cuff tendons), Stage 2 (rotator cuff tendonitis) and Stage 3 (tendon tissue catching under your bone resulting in immobility and loss of function in your shoulder). Each stage will generally affect a different age group, which is why this condition is thought to progress over time. Stage 1 usually affects individuals younger than 25 years old, Stage 2 affects individuals between the ages of 25 and 40, and Stage 3 affects individuals 40+ (reference: 1).

Frozen Shoulder

Frozen Shoulder (also known as "adhesive capsulitis") is signified by pain and stiffness in the shoulder joint; limited range of motion and pain while sleeping. This is a condition that commonly occurs in older athletes. Frozen shoulder is five times more common in people with diabetes, though the reason for this is unknown. A lining of fibrous tissue, known as a capsule, surrounds the shoulder joint. The capsule is fully stretched when the arm is raised above the head, and it hangs down as a small pouch when the arm is lowered.

Frozen shoulder happens when this lining becomes thickened and swollen. It's possible that frozen shoulder will happen as a result of a previous injury (like shoulder tendonitis), but it can also happen for no apparent reason or may be triggered by a mild injury in the shoulder area. There are 3 phases to this condition: "Freezing" (general pain, swelling and inflammation), "Frozen" (stiffness in your shoulder) and "Thawing" (recovery as pain eases and most of the movement returns). This process will take some time to get through, and can sometimes take as long as 2 or more years to complete.

Other Shoulder Conditions: Bone Spurs, Hooked Acromion

If you are suffering or have suffered from other shoulder problems such as bone spurs or a hooked acromion you may find the symptoms to nearly identical to shoulder bursitis. In some cases, the conditions can also trigger inflammation in shoulder bursae as well (causal). Decreased space in your shoulder joint resulting from anatomical differences in the shape of your shoulder bone will trigger pain, limit the use of your shoulder, and can lead to chronic tendonitis or bursitis if left untreated. In hooked acromion cases, the physician or surgeon may recommend surgery if the "hook" is too prevalent as it may continue causing significant irritation with little chance of improvement otherwise.

Calcification

Calcification of the bursa sac and/or nearby tendons can and probably will cause irritation and/or inflammation of the bursa.


How Do I Diagnose Shoulder Bursitis?

The best way to diagnose this condition is with a quick visit to the your doctor for a physical examination of your shoulder. He/she will inquire about the intensity of your present pain, the duration of your symptoms and the limitations you are experiencing. Details about what instigated the problem, when it started, and whether or not you have ever had treatments for this or a similar condition in the past, are very helpful in assessing your injury.

Are you having trouble using or moving your shoulder?

You will generally be asked to complete a series of movements to measure your active (performed by you) and passive (performed by your examiner) range of motion. These movements will test any possible shoulder impingements, as well as your shoulder strength, joint stability, and location of tenderness.

A sign that you may have subacromial bursitis is acute pain when trying to reach the affected arm behind you towards the lower back, as if to get something out of your back pocket. You would also experience pain when reaching above your head, as you would when putting something on a high shelf. If you feel sharp pain with both of these motions you may have shoulder bursitis and/or other related conditions and should see a doctor.

An x-ray may be taken to rule out a bones spur, hooked acromion, or calcification in the bursa as a cause of the bursitis.
The doctor will discuss your symptoms and visually assess the bones and soft tissue in your shoulder.

A physical examination will be performed to determine if you have any signs of shoulder bursitis or other shoulder injury. He/she will visually assess and palpate (feel) the bones and soft tissue in both your shoulders to evaluate symmetry to recognize any differences. This will identify any abnormalities, such as mild or severe inflammation, bone deformities, atrophied muscles, redness and/or warmth on the skin.

Sometimes, one set of symptoms can result in multiple diagnoses. An x-ray or MRI is often needed in order to diagnose if the shoulder is out of alignment or the extent of the soft tissue damage. Although rare, subacromial bursitis can be caused by an infection which is potentially serious. Your doctor will be able to rule this out as a possible cause.



Shoulder Bursitis Home Remedies - What You Need To Know

For non-infectious bursitis, the treatment starts with non-operative options such as RICE (Rest, Ice, Compression, Elevation) has been recommended for years by doctors, trainers, and other medical professionals to treat the pain and swelling, chronic pain from injury and after any re-injury. Bursitis injuries need rest and time for the tissue to heal. If your bursitis is caused by an infection (septic bursitis), the doctor will probably drain the bursa sac with a needle and prescribe antibiotics to treat the infection. Note that a septic bursa can quickly become life threatening - this is a major reason why you should get to a doctor for diagnosis asap if you haven't already done so.

Right now, there are thousands of doctors and PTs dealing with patients that require a solution to treat their Shoulder bursitis fast and heal it (where possible). If you want to be proactive about properly addressing your Shoulder bursitis, speak to your doctor about using the Shoulder T•Shellz Wrap® as a part of your home treatment protocol.

The good news is that most cases of shoulder bursitis will heal with simple home conservative treatments and surgery is often not needed

It's generally understood by doctors and surgeons that surgery will introduce more scar tissue into the tendons and ligaments in your shoulder. This added scar tissue will be problematic, requiring physio and conservative treatment options post-surgery. When it comes to shoulder bursitis there's only a few surgical options for treatment - removal of the bursa sac, scraping of the bone(s) to allow more room for the new bursa to grow back. This is why surgery is only performed as a last resort for chronic shoulder bursitis that won't heal with conservative treatment methods.

Some conservative treatment methods recommended include:

  • Rest - This is important for initial recovery; rest and elevation will help reduce pain, swelling and inflammation in the early stages of injury. This can be difficult when you have to carry on with daily activities, but resting and elevating your shoulder/arm whenever you can is recommended. During your recovery you will probably have to modify or avoid the activities that put stress on your shoulder until your pain and inflammation settles. However, too much rest can also be harmful to such injuries because elbow and shoulder immobility can eventually cause stiffening in the joints. This is why rest should be used when reducing initial pain and swelling, but should not be considered for more long-term conservative treatment.
  • Avoid Activities that Caused Your Injury - While resting your injury it's also important to avoid all activities that may have caused your shoulder damage (especially any strenuous or repetitive movement). Continuing on with regular activities can increase the severity of your injury, turning a mild to moderate case of tissue damage into a downward spiral of worsening damage that may eventually severely impact your life. Also, trying to 'work around' your injury will eventually give rise to over-compensation injuries in other areas of your body.
  • Use a Cold Compress or Ice Pack for Inflammation - Cold is very effective at reducing pain and swelling - use at the onset of the injury and during flareups. Immediate pain relief and reduced inflammation can also relieve some of the pressure that's being placed on your shoulder soft tissue and stop your injury from getting worse.
  • Use a Shoulder T•Shellz Wrap® (Circulatory Boost) Once Swelling is Down - After inflammation and/or swelling has been reduced, you can use your own blood flow to maximize your rehabilitation. Improved blood flow to your shoulder and arm in most cases will help improve recovery time while improving overall health of soft tissue in the area. Promoting blood flow and heat to the treatment area will help to minimize the growth of scar tissue, increase flexibility and help prevent atrophy.
  • Rehabilitative Stretching under supervision of a PT or doctor. The intent of this is to provide you with increased range of motion, pain relief and strengthening of the surrounding tissue of the joint. Doctors or surgeons typically won't perform a surgery until they feel that their patient has put effort into treating their injury with conservative treatment methods. This may include up to 4 to 6 months of visits to a PT clinic. If you haven't experienced any improvement in your condition during that time then surgery may be considered. Agressive PT approaches may focus on forced or manual manipulation of the shoulder and arm - this means they will be trying to move your limbs past the point of comfort as they strive to increase range of motion and prevent further atrophy. This can be painful and end up making your injury worse if not done correctly. (reference: 1)
  • Stretching - Stretching your joint in PT and at home will help you to regain your range of motion much faster than not stretching at all. Stretching in many ways is key maintaining good Range of Motion (ROM) in your joint, and stretching can be made much easier with use of a Shoulder T•Shellz Wrap® before to warm up tissue, and a Cold Compress or Ice Pack treatment after to prevent any return of swelling and inflammation.

Stage 1: If the shoulder injury is very recent - use a good quality cold pack and Arnica Pain Relief Cream.

Note: If you are suffering from a bursitis and/or tendinitis injury that has been going on for awhile, you may not need much cold treatment as inflammation may be minimal. Anytime you are experiencing significant pain, you may find our Arnica Infusion Pain Relief Cream to be quite helpful.

If you are experiencing pain and swelling in the very early stages of the injury (first 48 to 72 hours), the first step in a conservative treatment protocol would be to focus on reducing the discomfort by applying a quality cold pack to the injured shoulder along with a high quality pain relief cream such as our Arnica Infusion Cream.

Not only will you use your cold pack for the first 48 to 72 hours after the injury, but you should also use it during other stages of the healing process. Some examples include...

  • after any activity that stresses the shoulder in a moderate way. It is wise to quickly apply cold to not only reduce the pain, but to also minimize tissue damage that may have occurred during the prior event.
  • If you have a job that requires you to place some demands on your injured shoulder. If that is the case, use cold immediately following work and if the opportunity allows - use it for 15 to 20 minutes during lunch or another break time.
  • If you are in a post-operative situation where cold compression would be utilized heavily for at least the first few weeks following the procedure. Similarly, if you are scheduled for upcoming surgery, then your doctor or surgeon might recommend undertaking cold before the surgery.

Having a Cold Compress or Ice Pack available at home to use if and when the need arises is helpful. Many of you already do so.

However, too many people over-focus on cold while ignoring the most critical aspect to healing - nourishing the injured tissues with a healthy supply of blood flow needed to repair and rebuild the injured tissues.

This leads to the most important recommendation...

Stage 2: Focus on Increasing Blood Flow To Injured Soft Tissue - As This is The ONLY Way It Will Heal For the Long-Term

Even though the concept is simple, improving blood flow to injured soft tissue in the shoulder can be difficult. Traditional methods require your joint to move to promote blood flow (exercise), but that same motion that promotes blood flow can at times lead to making your pain and condition worse - exacerbating your bursitis.

  • Have you re-injured your shoulder by returning to work too quickly?
  • How many times in the past have you aggravated your shoulder just trying to perform basic tasks around the home?
  • Is your debilitated shoulder preventing you from work or activities you love to do?

Most people we deal with tell us these scenarios have happened to them many times in the past. Perhaps it has already happened to you.

Promoting blood flow within a muscle or soft tissue injury (such as bursitis) to help the body heal itself is a concept that has been utilized for centuries. This is where the focus has to be if you are seeking long-term improvement.

Oxygen and nutrients, carried within the blood, are critical for the body to heal itself. Without proper blood flow, recovering from an injury or condition will be delayed...sometimes for a very long period of time.

The real challenge is how do you promote blood flow to the shoulder injury site without causing further injury? This goal is further complicated by the fact the shoulder (and muscles controlling the shoulder joint) are involved in the majority of the physical movements we perform each day.

An injury to one of these regions usually leads to straining in other areas, making an overall recovery hard to initiate. People tend to "chase the pain", meaning they only focus on treating an area that is actively painful, while not taking into account the fact they other areas of the body will be overcompensating...eventually leading to issues in those areas as well.

Now, on to recommendation number two in the journey to treat your shoulder bursa...

The Shoulder T•Shellz Wrap® - Localized Enhanced Circulation In The Shoulder

The best option we came across in our research to accomplish blood flow to tissue in the shoulder is the Shoulder T•Shellz Wrap®. Use of this device results in an increase in blood flow to tissue in the treatment area - all in a non-invasive manner.

Energy emitted from the T•Shellz Wraps® increases blood flow in and around the application area - we call this "LEC Response" (Localized Enhanced Circulation Response). The objective of the T•Shellz Wrap® is to increase blood flow in these targeted areas, resulting in relaxation of the vessel walls. The vessels then gently expand, allowing for more nutrient rich blood flow along with extra oxygen to reach the damaged tissues. Plus, the enhanced blood flow helps in flushing waste and fluid build-up from the injury site - further enhancing the ability of the body to heal.

With a T•Shellz Wrap® application, more blood begins to flow effectively in and around the treatment area - for the length of the treatment and a short duration thereafter. Damaged soft tissue needs extra blood flow to heal as it is through the blood the body carries the oxygen, water and nutrients needed for proper and long-term healthy tissue.

tshellz shoulder coverage front
tshellz shoulder coverage back

Have you seen what happens when you add water to a flower wilted from drought? In essence, your shoulder tissue is much like a "wilted" flower; your body wants to heal the injured tissue, but needs lots of nutrients to do it. Blood brings life to your tissue by delivering healing nutrients and oxygen that are vital for their growth and survival. In addition, the blood carries away toxins and waste cleaning the area and healing it faster. Without a good supply of blood, your soft tissue injury simply won't heal quickly, and as such increase your risk of reinjury and/or a chronic injury.

Using a T•Shellz Wrap® will not expose you to the risk of causing further harm to soft tissue like you can when using rigorous exercise. The T•Shellz Wrap® accomplishes the goal of enhanced blood flow without the need for intensive exercise and as such reduces your risk of re-injury.

The intention of a T•Shellz Wrap® is to ease pain by dilating blood vessels, decrease stiffness by elongating soft tissue, improve blood circulation, and boost metabolism and enzyme activity. In stimulating localized blood flow to damaged soft tissue, you provide needed oxygen, water and nutrients to grow strong healthy collagen. In addition, you will experience a clearing of toxins and excess fluid build up from the injury site. Over the intermediate term, this helps to reduce incidents of swelling as trapped fluids will be whisked away - reducing pressure on blood vessels.

Using the T•Shellz Wrap® is truly a unique experience. Within moments of applying the wrap, you can feel the sensation due to the increase in blood flow within the area. During a treatment, and for quite some time after you finish, the treated area will feel relaxed and warm. It's a very soothing sensation and extremely effective.


Who Should Use the Shoulder T•Shellz Wrap®

We recommend the use of a Shoulder T•Shellz Wrap®:

  • If you have bursitis, tendinitis or other soft tissue damage in your shoulder, then the Shoulder T•Shellz Wrap® will provide the all-important function of boosting blood circulation where it is needed most.
  • If you are dealing with soft tissue conditions affecting your range of motion.
  • If you have a chronic soft tissue shoulder condition that has lasted for years- this device is intended to kick start the recovery process and help strengthen the surrounding and supporting tissues.
  • If you are still working with a shoulder strain or mild tear, the T•Shellz Wrap® will help relax tissue in the shoulder prior to work and after a day at the job.
  • If you are still trying to enjoy your favorite activities such as gardening, tennis, golf, etc - use the T•Shellz Wrap® prior to activity to help reduce risk of re-injuring or re-aggravating those targeted tissues.
  • If you are suffering from bursitis and want to treat a major source of it (inflammation and damage to tissue surrounding the bursa sac). Through trauma, overuse or degenerative changes, muscle and tendons surrounding the bursa sacs will tighten and constrict. When they do, they place pressure on the bursa, causing it to become irritated. Applying a T•Shellz Wrap® to the area will help relax tissue in the treatment area, taking pressure off the bursa.
  • If you are experiencing atrophy in your shoulder and want to reduce the chance of re-injury while stretching - this is a perfect treatment to use every time before you stretch.
  • If you have been to a clinic for some form of massage or stretching and your PT or physician has recommended conservative treatments for home.
  • If you are experiencing atrophy in your shoulder and want to reduce the chance of re-injury (or further injury) while stretching - this is a perfect treatment to use on a regular basis, by enhancing blood flow and elongating soft tissue.
  • If you are experiencing tightness in your muscle(s) and want to reduce the chance of re-injury while stretching - we recommend the use of a T•Shellz Wrap® before you stretch.

In examining thousands of pages of research, we can conclude that the T•Shellz Wrap® should produce the following results:


Effectively helps to enhance blood circulation and
increase the levels of oxygen within your blood.

This, in turn, improves immune system function which increases the body's ability to eliminate toxins and other waste by-products resulting from damaged tissue. This allows the body to more easily stimulate the self healing process.

Stimulates the production of collagen,
which is a building block for human tissue.

Many injuries are the result of trauma to a tendon or muscle, usually causing the tissue to tear. As a result of the tear, your body triggers a natural healing process resulting in pain, inflammation, and the creation of scar tissue, then eventually reinforcing that band-aid solution with flexible tissue (proliferation). Increased blood flow will make this process more quick and efficient in the majority of cases.

Heat will enhance the extensibility of damaged (& surrounding) tissue

This is a very important point. Many people often experience re-injury due to the fact the damaged muscle or soft tissue is tight and the range of motion in the unused joint (due to the intial injury) is restricted. Even the most minor of activities can cause a recovering joint to strain, sprain, or even tear. Every time this happens, your recovery is delayed. This is why using the T•Shellz Wrap® not only now, but also into the future, is wise. Heat energy emitted from the T•Shellz Wrap® is absorbed by tissue, gently warming it, and thereby increasing the elasticity...all without risk of causing further harm and greatly reducing your chances of re-injury.

Reduces stiffness in the treatment areas

Osteoarthritis in the knee is quite common and occurs when the articular cartilage begins to degenerate. Over time, the femur (upper leg bone) rubs against the tibia (lower leg bone) with little or no protection from the articular cartilage. This lead to pain in the knee joint. The space within the joint starts to decrease without the cushioning and stiffness in the knee becomes a problem. The T•Shellz Wrap® excels at emitting a soothing heat, allowing for less stiffness and better range-of-motion. It obviously won't fix arthritis, but it will help alleviate the symptoms and perhaps reduce your risk of secondary strain injuries by improving tissue flexibility in the area.

Contributes to your overall well-being.

Use the T•Shellz Wrap® before activity to reduce risk of further injury, before bed to prevent tightness from setting in during the night, and again in the morning to make your tired body come alive.

Believe me when I say this; words alone cannot accurately describe what the T•Shellz Wrap® can do for you. It truly is something you need to experience first-hand.

Directly below you will find some summarized points from Chapter 9 of "Therapeutic Heat and Cold", 4th edition.
(amazon.com link) Ed. Justus F. Lehmann, M.D., Williams, and Wilkin.
Generally it is accepted that heat on soft tissue (muscles, tendons, ligaments) provides the following desirable therapeutic effects:

  • Tissues heated to 45 degrees Celsius and then stretched exhibit a nonelastic residual elongation of about 0.5 to 0.9 percent that persists after the stretch is removed. This does not occur in these same tissues when stretched at normal tissue temperatures.
    Stretching of tissue in the presence of heat would be especially valuable in working with ligaments, joint capsules, tendons, fasciae ... that have become scarred, thickened, or contracted. Such stretching at 45 degrees Celsius caused much less weakening in stretched tissues for a given elongation than a similar elongation produced at normal tissue temperatures.
    Experiments cited clearly showed low-force stretching could produce significant residual elongation when heat is applied together with stretching or range-of-motion exercises. This is safer than stretching tissues at normal tissue temperatures.
  • Muscle spasms have long been observed to be reduced through the use of heat, be they secondary to underlying skeletal, joint, or neuropathological conditions.
  • Heating muscles produces an increased blood flow level similar to that seen during exercise. Temperature elevation also produces an increased blood flow and dilation directly ... probably through direct action on their smooth muscles. The release of bradykinin, released as a consequence of sweat-gland activity, also produces increased blood flow and vasodilation.
  • Increased peripheral circulation provides the transport needed to help evacuate (fluid), which can help inflammation, decrease pain, and help speed healing.

Increased Blood Circulation = Increased Healing Capability


T•Shellz Wraps® contain a unique Carbon Fiber Energy Pad which is flexible and will shape to conform to your body. This Energy Pad emits a uniform wave of perfectly safe energy over its entire surface. This energy is absorbed by soft tissue in the treatment area, opening blood vessels, resulting in an increase in blood flow. Increased blood circulation is what your body needs to maximize its cabability of healing soft tissue and this is why we recommend the T•Shellz Wrap®.

The Shoulder T•Shellz Wrap® is an FDA Registered Medical Device and is suitable for use in therapeutic clinics and FROM HOME. It is completely safe for people and patients to use for themselves.

The technology found in a T•Shellz Wrap® has been used for decades in the worlds of professional and amateur sports - a contributing factor as to why athletes seem to recover from injuries so quickly.

Have you ever wondered by an athlete can return to activity after 4 or 5 weeks following a shoulder injury - while your average person takes much longer to return back to normal? The secret isn't really that much of a secret - it involves consistent treatments (meaning multiple times a day) using a treatment like the T•Shellz Wrap® to stimulate blood flow to the injured tissues. Most athletes have the luxury of using in-house facilities many times per day.

How many us can afford the time and money to visit a clinic multiple times a day? Very few indeed. This is how you can gain some of the advantages that athletes enjoy in their injury recovery - by using a device like the Shoulder T•Shellz Wrap® two or three times a day on a consistent basis.


tshellz coverage front shoulder

Consistent Treatments = Consistent And Long Term Improvement


What Else Makes the Shoulder T•Shellz Wrap® So Special?

We believe the T•Shellz Wrap® to be one of the most effective home treatments to increase localized blood flow in and around the treatment area.

We can promise that you will receive a product that is designed to be safe and does what it is supposed to do... reduce pain (as stated in "Therapeutic Heat and Cold", 4th edition. - Ed. Justus F. Lehmann, M.D., Williams, and Wilkin) temporarily increase length & flexibility of soft tissue (as stated in "Therapeutic Heat and Cold", 4th edition. - Ed. Justus F. Lehmann, M.D., Williams, and Wilkin) and aid your body in recovering from tendon, muscle and other soft tissue injuries via enhanced blood flow.

The unit plugs into a standard wall outlet to get its power. The nice thing about the power supply is that the same unit can be used in North America and overseas as well. It has the capability to operate between 110v and 230v.

The T•Shellz Wrap® has a special signal controller that can be set for 3 different power levels of application (3=High, 2=Medium, 1=Low). The cord is long enough that you can sit or lie comfortably and watch TV, read or surf the net while you're using it.

Treatments are max 30 minutes in duration and the device can be worn over clothing. This allows you to use the device at work, at home, or really anywhere you have access to an electrical outlet.

common areas for shoulder bursitis

...A Quick Recap of Benefits of the Shoulder T•Shellz Wrap®..

  • Can be used on either the Left or Right Shoulder - very versatile
  • It can be used before exercise to warm up the shoulder, helping reduce the risk of injury (heat elongates soft tissue and makes it more flexible)
  • FDA Registered medical device for use in home or clinics - high quality, 1 year warranty, 60 day trial period (100% refund guaranteed)
  • Increases temporary flexibility and length of tissues (reducing the re-injury factor)
  • It soothes pain and whisks away toxins
  • Carbon fiber Energy Pad is strong, lightweight, and flexible - contours very easily
  • A boost in blood flow helps maximize the body's ability to recover from soft tissue damage. This can be beneficial in saving time and money when associated with doctor or physical therapist visits
  • A boost in blood flow will maximize the body's ability to recover quickly. This can be beneficial in post-surgery rehabilitation, getting you back to work faster. Do not use until at least 6 weeks after surgery, and only after approval from your doctor.

When Should I Use My T•Shellz Wrap® During the Day?

The most common question we receive from individuals prior to purchasing is - how many times a day should I be using my shoulder wrap and when should I be using them? While treatment plans will differ for each individual and their specific injury, there are general guidelines that should be adhered to.

  • Use a Cold Compress or Ice Pack when you are experiencing inflammation (usually after exertion or movement of the injury area).

The Shoulder T•Shellz Wrap® would then be used:

  • Right after rising from bed in the morning (as this is when it is most stiff)
  • Prior to going to bed at night (to relax the arm, allowing for better sleep)
  • Before you know you will be using your injured joint (going to work, driving, typing, etc).


Stage 3 - In Between Treatments With T•Shellz Wrap®, Apply Our New Fast Acting Pain Relief Cream Called ARNICA INFUSION

Dealing with aches and pains affecting the foot, ankle, leg, knee, hamstring, hip, back, arm, shoulder, elbow, wrist, or hand? If so, then applying the Arnica Infusion to any of these targeted areas will bring about fast relief from the pain and sore tissues. Simply apply a small amount of cream to the body and moments later, you will experience a soothing and comforting sensation over the area.

Arnica Infusion is specially designed to relieve pain due to sore muscles and joints associated with arthritis, backaches, sprains, strains, and bruises. No matter if you are dealing with an acute injury, chronic pain, or a general "flare-up" - you will experience fast relief from pain and inflammation.

mendmeshop arnica pain relief cream

This is a product that many of our current MendMeShop customers asked us to develop. So we focused our time and resources over the past few years and came up, with we believe, will be one of more effective, fast acting, topical pain relief creams on the market.

You are likely familiar with some of the standard topical agents on the market as most of our customers use them. The are mass marketed and even found in most department stores now.

Well, we are here to say that Arnica Infusion goes many steps beyond what they offer.

Made in the USA at an FDA registered manufacturing facility, you can be assured that Arnica Infusion is both safe and effective. We only source top grade ingredients while implementing strict quality control checks during every step of the production process. Expect the same high quality that MendMeShop customers have been accustomed to since we started the company in 2005.

The "Cool Blue" formula is the perfect balance between the smooth application of a cream and the effective absorbing factor of a gel. It is not too thick and not too thin - just the right texture. Best of all, it feels very nice on the skin!

Each application of Arnica Infusion feels so comforting and soothing, we are certain it will become an item you will not want to live without.


Arnica Infusion Ingredients

The Arnica Infusion formula is based on a combination of scientific research and the use of high quality ingredients. The properties within the formula were chosen for their pain relief, anti-inflammatory, and soothing qualities.

The acting ingredients within the formula include ones many of us are familiar with; along with ones that have not received a lot of publicity (only in research circles). Extensive testing resulted in a blending of ingredients that provides the most synergistic of benefits.

The notable ingredients in the Arnica Infusion formula include:

  • Arnica - powerful anti-inflammatory, speeds recovery, enhances circulation
  • Menthol - provides deep penetrating pain relief with a nice cooling sensation
  • Vitamin B6 - promotes normal nerve function
  • MSM - supports healthy connective tissues, anti-inflammatory
  • Ilex Leaf Extract - increases circulation, skin conditioner
  • Vitamin E - anti-inflammatory, enhances circulation, hydrates the skin
  • Aloe - anti-inflammatory properties, soothes the skin
  • Tea Tree - enhances penetration of ingredients

Extensive quality control procedures during the manufacturing process ensure the ingredients and final product are both safe and effective. We would not stake our reputation on anything but the best.

When Do I Apply the Arnica Infusion?

While At Work

Apply Arnica Infusion at work to help reduce acute discomfort associated with overuse of muscles and joints. No matter if you are in a physical demanding job or work within an office environment, you will be placing stress on different parts of the body and aches and pains will result.

Before Or After Work, Sports, & Activity

If you suffer from a sprained ligament, pulled muscle, strained tendon, or even bruising - apply Arnica Infusion for quick relief of the pain.

Chronic Pain Suffering

Application of Arnica Infusion can be done up to a maximum of 4 times per day on a consistent basis to help bring about relief from various pains and aches.

In-between Treatments With the T•Shellz Wraps®

Follow up your T•Shellz and Cold treatments with an application of Arnica Infusion. Combine the pain relieving benefits of Arnica Infusion along with the therapeutic benefits of the wraps to make your recovery go much more smoothly.

Do not apply Arnica Infusion within a 2 hour timespan before a T•Shellz Wrap® treatment.

Whether you decide to use the Arnica Infusion in conjunction with the T-Shell and other treatments - or if you decide to use the cream as a stand-alone product - you will not be disappointed with the results. We guarantee it.



Post Surgery

Doctors and Surgeons are always improving the techniques used in surgery, and results from surgery now are much more positive than they were in the past. However, all surgeries introduce scar tissue, and recovery from shoulder surgery can be less than ideal and take longer than anticipated.

If you do wind up getting surgery, know that rehabilitation at-home while attending regular pt or doctor appointments is vital for your overall recovery.

Consistent exercise and conservative treatment on a daily basis during your rehabilitation while working with your doctor or physical therapist is key. This is why you should seriously consider maximizing your recovery by using the Shoulder T•Shellz Wrap® at home once the wound has healed, swelling has dropped and your physician approves (generally at least 6 weeks after the surgery). The more consistent you work at enhancing blood flow to surgically repaired tissue in the shoulder, the more consistent your recovery will be.

subacromial bursitis recovery with shoulder T•Shellz Wrap

If you are unsure about whether you need surgery for your bursitis, you may want to read through our "Do I Need Surgery Page, here.

Click HERE to Go To Our Online Store We take all major credit cards and Paypal.
If you have questions, call our office at 1-866-237-9608 (toll free continental US).
We are currently offering FREE SHIPPING and a 60 day trial period on all our Wraps.

We believe the use of T•Shellz Wraps® for boosting blood flow to in the area of application is one of the most under-utilized home treatment options available on the market today. We have client after client that have tried many options out there and have been amazed at how effective and fast the TShellz Wrap treatment can relieve pain and increase blood flow in the treatment area.

With regular use of the TShellz Wrap:

  • Your pain will be reduced.
  • With increased blood flow, soft tissue in the area will most likely recover at an accelerated rate*.
  • Due to increased warmth in soft tissue, the corresponding joint will have a larger range of motion and increased extensibility of collagen tissue*. This should translate into a reduced rate of injury occurrance as soft tissue becomes more flexible.
    (*Chapter 9 of "Therapeutic Heat and Cold", 4th edition. (amazon.com link - Ed. Justus F. Lehmann, M.D., Williams, and Wilkin)

Attach the T•Shellz Wrap®, plug it in and let the Energy Pad do the work!

*Know that every personal soft tissue injury is unique and the TShellz Wrap may not work for everyone. This is why we offer a 60-day money back return on all our TShellz Wrap devices.

Conservative Treatment Tools Our Clients Have Used to Help
Limit Damage & Boost The Body's Soft Tissue Repair Process to the Shoulder at Home:

  • A Cold Compress or Ice Pack to reduce inflammation wherever there is pain and/or swelling (as soon as possible).
  • A Shoulder TShellz Wrap to increase blood-flow to the treatment area (Circulatory Boost).
  • MendMeShop Arnica Pain Cream for temporary relief of pain due to sore muscles and joints.
  • An Exercise & Stretching Plan to prevent muscle atrophy and shortened tendons in the shoulder joint. A proper plan will increase elasticity and strengthen the muscles and tendons in the wrist, forearm, elbow, upper arm and shoulder.

Conservative treatment tools just like these have been used successfully by thousands of shoulder injury sufferers - just like you.

T•Shellz Wrap® = Enhanced Blood Flow in the Treatment Area

 

We believe the use of T•Shellz Wraps® for boosting blood flow to soft tissue in the area of application is one of the most under-utilized home treatment options available on the market today. We have client after client that have tried many options out there and have been amazed at how effective and fast the TShellz Wrap treatment can relieve pain and increase blood flow in the shoulder.

With regular use of the Shoulder TShellz Wrap:

  • Your pain will be reduced*.
  • Due to increased blood flow, soft tissue in the treatment area on the shoulder will be expected to recover at an accelerated rate with reduced potential for re-injury*.
  • Tissue in the treated area should experience a larger range of motion and increased extensibility of collagen tissue* due to the heat effect on soft tissue. This should translate into a reduced rate of re-injury occurrence as soft tissue is known to lengthen and become more flexible when exposed to warm temperature. (*Chapter 9 of "Therapeutic Heat and Cold", 4th edition. (amazon.com link - Ed. Justus F. Lehmann, M.D., Williams, and Wilkin)

*Know that every personal soft tissue injury is unique and the TShellz Wrap may not work for everyone. This is why we offer a 60-day money back return on all our TShellz Wrap devices.

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Treasure trove on information about elbow surgery for laymen.
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The Key Points To Keep in Mind When Treating Your Injury

Make Sure That Complete Healing is Your #1 Goal

We all know that if the injury was healed, the pain would go away but what about the opposite situation? If the pain is gone, does that mean the injury is better? Unfortunately, this is not always true.

Too many people only focus on suppressing pain symptoms while providing less attention to the true healing aspects of the body. Experiencing less pain, while obviously a good short-term goal, does not equate to underlying healing. Scar tissue can remain for months after one gets to a point of being relatively pain-free. However, as long the weak and brittle scar tissue remains, you are susceptible to re-injury or re-aggravation. Certain motions or movements can cause the weaker tissue to easily tear - resulting in some reversal of the recovery up until that point.

This is why we recommend for people to continue with their doctor or PT recommended exercises and to continue with mild treatments of the T•Shellz Wrap® for a period of time - to better ensure complete recovery.

Ongoing treatments to enhance circulation are intended to soothe, relax and stimulate the body's ability to heal damaged tissue. T•Shellz treatments also result in the ability of soft tissue to extend further due to the effect of heat on soft tissue. As your muscles and tendons become longer, the pressure they exert on your bursa will decrease - thus reducing the aggravation and friction on your bursa. Further to this, longer and more flexible muscles are less likely to strain or sprain - further reducing your risk of new, secondary injury complications due to bursitis.

Resting Will Help, But Only Temporarily

People tell us all the time, "I was told that if I stay off my feet for a few weeks, my pain will disappear for good."

The truth is, bursitis will often arise due to a culmination of numerous factors such as alignment issues, poor posture, acute injuries and overcompensation issues resulting from other muscle and soft tissue ailments.

It may take weeks or months for these pain triggers to surface. When they , however, merely resting will solve the underlying issues. You need to utilize actions and options that actually treat the source of the pain and help reverse the damage that has been done.

Resting has a role to play, but it is only one small factor in a recovery plan.


Our Shoulder Bursitis Formula Works


It may seem hard to believe, but our Shoulder TShellz Wrap home treatment products will assist you in recovering from your shoulder bursitis by maximizing blood flow where it's needed most and reducing your swelling and inflammation induced pain.

Here at AidMyBursa we pride ourselves in helping you with your healing and recovery process. Everyone at AidMyBursa has tested and used the products, finding solutions to conditions that do not fit into the norm. This dedication to our customers and our products goes hand-in-hand with our guarantees to you as a customer:

  • Guarantee #1 - Use your products diligently for up to 60 days and you will experience a significant reduction in pain. If not, we encourage you to send back the items for a 100% refund.
  • guaranteed customer satisfaction
  • Guarantee #2 - You will not be left in the dark after purchasing any product form us. AidMyBursa Advisers and Product Specialists are available Mon - Fri by toll free phone 1.866.237.9608 or email to answer your questions or concerns.
  • Guarantee #3 - Your order is guaranteed to be shipped within 24 hours on every business day.
  • Guarantee #4 - All purchases receive a one year, full replacement warranty with guaranteed, prompt service.
  • Guarantee #5 - You could save hundreds of dollars and possibly more, by utilizing our products, and getting back to work sooner.

Continue the healing process by resting your shoulder. Limit the activities that may be aggravate your shoulder. Without proper rest and limitation on activities, being active as if your shoulder is healthy can lead to re-injury. To get back to doing the things you love you need to give your body proper care and attention.


Living with pain is never easy and we encourage you to call us with any questions you have about how our products can be utilized when dealing with shoulder bursitis. We will do our best to help.

Available Monday to Friday

MENDMESHOP STORE SHOP

Click HERE to Go To Our Online Store We take all major credit cards and Paypal.
If you have questions, call our office at 1-866-237-9608 (toll free continental US).
We are currently offering FREE SHIPPING and a 60 day trial period on all our Wraps.

Product Advisors are available 9:00 am to 5:00 pm Eastern Standard Time Monday to Friday.


Learn More About Bursitis Injuries & Treatments

I want to learn more about Post-Surgery Recovery

I want to learn more about T•Shellz Wrap® Circulatory Boost

I want to learn more about Ice & Heat: Which Is Better For Treatment?

I want to learn more about Bursitis Treatments

I want to learn more about Bursitis Surgery


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During your recovery, you will probably have to modify and/or eliminate any activities that cause pain or discomfort at the location of your soft tissue injury until the pain and inflammation settle. Always consult your doctor and/or Physical Therapist before using any of our outstanding products, to make sure they are right for you and your condition. The more diligent you are with your treatment and rehabilitation, the faster you will see successful results!




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