​WHAT CAUSES IT?
  • Poor control of shoulder and scapula

  • Repetitive overhead activities

  • Overuse (increased volume of training)

  • Shoulder instability

  • Trigger points and tightness within rotator cuff muscles

  • Training technical faults

WHAT IS IT? BURSITIS OF THE KNEE

The knee has 14 bursae. A bursa is a small sac that prevents friction from occurring between tendon, muscle, bone and skin. If the bursa becomes irritated it fills with fluid and becomes inflamed resulting in ‘bursitis’. The pre-patellar bursa is the most commonly affected bursa of the knee. This is referred to as ‘housemaid’s knee’.

 

Signs and symptoms

  • Pain (overhead activities – throwing, swimming, weights)

  • Catching feeling

  • Impingement with combined abduction and internal rotation

  • Swelling

  • Weakness

  • Tenderness on palpation of the rotator cuff tendon

  • Painful arc on movement (between 70 and 120 degrees of abduction)

     

HOW TO SELF MANAGE
  • R.I.C.E. protocol

  • Avoid overhead aggravating activities

     

PROGNOSIS
  • It is important that the factors contributing to the tendinopathy are addressed.  If instability and poor biomechanics are not addressed then the condition will likely worsen or reoccur at a later date.  Diligence with a prescribed exercise program is the key to long term successful management of the condition.

  • A corticosteroid injection may be helpful to reduce pain allowing progress with rehabilitation exercises

  • MRI is the optimal investigation for a suspected tendinosis or tear affecting the rotator cuff.

HOW PHYSIO HELPS?
  • Assessment of the shoulder complex

  • Review and modification of sporting or work activities aggravating shoulder

  • Assess rotator cuff and other stabilising muscles for weakness and/or imbalance

  • Biomechanical review of shoulder and scapular function and stability

  • Prescribe an individualised program to improve stability and strength

  • Soft tissue massage and trigger point release

  • Acupuncture and dry needling

  • Liaising with coach RE sporting technique if required


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