DISEASES AND CONDITIONS

Understanding Subscapular Bursitis

By Michels, Karen 
 | 
June 19, 2017

Understanding Subscapular Bursitis

Front view of shoulder joint with muscles showing subscapular bursa.A bursa is a thin, slippery, sac-like film that contains a small amount of fluid. A bursa is often found in and around joints. It cushions and protects bones and soft tissues, and stops them from rubbing against each other. If a bursa becomes inflamed and irritated, it is known as bursitis.

The subscapularis muscle is a large muscle across the front of the shoulder blade. The subscapular bursa is found between the subscapularis muscle and the chest wall. Inflammation of this bursa is called subscapular bursitis.

Causes of subscapular bursitis

These may include:

  • Overuse of the shoulder from things like reaching, lifting, and throwing

  • Injury from a fall or other accident

  • Having rheumatoid arthritis or other types of inflammatory arthritis

Symptoms of subscapular bursitis

The shoulder may be painful or aching. This pain may be worse when raising your arm or lying on the affected shoulder.

Treatment for subscapular bursitis

These may include:

  • Resting your shoulder. This allows the bursa to heal.

  • Prescription or over-the-counter pain medicines. These help reduce inflammation, pain, and swelling.

  • Cold packs or heat packs. These help reduce pain and swelling.

  • Exercises. These improve shoulder flexibility and strength.

  • Physical therapy. This may include exercises, postural re-education, or other treatments.

  • Injections of medicine into the bursa. This may help reduce inflammation and relieve symptoms.

Possible complications

If your shoulder isn’t given time to heal, symptoms may return or get worse. Also, the problem may become long-term (chronic). This can lead to trouble moving the shoulder joint.

 

When to call your healthcare provider

Call your healthcare provider right away if you have any of these:

  • Fever of 100.4°F (38°C) or higher, or as directed

  • Symptoms that don’t get better with treatment, or get worse

  • New symptoms

Updated:  

June 19, 2017

Sources:  

Conduah Ah, Et al. Clinical Management of Scapulothoracic Bursitis and the Snapping Scapula. Sports Health. 2010 March;2(2):147-55., Doulens KM, et al. Arthroscopic and Open Management of Scapulothoracic Disorders. In: Cole BJ, et al, editors. Surgical Techniques of the Shoulder, Elbow, and Knee in Sports Medicine. 2 ed. Phildelphia: Saunders; 2008. p. 323-31., Greenberg DL M. Evaluation and Treatment of Shoulder Pain. Medical Clinics of North America. 2014 May 1;98(3):487-504., Nolton CN, et al. Septic bursitis. UpToDate. October 24 ed: UpToDate; 2014. p. 13., Robertson VJ, et al. A Review of Therapeutic Ultrasound: Effectiveness Studies. Physical Therapy. 2001 July;81(7):1339-50., Todd DJ. Patient information: Bursitis (Beyond the Basics). UpToDate. September 14 ed: UpToDate; 2015. p. 10., Waldman SD, et al M. Subcoracoid Bursa Injection. Atlas of Pain Management Injection Techniques. 3 ed. Philadelphia: Saunders; 2013. p. 109-11.

Reviewed By:  

Bellendir, Trina, MSPT, CLT,Image reviewed by StayWell medical illustration team.,Joseph, Thomas N, MD