T Nation

Treating Bursitis/Tendonitis

I’ve had my doctor diagnose this in about october. I’ve been doing physio 3/week since late october and it still hurts. I just got a cortisone shot last week and I can still feel a bit of the pain. the day after, it hurt like hell, I took an anti-inflammatory and it settled again.
I have no ideas how to fix this. Any ideas guys?

rest, its the best you can do, ice it, regular massage helps a lot, also try and get a persciption anti inflammatory (celebrex works really well)

If its bursitis, take at least six months off and then come back really slowly, sorry.

Just coming off real bad case of shoulder (rotator cuff) tendonitis. Quit pressing & shoulder work for 3 months with limited improvement. Got shot, helped alot.

Then 2 months of very limited pressing with neutral grip, eliminated any movement that irritated (except back squats). 3 days a week did lateral & front raises, external rotations, wall slides, broomstick shoulder rotations (with miniband), strech out pecs/lats. 2 sets of 30 to 50 reps.

Shoulders now 95%,pressing again. (will continue with above as pre-hab) Slowly reintroducing direct shoulder work.

[quote]mortune wrote:
I’ve had my doctor diagnose this in about october. I’ve been doing physio 3/week since late october and it still hurts. I just got a cortisone shot last week and I can still feel a bit of the pain. the day after, it hurt like hell, I took an anti-inflammatory and it settled again.
I have no ideas how to fix this. Any ideas guys?[/quote]

Which is it tendonitis or bursitis?

It would be helpful if you mentioned the location of the problem. But in general, if it’s a tendinosis, you’ll need to unload the tendon for a couple of weeks then gradually reload it, starting with very light eccentric loading with a passive concentric phase. Increase reps first, then gradually increase weight. There may be mild pain during reloading, but it should dissipate in less than 2 hours. If it is a bursitis or tendinitis it should have resolved by now with PT. Did you follow all the recommendations of the therapist?