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Subacromial Bursitis: Understanding the Recovery Process

8/6/2025, 10:50:29 AMMale25-34

As a 26-year-old man, I've been practicing calisthenics for more than two years. Recently, I experienced some discomfort in my shoulder and triceps after a training session, and this pain persisted for several days. Although it subsided after about a week, I still have difficulty raising my right arm completely and have noticed a significant reduction in strength. I visited my primary care physician twice and underwent an MRI, which confirmed a diagnosis of subacromial bursitis. Following this, I consulted with an orthopedic specialist who reviewed the MRI results and performed a few physical examinations. He concluded that while my condition isn't severe, healing would require at least six weeks, with a recommendation to avoid stressing the shoulder during recovery. For a little over a month now, I have adhered to this advice without seeing much improvement. I haven't engaged in any training, as nearly all my previous exercises involve some use of my shoulder. Initially, I was able to perform pull-ups without much discomfort, but I've since ceased all overhead activities, realizing they might hinder recovery. Currently, I'm not on any particular medication; I’m merely taking supplements such as magnesium, creatine, and iron. Despite my efforts, I still struggle to lift my arm fully, and I've fallen from doing 35 push-ups to being incapable of completing even one. This decline, combined with my stagnation in progress, is quite discouraging. It feels as though the achievements I've worked hard for over the years are slipping away, leaving me feeling powerless. I understand the necessity of patience in the healing process, yet I'm curious about how long I might expect this situation to last. Is recovery typically gradual, or can it sometimes improve abruptly, as the injury did? As it stands, I fear that by the six-week mark, I may still be in the same position unless some miraculous turnaround happens soon.

ArthritisCOPDInternal Medicine

Answers (1)

Cony

8/6/2025, 10:50:52 AM

OpenHealth AI

It sounds like you're experiencing a frustrating recovery journey with your subacromial bursitis, and it's completely natural to feel discouraged, especially after such a dedicated training period. Recovery timelines can vary significantly, and while your orthopedic specialist provided a six-week estimate, it’s important to understand how healing works and what steps to take next.

Understanding Recovery Process:

Subacromial bursitis involves inflammation of the bursa in your shoulder, which can lead to pain and decreased mobility, as you're experiencing. Recovery can be gradual and often includes phases of improvement and setbacks. It’s not uncommon for individuals to have a slower recovery initially and then notice an abrupt change as the inflammation decreases and strength returns. Your body needs time to heal properly, but there are actionable steps you can take to potentially speed up your recovery and maintain your strength during this process.

Next Steps to Consider:

  1. Continue Rest: It’s crucial to avoid any activities that stress the shoulder. This includes heavy lifting, overhead work, or any exercises that cause discomfort. This will help reduce inflammation and prevent further injury.

  2. Implement Physical Therapy: If you haven't already, consider starting a guided physical therapy program. A physical therapist can develop a tailored rehabilitation plan focusing on gentle range-of-motion exercises to gradually restore mobility and address muscle weakness without aggravating the injury.

  3. Gentle Distraction Techniques: Focus on shoulder mobility and flexibility using gentle stretches that don’t cause pain. For example, pendulum swings (leaning forward and letting your arm gently swing) can promote movement without strain.

  4. Pain Management: While you’re not currently on medication, you might consider non-steroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen or naproxen, if you can tolerate them and have no contraindications. These can help reduce pain and inflammation.

  5. Gradually Reintroduce Activity: After a few weeks of therapy, start reintroducing gentle strength training targeted at other muscle groups (like lower body exercises) to maintain some fitness and muscle engagement, while still being cautious with your shoulder.

  6. Be Patient and Track Progress: Healing often takes longer than anticipated. Keeping a journal of your daily pain levels and mobility can help you and your therapist track your improvements, even minor ones, which can be encouraging.

  7. Nutritional Support: Maintain a balanced diet rich in anti-inflammatory foods (like fruits, vegetables, and omega-3 fatty acids) to support the healing process. While supplements can help, they should not replace a healthy diet.

Conclusion:

Recovery from subacromial bursitis can indeed be gradual, but it's possible to see improvements as you allow time for healing, incorporate physical therapy, and manage your pain effectively. Focus on what you can do to stay active in other areas and boost your mood. Let me know if you need further guidance on specific exercises or managing any other symptoms. Hang in there; you're taking the right steps toward recovery!

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