New to shockwave or in pain for more than 3 months? Book a Telehealth to see if we can help you!
Shoulder pain can sneak into your life gradually – a twinge when reaching up, an ache after a day at the computer. It’s easy to shrug it off and hope it goes away. But if you’re experiencing persistent shoulder bursitis pain, it’s important to pay attention. Shoulder bursitis (inflammation of the shoulder’s bursae) is a common inflammatory cause of shoulder pain. Left unchecked, it can turn an occasional nuisance into a chronic limitation. The good news is that with proper care, shoulder bursitis pain can improve. In this post, we’ll explain what shoulder bursitis is, why that nagging shoulder pain shouldn’t be ignored, and what evidence-based treatments (including some advanced therapies we use at Unpain Clinic) can help you find relief.
We understand how frustrating it is when shoulder pain keeps you from sleeping, dressing, or doing the activities you love. Our goal is to give you clarity on why your shoulder hurts and guide you toward solutions that get you back to living pain-free. Let’s dive in with a closer look at shoulder bursitis and how to beat it.
Shoulder bursitis means the bursa – a small fluid-filled sac that cushions your shoulder joint – is inflamed. This often happens from repetitive overhead motions or overuse, which irritate the bursa over time. (Think jobs or sports involving lots of lifting or reaching up.) It can also result from a direct injury (like a fall) or wear-and-tear with age. The telltale sign is a localized pain on the top or outer side of the shoulder, especially when you lift your arm. You might notice swelling or tenderness. Many people find the pain is worse at night – it might even wake you up when you roll onto that shoulder.
One reason shoulder bursitis pain often doesn’t just vanish on its own is that the bursitis is usually part of a bigger picture. In fact, shoulder bursitis often occurs alongside other issues like shoulder impingement or rotator cuff tendinopathy. These related problems can create a cycle: the bursitis causes pain and limitation, which leads to altered movement patterns, which then aggravate the underlying tendon/muscle issues – and the cycle continues. Simply put, the bursa got inflamed for a reason, and if that root cause isn’t addressed, the pain can become chronic. As the experts say, bursitis is your body’s way of saying “something is rubbing or stressing the area too much.” It will keep flaring up until that “something” changes.
How common is shoulder bursitis? Bursitis in general accounts for roughly 0.4% of all primary care visits – and the shoulder is one of the most frequent spots for it. It affects men and women about equally, often those in their 40s and beyond. People with jobs or hobbies that involve lots of overhead motion (painters, carpenters, athletes, etc.) are at higher risk. Poor posture (like chronically slumping forward) can contribute by narrowing the subacromial space in the shoulder, impinging the bursa. Sometimes medical conditions (e.g. rheumatoid arthritis, gout, diabetes) can predispose someone to bursitis by increasing overall inflammation or altering tissue health. The bottom line: shoulder bursitis is common and treatable. But if you ignore that shoulder pain and “power through,” you risk worsening the inflammation and turning an acute problem into a stubborn chronic one.
Why the pain persists: Bursitis pain tends to continue or recur when the underlying causes aren’t fixed. Taking anti-inflammatories or getting a cortisone shot might temporarily deflate the bursa, but if you go right back to the same aggravating activities or if a biomechanical issue (like rotator cuff weakness or shoulder-blade dysfunction) remains, the friction and stress that caused the bursitis will still be there. That’s why a comprehensive approach – addressing all the factors contributing to the irritation – is key for lasting relief. In the next sections, we’ll explore what research says about treating shoulder bursitis and how we at Unpain Clinic tackle the root causes so your shoulder pain stays gone.
You’re not alone in dealing with shoulder bursitis – and fortunately, decades of research have shed light on effective ways to treat it. Here are some key findings and evidence-based insights on managing shoulder bursitis:
Many cases improve with conservative care: The first line of treatment for non-infected bursitis is typically conservative management – i.e. rest, activity modification, ice, and anti-inflammatory measures. Clinical experience (and guidelines from orthopedic experts) show that most acute bursitis cases improve within a few weeks with these measures. The prognosis is generally good: in many instances, shoulder bursitis is self-limiting and can resolve completely with proper care. (However, chronic bursitis or bursitis in older patients may take longer to heal.) The key is to be proactive – starting rehab early rather than “waiting it out” leads to faster recovery.
Cortisone injections provide quick but temporary relief: A common medical treatment for bursitis is a corticosteroid injection into the bursa. Steroid injections are well documented to reduce pain and swelling in the short term. For example, a 2023 clinical trial on knee bursitis found that a single cortisone shot gave significant pain relief at 1–8 weeks. This isn’t surprising – steroids are potent anti-inflammatories. However, there’s a catch: the relief is often temporary, and shots do not address the underlying cause of bursitis. Repeated steroid injections can also carry risks. Research cautions that while generally safe in limited number, multiple injections may potentially weaken soft tissues or increase infection risk. In practice, cortisone can be a helpful kick-start to calm a very painful bursitis – but it should be paired with corrective therapies (during the pain-free window it provides) to fix the cause. Relying on frequent injections alone is not a good long-term strategy.
Physiotherapy and exercise are effective (motion is lotion!): You might assume rest is the only answer for bursitis, but studies show that appropriate exercise is one of the most important treatments. A systematic review in the British Journal of Sports Medicine concluded that exercise therapy significantly improves pain, function, and range of motion in subacromial shoulder pain (impingement/bursitis). In fact, specific, targeted exercises designed for shoulder impingement were more effective than general shoulder exercises in that review. Therapeutic exercises help by strengthening the rotator cuff and scapular (shoulder blade) muscles, improving joint mechanics so that the bursa isn’t getting pinched. Another recent meta-analysis found that scapular stabilization exercises led to better pain relief and shoulder function compared to standard care. The consensus: keep the shoulder gently moving and strengthen where possible – it can speed up recovery and prevent recurrence. (Of course, this doesn’t mean doing painful exercises – a physio will guide you on the right moves that improve your range without aggravating the bursa.)
Shockwave therapy shows promising results: Extracorporeal shockwave therapy (ESWT) is a newer, non-invasive treatment that uses acoustic waves to stimulate healing in musculoskeletal tissues. It’s well-known as an effective treatment for calcific shoulder tendinitis, and research is now extending to bursitis and impingement syndrome. A 2025 systematic review and meta-analysis concluded that shockwave therapy is more effective than other conservative treatments (like medications or modalities) in reducing pain and improving shoulder function in adults with subacromial impingement, particularly in the short term (2–3 months). Patients who received shockwave reported greater pain reduction and shoulder mobility gains compared to those who received other interventions or placebo. Another randomized trial in 2023 found that adding shockwave therapy to a standard physio program produced better mid-term outcomes than physio alone or physio plus a steroid injection for shoulder impingement. In other words, the shockwave helped patients achieve more improvement by 12 weeks, even though at 4 weeks results were similar. This suggests that while shockwave might not give instant relief like a steroid can, it contributes to deeper healing of the tissue. Experts note that unlike cortisone (which may actually weaken tendons over time), shockwaves can stimulate repair – prompting the body to lay down new, healthy collagen fibers in the rotator cuff and bursa. This regenerative effect means shockwave therapy may lead to more durable long-term results.
Multi-modal treatment (combining therapies) works best: Each of the above treatments has its benefits, and research increasingly supports combining approaches for maximum benefit. For example, a study in patients with chronic shoulder pain found that adding shockwave therapy to an exercise rehabilitation program led to greater pain reduction and mobility improvements than exercise alone. This makes sense – shockwave can reduce pain/inflammation and jump-start tissue healing, enabling you to exercise more effectively. Similarly, manual therapy (hands-on joint and soft tissue techniques) can be paired with exercises to improve outcomes; one trial noted that adding manual therapy to exercise led to better long-term shoulder function than exercise alone, likely because it helped restore normal joint play and muscle flexibility. The take-home message from the evidence is that shoulder bursitis is best addressed with a combination of therapies: calm the immediate inflammation and pain, but also strengthen and correct the factors that led to bursitis. This comprehensive strategy prevents the “pain relief –> resume aggravating activity –> pain returns” loop that many bursitis sufferers know too well.
In summary, ignoring persistent shoulder pain is not a wise option – if it is bursitis, there are plenty of research-backed treatments that can help. Most patients improve with a tailored conservative program (rest, targeted exercise, and possibly modalities). Injections can temporarily relieve pain, but for lasting results it’s crucial to address why the bursitis developed. Advanced therapies like shockwave offer additional tools in stubborn cases, promoting healing in the tissues rather than just masking pain. And perhaps most importantly, rehabilitation exercises and physical therapy should be central to treatment – they correct the underlying mechanics, so you don’t keep getting bursitis again and again. In the next section, we’ll discuss how we put these principles into practice at Unpain Clinic, combining the best of these options to help you recover faster.
At Unpain Clinic, our philosophy is to treat the root cause, not just the symptoms. If you come in with shoulder bursitis, we’re not satisfied with simply reducing the swelling in the bursa and sending you on your way – we want to understand why that bursa became inflamed in the first place, and fix that. This whole-body, investigative approach is what leads to lasting results. We start with a comprehensive assessment (remember the “why does it hurt?” question!). Maybe your shoulder bursitis is actually stemming from poor shoulder blade motion, a stiff upper back, or an old injury that changed how you move. By uncovering these contributors, we can tailor a treatment plan that addresses all angles of the problem.
So, what does treatment for shoulder bursitis look like at Unpain Clinic? It usually involves a combination of cutting-edge therapies and conventional treatments working together (often in the same session). Here are the main modalities we offer for shoulder bursitis and how each plays a role:
True Shockwave™ therapy is one of our cornerstone treatments for bursitis and other persistent soft-tissue injuries. It involves a special handheld device that delivers high-energy acoustic waves into the affected area. (Don’t worry – it’s not painful like it sounds; most patients tolerate it very well, as we adjust the intensity to your comfort.) Shockwave therapy reaches deep into the tissue and can provide immediate pain relief and mobility improvement while stimulating healing at the cellular level. In simpler terms, it “wakes up” a stalled healing process. The mechanical pulses from the shockwave trigger your body’s repair mechanisms – increasing blood flow, reducing adhesion and scar tissue, and promoting the formation of new healthy tissue fibers. Over several sessions, this can lead to a stronger, more resilient tendon and less inflammation in the bursa.
In the case of shoulder bursitis, we often use focused shockwave around the subacromial space. For example, if your subacromial bursa (beneath the acromion at the tip of the shoulder) is inflamed, we will target that area and also the adjacent tendons (such as the supraspinatus tendon of the rotator cuff) with shockwave pulses. This helps to reduce inflammation and pain in the bursa and to address any tendinopathy in the rotator cuff that might be contributing to impingement. A typical session only involves about 5–10 minutes of actual shockwave application to the shoulder. You’ll feel a rapid tapping sensation – it can be a little tender over very sore spots, but it’s generally quite tolerable (many patients compare it to a deep tissue massage thumping). We adjust the intensity as needed and the discomfort, if any, stops the moment the treatment stops. Importantly, shockwave’s goal is not just temporary pain relief – it’s to stimulate lasting healing. Studies have shown that shockwave can induce tissue regeneration and collagen remodeling without the downsides of drugs or injections. After a series of shockwave treatments, as the tissues strengthen and repair, patients often experience not only pain reduction but improved shoulder function (e.g. reaching and lifting without that pinching sensation).
To complement shockwave, we often add EMTT – a therapy you may not have heard of yet, because it’s quite new. EMTT stands for Extracorporeal Magnetotransduction Therapy. In an EMTT session, you lie comfortably while a loop or paddle emits high-frequency magnetic pulses around your shoulder. You don’t feel much – maybe a gentle warmth or a light tapping – but at the cellular level, important things are happening. EMTT appears to reduce inflammation and modulate pain by using electromagnetic energy. In simple language, EMTT helps calm down overactive nerves and jump-start tissue repair from another angle (using magnetic fields rather than sound waves).
EMTT is especially useful for very irritable bursitis cases or widespread shoulder pain where there’s a lot of diffuse inflammation. For example, if a patient’s shoulder is extremely sensitive to touch – even light pressure hurts – we might begin with EMTT to gently desensitize the area. It’s painless and can cover a broader region of the shoulder joint at once. We often pair shockwave + EMTT in the same session, because they complement each other. Shockwave provides a mechanical stimulus to the tissues, and EMTT provides an electromagnetic stimulus; this one-two punch addresses inflammation and pain from different angles to accelerate recovery. EMTT is quite relaxing – some patients even dose off during treatment – and sessions last around 10–15 minutes. It’s non-invasive and safe (EMTT is approved by health regulators for musculoskeletal pain). The only contraindication is if you have an electronic implant like a pacemaker, we’d avoid EMTT in that case due to the magnetic field. Otherwise, it’s a cutting-edge option to reduce pain and inflammation without any medication.
Chronic pain conditions like bursitis can sometimes lead to the nervous system becoming overly sensitive – a phenomenon called central sensitization. Essentially, your nerves start amplifying pain signals or firing off even with less provocation than before. That’s where neuromodulation comes in. Neuromodulation refers to therapies that alter nerve activity to “reset” how your pain signals are being transmitted. At Unpain Clinic, our neuromodulation approaches may include specialized electrical nerve stimulation devices, pulsed nerve laser therapy, or even a technology that “scrambles” pain signals (a newer form of electrotherapy). These treatments are typically very gentle – patients often feel a soothing tingling or warmth, or sometimes nothing at all during the session, but the effect is a reduction in pain sensitivity.
For shoulder bursitis, we might use neuromodulation if you have a lot of nerve involvement – for instance, if shoulder movement has been painful for so long that the whole area is on high alert. By using techniques like neurofunctional acupuncture or a Calmare® Therapy (pain scrambler) device, we aim to dampen the pain signals and essentially teach your nervous system to not overreact. Many patients report that after neuromodulation sessions, their shoulder feels lighter or the pain is significantly reduced for hours or days. This can “buy a window” during which we can do more rehab exercises with much less discomfort, which in turn leads to long-term improvement in strength and function. Neuromodulation can also involve education and graded exposure – for example, helping you gradually reintroduce movements (like reaching overhead) in a safe, controlled way so that your brain relearns that normal motion doesn’t have to hurt. In summary, neuromodulation in our clinic might be high-tech (using devices to alter nerve signaling) or as simple as specific therapeutic exercises to retrain your nervous system. The goal is the same: reduce the alarm bells in your nerves so that normal activities aren’t triggering pain. It’s a great adjunct to our other treatments, ensuring that pain relief is not only due to structural healing but also due to a calmer, more balanced nervous system.
No holistic treatment plan would be complete without good old-fashioned hands-on care and exercise. Our physiotherapists and chiropractors are skilled in manual therapy techniques to improve joint mobility, reduce soft tissue tension, and correct movement patterns. In a shoulder with bursitis, there may be joint restrictions (for example, tightness in the shoulder capsule or the upper back joints) that contribute to impingement. We use gentle mobilizations and manipulations to restore normal motion. Often, patients immediately feel they can move their arm a bit higher or with less pinching after some targeted manual release. We might also perform soft tissue techniques on the muscles around the shoulder – for instance, loosening up a tight pec minor, or releasing knots in the upper trapezius – which can improve your posture and take pressure off the shoulder structures. Manual therapy helps create a window of improved mobility and decreased pain, setting the stage for exercises to be more effective.
Therapeutic exercise is the backbone of long-term bursitis relief. Based on your specific weaknesses or tight areas, we’ll prescribe a customized exercise program. This often includes: gentle range-of-motion exercises (to keep the shoulder from stiffening up), rotator cuff strengthening (to better center the humeral head and avoid pinching the bursa), scapular stabilizer exercises (to ensure your shoulder blade moves well and supports the shoulder joint), and stretches for any areas that are too tight (like the posterior capsule or chest muscles). For example, if we find that a weak infraspinatus muscle is causing the humeral head to ride up and pinch the bursa, we’ll focus on strengthening that. If poor posture is a culprit, we’ll teach you mid-back and scapular exercises to open things up. We’ll also show you how to modify or avoid certain movements during your daily routine while you heal (no overhead lifting in the gym for now, for instance). The goal is that as your strength, flexibility, and biomechanics improve, the bursitis resolves and stays resolved.
Throughout your treatment, we continuously re-assess and adjust the plan. Maybe after a couple sessions, your bursitis pain is much better but you still have some residual stiffness – we might increase focus on stretching and mobility drills. Or if your strength has improved, we’ll advance your exercises. By the end of your care, our aim is that you not only feel pain-free, but you also have the tools (knowledge of what stretches or exercises to continue) to maintain your shoulder health and prevent future flare-ups.
Sometimes the best way to understand the impact of these treatments is through a real example. We’d like to share Kyla’s story – a patient who came to us after suffering chronic shoulder pain for over a year. Kyla’s pain started as a mild ache in her left shoulder that she ignored for months. Eventually it got so bad she couldn’t sleep on her left side, and she had to stop her favorite hobby, boxing, because punching aggravated her shoulder. She tried everything – physiotherapy, IMS needling, acupuncture, multiple cortisone injections, and was even told she might need surgery. Nothing brought lasting relief. By the time Kyla found Unpain Clinic, she was understandably skeptical and “at the end of the line” in her words. We assessed her and identified that she had subacromial bursitis with underlying rotator cuff tendinosis and scar tissue from an old sports injury. We recommended a series of true shockwave therapy sessions with adjunct treatments. Here’s what happened, in Kyla’s own words:
“Shockwave treatment is the miracle I was looking for. I don’t say that lightly. I couldn’t sleep on my shoulder for over a year, the chronic pain kept me from boxing and made working at my desk agony. Doctors gave me many pain killers, cortisone shots and considered surgery. I tried IMS, acupuncture and everything I could find. I was at the end of the line with my shoulder, having tried everything out there and spending a painful amount of money on trying to improve mobility and reduce the pain. I called and booked a shockwave appointment with Gary. After 3 treatments I can sleep on my left side, and I’ve started boxing again. If you have chronic pain anywhere I would strongly suggest you try shockwave therapy, it’s truly amazing and Unpain Clinic makes it affordable as well. Suffer no more, really!”
— Kyla Pleinis, Edmonton (chronic shoulder pain)
Kyla’s outcome is the kind of result we strive for. After just three shockwave sessions (combined with some manual therapy and corrective exercises we prescribed), her shoulder pain virtually vanished. She regained full, pain-free function – even returning to boxing, which she loves. It’s important to note that individual results may vary, and not every case resolves as dramatically as Kyla’s did. However, her story shows that even a very chronic, stubborn shoulder bursitis can heal with the right approach. The key was identifying why she had bursitis (in her case, residual biomechanical issues and adhesions that we addressed with shockwave and exercise) rather than just treating the symptoms. Kyla went from “suffer no more!” to truly suffering no more.
If you’re reading this and have been struggling with shoulder pain that sounds similar, take heart. With proper treatment, you too can get back to sleeping through the night, working comfortably, and doing the activities that pain had taken away.
While professional treatment is important, there’s also a lot you can do on your own to support your recovery from shoulder bursitis. Here are some simple and safe at-home tips to help manage shoulder bursitis pain and speed up healing (always tailored to your comfort level and any advice from your healthcare provider):
Rest – but not too much: In the early phase, avoid activities that provoke your shoulder bursitis pain, especially heavy lifting or repetitive overhead motions. Give the inflamed bursa a chance to calm down. This might mean modifying how you do certain tasks (e.g. use a step stool instead of repeatedly reaching overhead, or take a break from the gym exercises that aggravate your shoulder). However, complete immobilization of the shoulder isn’t usually recommended for mild/moderate bursitis. You should still keep the shoulder gently moving through a pain-free range to prevent stiffness (see exercises below). It’s a balance: relative rest (no irritating movements) combined with light mobility work. Listen to your pain – it will guide you on what to avoid. As a rule, if an activity significantly increases your shoulder pain, stop or modify it.
Ice the shoulder: Applying ice or a cold pack can help reduce inflammation and numb the pain, especially in the first week or two of a bursitis flare. Use a cold pack on the tender area of your shoulder for about 15–20 minutes at a time, a few times a day (e.g. after any activity that causes soreness, or in the evening when inflammation tends to peak). Make sure to wrap the ice pack in a thin cloth to protect your skin. Many patients find icing before bed is helpful if nighttime pain is an issue. In general, cold is your friend during acute bursitis – it’s an easy, drug-free way to control swelling. (Tip: You can also take an ice cube and gently massage it over the most painful point on the shoulder for 5–7 minutes until the skin is numb – ice massage can penetrate a bit deeper.) Avoid heat on the shoulder in the acute phase, as heat can increase blood flow and potentially worsen swelling in an already inflamed bursa.
Gentle exercises and stretches: Even while resting the shoulder, you should perform pain-free range-of-motion exercises to keep your shoulder from freezing up. One of the easiest is the pendulum swing: Lean over a table with your good arm supported, let the painful arm hang down, and gently sway your arm in circles (as if your arm were a pendulum). This mobilizes the joint without strain – do 20–30 circles a few times a day. You can also do gentle shoulder rolls/shrugs to keep the upper joints moving. Another useful movement is the cross-body stretch: use your opposite hand to draw your affected arm across your chest (as if scratching your opposite shoulder) – you should feel a mild stretch in the back of the shoulder, which can relieve pressure in the bursa area (stop if sharp pain). Range exercises are important because, as the saying goes, motion is lotion – they encourage synovial fluid flow and prevent stiffness. Additionally, consider doing scapular squeezes (pinch your shoulder blades back and down) a few times a day; this promotes better posture and opens the subacromial space. As your pain allows, you can introduce light rotator cuff strengthening – for example, gentle isometric exercises (pushing your hand against a wall in various directions without actually moving the arm) to activate the shoulder muscles without joint strain. Always keep exercises pain-free. If something hurts, scale it back or consult a physiotherapist for modifications. Performing the right exercises will help you heal faster by improving blood flow and preventing weakness.
Optimize your posture: Posture plays a big role in shoulder impingement and bursitis. When you slouch or round your shoulders forward (common with desk jobs or smartphone use), the space in your shoulder joint narrows, which can pinch the bursa more. Make a conscious effort to sit and stand with a neutral spine: imagine a string pulling the crown of your head up, keep your shoulder blades lightly pulled back and down, and avoid jutting your chin forward. You might need to adjust your workspace – for example, raise your monitor to eye level and ensure your keyboard/mouse are not too far forward (so you’re not reaching). Take frequent micro-breaks to roll your shoulders and reset your posture. Also, be mindful of how you carry objects – avoid always lugging a heavy bag on the affected shoulder, and when lifting anything, try to keep it close to your body rather than reaching out. These little adjustments reduce unnecessary stress on the shoulder. Over time, good posture habits can alleviate strain on the subacromial bursa and help prevent future flare-ups.
Use OTC pain relief wisely: Over-the-counter anti-inflammatory medications can be very helpful in managing bursitis symptoms in the short term. NSAIDs like ibuprofen (Advil, Motrin) or naproxen (Aleve) can reduce inflammation and pain in the shoulder. If your stomach tolerates them and you have no contraindications, you might use an NSAID during a flare-up for a week or two to help calm the bursa. Always follow the package directions and be aware of potential side effects (like stomach irritation). It’s a good idea to take them with food and only as needed. Another option is topical NSAID gels (like diclofenac 10% gel, e.g. Voltaren Emulgel, which in Canada is available OTC). Rubbing that on the sore spot can deliver anti-inflammatory effect locally with minimal systemic absorption. For pain that isn’t too inflammatory, acetaminophen (Tylenol) can be used to ease discomfort (though it won’t affect swelling). Remember, these medications are for symptom relief – they don’t cure the bursitis, so use them as a tool while you also rest and rehab. And if you have any existing health issues (like kidney problems, ulcers, heart conditions) or are on other meds, check with a pharmacist or doctor before using NSAIDs.
Support your shoulder during sleep: One of the worst things about shoulder bursitis is how it can disrupt your sleep. To take pressure off the shoulder at night, avoid lying directly on the affected side. If you’re a side sleeper, try lying on the opposite side and hug a pillow in front of you with the top arm – this supports the bad shoulder and prevents it from hunching forward. You can also place a pillow behind you to lean into, which stops you from rolling onto the sore side. Some people find it comfortable to sleep in a reclined position (semi-sitting) if flat bed sleeping is too painful – propping yourself up with pillows or sleeping in a recliner for a few nights can help. Make sure your neck is supported too, as neck strain can aggravate shoulder muscles. If you tend to toss and turn, consider wearing a loose shoulder sling or shoulder brace only at night to remind you not to roll onto it (though don’t keep it on all day – you want movement during daytime). A calm nighttime routine and perhaps icing the shoulder before bed can also reduce nighttime ache. Getting rest is crucial for healing, so prioritize a sleep setup that lets you sleep comfortably without stressing the shoulder.
(Disclaimer: The above tips are general and may not apply to everyone. Always consult your healthcare provider before starting new exercises or if you have any concerns. If your shoulder pain is severe, worsening, or accompanied by symptoms like fever or significant swelling, seek medical advice.)
By following these at-home guidelines – protecting your shoulder from overuse, keeping it gently mobile, and managing inflammation – you’ll create an environment for your bursitis to recover. Think of these self-care measures as supporting actors to the main treatments; they can significantly enhance your recovery and help you maintain the improvements from therapy. Now, let’s move on to some common questions people have about shoulder bursitis.
The hallmark symptom of shoulder bursitis is pain around the outside or front of the shoulder. It’s often a deep, aching pain that can sharpens when you move your arm overhead. Common signs include tenderness when you press on the top of the shoulder, and pain that worsens with lifting or reaching up (for example, putting on a shirt or grabbing something from a high shelf can be very painful). Many people with bursitis also experience a “catch” or pinch in the shoulder during certain movements (like a painful arc between ~70 and 120 degrees of lifting the arm). Night pain is another classic symptom – bursitis often hurts even when the arm is at rest, and lying on the affected shoulder can be extremely uncomfortable, frequently disrupting sleep. In some cases, you might see visible swelling or redness on the shoulder, though this is less common unless the bursitis is severe. You typically will not have significant weakness in the arm (any weakness is usually due to pain inhibition, not true loss of strength). If you notice symptoms like fever, extreme warmth/redness on the shoulder, or inability to move the shoulder at all, those could indicate infection or a different issue and you should seek medical attention promptly. For most people, though, shoulder bursitis symptoms are: localized shoulder pain (especially with movement), tenderness, and pain at night that interferes with sleep.
The recovery time for shoulder bursitis can vary quite a bit depending on the severity and what’s causing it. For an acute bursitis (say, one that came on from a short-term overuse or minor injury), it may improve within a few weeks with proper rest and conservative care. Many patients find substantial relief in 2–6 weeks as long as they avoid aggravating activities and start some gentle rehabilitation. In fact, bursitis often can go away on its own if the inciting stress is removed – the body will absorb the excess fluid and calm the inflammation. However, if bursitis is tied to ongoing factors (like bone spurs, chronic tendonitis, or poor biomechanics), it might become a chronic issue lasting for months unless those factors are addressed. According to medical literature, the majority of shoulder bursitis patients recover with non-surgical treatment (rest, physio, injections if needed), and the condition is often self-limiting. Even in persistent cases, bursitis usually does not cause permanent damage – it’s an inflammation that can resolve. Older individuals or those with contributing conditions (diabetes, etc.) may heal more slowly, sometimes taking a few months to fully settle down. The key to faster recovery is to treat it appropriately early on – don’t “work through” severe pain and don’t skip your exercises if prescribed. If treated properly, shoulder bursitis has an excellent prognosis. It’s also worth noting that once you’ve had bursitis, you’ll want to be proactive in preventing recurrences (through strength/flexibility maintenance and avoiding overuse). But yes, for most people, shoulder bursitis pain will go away – especially with the right care – typically on the order of weeks, though a stubborn case can stretch into a few months. If your bursitis isn’t improving at all after ~6–8 weeks of good care, it’s time to get re-evaluated (there may be another issue masquerading as bursitis or an untreated root cause).
While staying active is important, you’ll want to avoid exercises that aggravate the subacromial space or compress the shoulder when you have bursitis. Generally, you should steer clear of heavy overhead movements and any gym lifts that cause pain. Some specific exercises to avoid with shoulder bursitis include:
Overhead presses or lifts (like shoulder press with weights) – these can impinge the inflamed bursa.
Behind-the-neck exercises (for example, behind-the-neck lat pulldowns or military press behind the head) – these put the shoulder in an awkward position and can really pinch the bursa.
Upright rows – pulling weights up to your chin with elbows out can compress the shoulder structures.
Lateral raises above shoulder height – if you do side arm raises, keep them below 90°; raising high without proper mechanics can irritate the bursa.
Heavy bench press or dips – these can stress the front shoulder; if it’s painful, avoid it. (Push-ups might also hurt in some cases, especially deep ones – use pain as your guide.)
Repetitive overhead throwing or serving (for athletes) – take a break from the tennis serve, volleyball spike, baseball pitch, etc., until things calm down.
In essence, any exercise that reproduces your impingement pain should be put on hold. You might find that modifying the range of motion or using lighter weights allows you to do some activities pain-free – that’s fine, but be cautious. Focus instead on rehab exercises: pendulums, gentle rotator cuff isometrics, wall slides, etc., as recommended by your therapist. Once your shoulder improves, you can gradually reintroduce activities. And when you do go back to the gym or sports, ensure you’ve corrected any form issues – sometimes bursitis is a sign that your shoulder mechanics during those exercises were off. A trainer or physio can help you learn a more shoulder-friendly form (for example, keeping shoulder blades retracted during presses). One more tip: maintain proper posture during all exercises – a forward head or rounded shoulders during lifting can close down the shoulder space. To sum up, avoid the moves that hurt (especially those listed above) while you heal, and concentrate on pain-free strengthening of the shoulder. As you recover, you can slowly get back to your normal workouts with improved form and maybe some tweaks (like not going too deep or using neutral grips) to protect your shoulder.
The go-to over-the-counter (OTC) medications for bursitis pain are typically nonsteroidal anti-inflammatory drugs (NSAIDs). These are effective because bursitis involves inflammation, and NSAIDs help reduce that. Common OTC NSAIDs include ibuprofen (brand names Advil, Motrin) and naproxen (Aleve). In Canada, you can get both without a prescription. They work by reducing the inflammatory process in the bursa, often leading to noticeable pain relief. If your shoulder bursitis is flaring, taking an NSAID per package directions for a short period (e.g. a week or two) can help manage pain and swelling. Another OTC option is acetaminophen (Tylenol), which can help with pain, but it doesn’t reduce inflammation. It’s gentler on the stomach, so some people alternate or use acetaminophen if they can’t take NSAIDs – it can dull the pain, though the underlying inflammation may persist.
Topical analgesics can be useful too: for instance, topical NSAID gels (like Voltaren Emulgel, which contains diclofenac) are available OTC in Canada. Rubbing a diclofenac gel on the shoulder can directly deliver anti-inflammatory medicine to the area with minimal systemic absorption – some people with bursitis get good relief from this, especially if they prefer not to take pills. There are also warming or cooling creams (like Bengay, IcyHot) which won’t reduce inflammation per se, but can alter pain sensation and provide comfort.
Important: While OTC meds are accessible, use them wisely. Take NSAIDs with food to avoid stomach upset, and be mindful of the daily maximum doses. If you have any health conditions (such as kidney issues, high blood pressure, or a history of ulcers) or are on other medications, check with a healthcare provider or pharmacist before using NSAIDs regularly. And remember, medication is just one part of the approach – it’s for symptom relief. You’ll want to pair it with the other measures (rest, ice, rehab exercises) we’ve discussed. If OTC options aren’t helping enough and the pain is severe, that’s a clue to see a doctor – you may need a stronger prescription medication or other intervention in that case. But for many bursitis flare-ups, NSAIDs are the best first-line OTC remedy to get the pain down to a manageable level so you can stay active and rehab effectively.
Finding the right healthcare provider can make a huge difference in your recovery. Here are a few tips to help you choose a clinic or therapist for your shoulder bursitis:
Look for expertise in shoulder conditions: Not all therapists are equally experienced with shoulders. Seek out a licensed physiotherapist or chiropractor who has specific experience treating shoulder injuries like bursitis, rotator cuff problems, impingement, etc. You might see this on their website bio or you can call and ask. Someone who understands the shoulder’s mechanics will more quickly zero in on why your shoulder hurts.
Whole-body, root-cause approach: You want a clinician who will do a thorough assessment – not just ask “where does it hurt?” but also “why does it hurt?” At Unpain Clinic, for example, our approach to bursitis is holistic: we examine your posture, spine, shoulder blade movement, even other areas like your neck and hips, to identify all factors contributing to your pain. A good clinic will similarly look beyond just the inflamed bursa and address the root cause. When researching, look for phrases like “comprehensive assessment” or patient testimonials that mention the therapist listened carefully and found things others missed.
Multimodal treatment options: Shoulder bursitis often benefits from a combination of therapies (exercise, manual therapy, modalities). Try to find a clinic that offers a range of treatment modalities – for example, manual therapy, therapeutic exercise, shockwave therapy, EMTT, laser, acupuncture, neuromodulation, etc. Clinics that have advanced technologies like shockwave or EMTT (and the expertise to use them) can provide cutting-edge care that standard clinics may not. Not every case will need those, but it’s nice to know they are available if appropriate. Also, a clinic with multiple disciplines under one roof (physio, chiro, massage, etc.) can coordinate your care well.
Credentials and reviews: Check the clinician’s credentials (e.g. BSc PT, registered physiotherapist, etc., for someone like our author Uran). Also, read reviews or testimonials if available. Happy patients with shoulder issues are a good sign. For instance, if you find reviews saying “I had chronic shoulder pain and now I’m better thanks to X clinic,” that’s encouraging. (Keep in mind everyone’s experience is unique, but trends in reviews can be telling.)
Personal connection and communication: In your first appointment, pay attention to how the therapist communicates. Do they take time to explain your condition and answer your questions? A quality practitioner will educate you on your injury and involve you in the treatment plan. You should feel heard and not rushed. Trust your gut – you want to work with someone you feel comfortable with and confident in.
Pragmatically, also consider factors like location, availability, and whether the clinic accepts your insurance or direct billing – but don’t make those the only factors. The cheapest or closest option isn’t worth it if they don’t provide the level of care you need. It might be worth traveling a bit further to see a shoulder specialist, for example. Choosing a clinic that aligns with a holistic, patient-centered philosophy (and has the tools to back it up) will give you the best shot at beating shoulder bursitis for good. At the end of the day, the right clinic is one that makes you feel confident, cared for, and on a clear path to recovery.
(If you’re in the Edmonton area, our Unpain Clinic team would be happy to assess your shoulder – we combine advanced therapies (shockwave, EMTT, neuromodulation) with hands-on techniques and exercise, in a whole-body approach. Wherever you go, make sure they are looking at “why it hurts,” not just “where it hurts”!)
Massage therapy can be a helpful complementary treatment for shoulder bursitis, though it’s not a standalone “cure.” The primary issue in bursitis is inflammation of the bursa, which massage can’t directly remove – however, massage can address the muscular and soft tissue aspects that often accompany bursitis. By working on the muscles around the shoulder (like the deltoid, rotator cuff muscles, trapezius, pecs, etc.), a registered massage therapist can help relieve muscle tension, reduce spasms, and improve blood flow in the region. This can have a few benefits for bursitis sufferers:
Pain relief: Loosening tight muscles and fascia can reduce the overall pain load on your shoulder. Sometimes the bursitis causes muscles to tighten up protectively, which then causes additional pain. Massage can break that cycle by relaxing those muscles, often leading to a reduction in pain. Many patients feel an immediate sense of relief and improved mobility after a good shoulder/neck massage because those tight knots release.
Improved range of motion: If you’ve been guarding your shoulder due to pain, you may develop stiffness in the surrounding soft tissues. Massage can gently improve flexibility and allow you to move with less discomfort. For example, a therapist might work on your chest and anterior shoulder muscles – if they loosen up, your shoulder can retract and move more freely, which takes pressure off the bursa.
Postural benefits: Massage to areas like the neck, upper back, and chest can help correct postural imbalances (like forward-rounded shoulders). As we discussed, better posture can create more space in the shoulder joint. By releasing trigger points in say, your pec minor or levator scapula, a massage can make it easier for you to maintain good posture that is conducive to healing.
Stress relief and circulation: Don’t underestimate the value of general stress reduction. Chronic pain can be stressful, and stress can actually amplify pain perception. Massage promotes relaxation, which can lower stress hormones and potentially help modulate pain. It also boosts circulation, which means more oxygen and nutrients are delivered to the injured area and metabolic wastes are removed – this can support the healing process.
It’s important that your massage therapist knows you have bursitis. A skilled therapist will avoid direct deep pressure on the inflamed bursa (which would be quite painful) and instead focus on the surrounding areas to indirectly help. Techniques like gentle effleurage around the shoulder, myofascial release, and trigger point therapy in related muscles are commonly used. Massage should never sharply hurt; you might feel tender spots being worked out, but it should be a “good hurt” that you can tolerate and that eases up after the session. If any technique is too painful, speak up – they can adjust.
In summary, massage therapy can definitely aid shoulder bursitis recovery by addressing muscular tightness and promoting a more optimal environment for your shoulder to heal. Most patients find it reduces their discomfort and improves flexibility, making it easier to do their rehab exercises and go about daily tasks. Just remember that for bursitis, massage is typically an adjunct to primary treatments like physiotherapy or medical management. Think of it as one piece of the puzzle – helpful for symptom relief and supporting recovery, especially when combined with the other approaches we’ve discussed.
Many people explore supplements for extra help with joint pain and inflammation. While supplements are not a magic cure, some do have anti-inflammatory properties that might benefit bursitis (though direct research on bursitis is limited). Here are a couple of supplements that are often mentioned and the evidence around them:
Turmeric/Curcumin: Curcumin is the active compound in turmeric spice, famed for its anti-inflammatory effects. It has been studied in various inflammatory conditions. Preliminary research suggests curcumin can lower levels of inflammatory markers in the body and may reduce pain in conditions like arthritis. Some studies (and a lot of anecdotal reports) indicate that curcumin supplements can help with joint pain and swelling. For bursitis specifically, we don’t have large trials, but given bursitis is an inflammation, curcumin might help calm that process. It’s usually taken as a capsule with piperine (black pepper extract) to aid absorption. If you try curcumin, give it a few weeks to see effect. It’s relatively safe, but can upset some people’s stomachs. Dose varies (often ~500–1000 mg of curcumin a day in divided doses). Note: curcumin can act as a mild blood thinner, so check with your doctor if you’re on blood-thinning medication.
Omega-3 Fatty Acids (Fish Oil): Omega-3 supplements (like fish oil containing EPA and DHA) have well-documented anti-inflammatory benefits. They’ve been shown to help with conditions like rheumatoid arthritis by reducing joint inflammation. Omega-3s may help lower the production of inflammatory chemicals in the body. For someone with bursitis, taking fish oil could potentially reduce the overall inflammatory state and support recovery. A typical omega-3 dose for anti-inflammatory effect might be in the range of 1–3 grams of combined EPA/DHA per day. Make sure to choose a quality brand to avoid contaminants. As with curcumin, omega-3s also have blood-thinning effects, so use with caution if on anticoagulants.
Other supplements sometimes considered for joint inflammation include ginger, Boswellia (frankincense), MSM, glucosamine & chondroitin, and bromelain. The evidence for these is mixed: for example, glucosamine/chondroitin have shown benefit in osteoarthritis for some people (and one study implied it might help with knee bursitis), but results are not consistent. MSM and Boswellia have some anti-inflammatory indications in arthritis research. Bromelain (an enzyme from pineapple) has been noted in studies for reducing soft-tissue swelling and could help with post-injury inflammation. Vitamin D is also crucial for musculoskeletal health – if you’re deficient, it could hamper healing, so ensuring adequate vitamin D levels (through sun, diet, or supplement) is wise.
Before starting any supplement, it’s a good idea to discuss with a healthcare provider, especially if you have other health conditions or take medications. “Natural” doesn’t always mean risk-free – for instance, high-dose fish oil or curcumin might interact with certain meds. Also, supplements can vary in quality; choose reputable brands.
Keep in mind that supplements should be viewed as adjuncts. They may help reduce inflammation modestly or support overall joint health, but you still need to do the foundational treatments (rest, exercise, etc.). Some people do report feeling better on supplements like turmeric or fish oil – even if part of that is a placebo effect, if your pain decreases, we’ll take it! Just ensure you’re not using supplements to avoid seeing a doctor or therapist when you really should – if your bursitis is severe, a supplement alone won’t fix it. That said, incorporating certain supplements with your doctor’s okay can be a fine addition to a comprehensive treatment plan for shoulder bursitis, potentially helping you recover faster or with less reliance on medications.
Shoulder bursitis pain can be frustrating and limiting – but it doesn’t have to be permanent. The key takeaway is not to ignore that nagging shoulder pain. If it’s bursitis (or related impingement issues), addressing it early can prevent weeks or months of discomfort. We’ve seen that shoulder bursitis is very treatable: most people get significant relief with the right combination of rest, targeted exercise, and therapies like shockwave or manual treatment. The research backs this up – a mix of approaches that reduce inflammation and improve biomechanics yields the best outcomes.
In practical terms, overcoming shoulder bursitis means finding and fixing the “why” behind the inflammation. Maybe you have a weak rotator cuff, or maybe you’ve been doing an overhead activity with poor form; maybe an old injury set off a cascade of shoulder dysfunction. By identifying those factors (something we pride ourselves on at Unpain Clinic), we can create a plan that not only calms the current pain but also fortifies your shoulder to prevent recurrences. Remember, simply taking painkillers or getting a quick shot may ease pain temporarily, but they don’t train your muscles or improve your joint mechanics – that’s where physiotherapy exercises and advanced regenerative treatments come in.
If you’re currently suffering from shoulder bursitis pain, don’t lose hope. Even if you’ve “tried everything,” there may be advanced options (like the True Shockwave™ therapy, EMTT, or neuromodulation we discussed) that you haven’t tried yet – these can make a world of difference, as in Kyla’s case. And even the basics like exercise therapy are powerful when done correctly. Every patient is different, so the solution lies in a personalized approach.
In summary: don’t ignore persistent shoulder pain. Pain is your body’s way of telling you something’s wrong. By listening to it and seeking proper treatment, you can heal faster and get back to the activities you enjoy. Shoulder bursitis pain can rob you of sleep, work, and play – but with the right care, you can get back to sleeping on that shoulder and lifting your arm without wincing. We hope this guide has armed you with knowledge and confidence that shoulder bursitis is beatable.
The next step is up to you – and it might simply be getting a thorough assessment to map out a plan. As we like to say at Unpain Clinic, we’re here to find the “why” and fix the problem from the ground up. If you’re ready to finally address your shoulder pain, we’re ready to help you do it.
Book Your Initial Assessment NowAt Unpain Clinic, we don’t just ask “Where does it hurt?” — we uncover “Why does it hurt?”
If you’ve been frustrated by the cycle of “try everything, feel nothing,” this assessment is for you. We take a whole-body approach so you leave with clarity, not more questions.
✅ What’s Included
Comprehensive history & goal setting
Orthopedic & muscle testing (head-to-toe)
Motion analysis
Imaging decisions (if needed)
Pain pattern mapping
Personalized treatment roadmap
Benefit guidance
🕑 Important Details
60 minutes, assessment only
No treatment in this visit
👩⚕️ Who You’ll See
A licensed Registered Physiotherapist or Chiropractor
🔜 What Happens Next
If you’re a fit, we schedule your first treatment and start executing your plan.
🌟 Why Choose Unpain Clinic
Whole-body assessment, not symptom-chasing
Root-cause focus, not temporary relief
Non-invasive where possible
No long-term upsells — just honest, effective care
🎯 Outcome
You’ll walk out knowing:
What’s wrong
Why it hurts
The fastest path to fix it
Author: Uran Berisha, BSc PT, RMT, Shockwave Expert
1. Faruqi T, Rizvi TJ. Subacromial Bursitis. StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jun 26. Available from: https://www.ncbi.nlm.nih.gov/books/NBK541096/
2. ElGendy MH, Mazen MM, Saied AM, ElMeligie MM, Aneis Y. Extracorporeal Shock Wave Therapy vs. Corticosteroid Local Injection in Shoulder Impingement Syndrome: A Three-Arm Randomized Controlled Trial. Am J Phys Med Rehabil. 2023;102(6):533-540. (PubMed PMID: 36730000)
3. Xiong S, Ni J, Sun W, et al. Extracorporeal shockwave therapy as a treatment option for shoulder impingement syndrome: a systematic review and meta-analysis. Bulletin of Faculty of Physical Therapy. 2025; 30(1): (Article 3). DOI: 10.1186/s43161-025-00300-3. Available from: https://link.springer.com/article/10.1186/s43161-025-00300-3
4. Zhong Z, Zang W, Tang Z, et al. Effect of scapular stabilization exercises on subacromial pain syndrome: a systematic review and meta-analysis of randomized controlled trials. Front Neurol. 2024; 15:1357763. PMC Free Article
5. Unpain Clinic. Knee Bursitis Treatment: The Complete Guide to Symptoms, Exercises, and Fast Pain Relief. Unpain Clinic Blog. 2025 Feb 3. Available from: https://unpainclinic.com/knee-bursitis-treatment/
6. Unpain Clinic Podcast – Episode #16. “Why Cortisone Shots May Not Be Your Best Bet! Exploring Alternative Therapies for Pain Relief.” (Hosted by Uran Berisha, with guests Jillian & Jide, July 26, 2024)
7. Unpain Clinic – Patient Testimonials. Kyla’s Story – Chronic Shoulder Pain Resolved with Shockwave. (From Get Out of Pain – Enjoy Life Again page, retrieved 2025)
8. Koprowski B. Exercises to avoid with shoulder bursitis. Medical News Today. 2024 Jan 2. Available from: https://www.medicalnewstoday.com/articles/shoulder-bursitis-exercises-to-avoid
9. Liv Hospital. Best Supplements for Bursitis Relief and Recovery. (International Liv Hospital website, 2023). Available from: https://int.livhospital.com/best-supplements-for-bursitis-relief-and-recovery/
