Ask the Orthopedist
QUESTION
Why does my shoulder hurt when I lay on my side?
ANSWER
The shoulder is a complex joint. It encompasses the union of bones, muscles, ligaments and tendons. Inside the shoulder is also bursa, tiny sacs of fluid that help reduce the friction between moving parts around the shoulder. Bursa serve as a cushion for the moving rotator cuff tendons. The bursa can become painful when inflamed due to an injury, overuse or condition such as rheumatoid arthritis or osteoarthritis.
Certain movements may be more painful than others. Patients in our office typically complain of pain when lying on their side, pain when they lift their arm, open a door or carry a heavy object. There may also be some swelling in the area that hurts.
Shoulder bursitis can happen to anyone, but those at a higher risk tend to be athletes, farmers, carpenters, gardeners, factory workers and others who perform a specific shoulder movement on a frequent basis.
The first step in care for bursitis pain is simply to rest the shoulder and avoid the motions that cause pain as much as you can.
Some patients find that wearing a shoulder sling helps make sure they are resting the arm. Ice the area when painful and take over-the-counter pain relievers such as ibuprofen or naproxen. Stretching may also help if the bursitis is caused by muscle tightness or a strength imbalance. Your doctor may also give you a localized corticosteroid injection to manage the pain and to control inflammation.
When these conservative measures do not provide relief, you may consider regenerative medicine treatments using your own body cells. This treatment works by activating the body’s natural healing process to reduce painful inflammation and activate healing. It involves a relatively simple procedure that takes plasma-rich platelets (PRP) from your own blood and injects them into the shoulder joint after separating them in a centrifuge. The PRP will help reduce inflammation and help begin the healing process.
Unlike pain meds or cortisone injections, regenerative procedures can repair the injured area, rather than simply blocking the pain. The treatment is outpatient and takes just a couple of hours. Most patients report an improvement in pain and function within a few weeks and continue to improve for several months as the healing process continues. Ultimately, pain relief can last for several years.
Have questions about musculoskeletal conditions such as arthritis, chronic pain and injuries? Send your questions to Reuben Gobezie, MD at [email protected]. He is founder/director of The Cleveland Shoulder Institute, GO Ortho and Regen Orthopedics. For more information, visit clevelandshoulder.com, regenorthopedics.com or godoctornow.com, or call 844-786-2355.
