Shoulder Tendonitis is one of the most common conditions of the rotator cuff, the shoulder joint. It is important to know that shoulder tendonitis is only part of a single problem and goes hand in hand with shoulder bursitis and impingement syndrome. The bursa is a slippery sack placed in strategic position over a bone where there are tendons sliding on it. This is what nature designed to prevent inflammation. In the case of the rotator cuff, the tendons normally slide over the bursa with ease, but sometimes the space between the humerus (arm bone) and the acromion (shoulder bone) is somewhat restricted and both the tendons and the bursa become inflamed. In the case of tendons it is called tendonitis, while in the case of bursa it is called bursitis. It is the same inflammation of two different adjacent areas, since inflammation does not have boundaries. When shoulder tendonitis occurs, it is mostly together with bursitis, and the two terms can be used interchangeably, since the treatment is the same as well. Both tendonitis and bursitis in turn go hand in hand with impingement syndrome. Once the tendons and the bursa are inflamed, the space between the humerus and the acromion becomes even more restricted than it was at the start, causing a self fueling condition of ever increasing inflammation and pain that typically shows itself with a "pinching" sensation in the shoulder joint, whenever a movement is done. Hence the impingement syndrome. Shoulder tendonitis is therefore treated the same way as shoulder bursitis, which is with non steroidal anti inflammatory drugs, or cortisone injections to be used as a last resort due to negative side effects for the rotator cuff tendons. Natural remedies like ice packs can also be beneficial, but most importantly a professionally designed exercise program for rotator cuff injuries and conditions. A proper set of exercises can cut down on recovery times an save unnecessary pain and misery. This is all the more true, since the rotator cuff is by far the most complex of all the human body joints and it is normal to take several months or even 2/3 years to recover.
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