ICD-10: M75.5

Bursitis of the shoulder, classified under ICD-10 code M75.5, is a common condition characterized by inflammation of the bursa, a small fluid-filled sac that acts as a cushion between bones and soft tissues. This condition can lead to pain, swelling, and restricted movement in the shoulder joint, significantly impacting daily activities and quality of life.

Clinical Description

Definition and Pathophysiology

Bursitis occurs when the bursa becomes inflamed, often due to repetitive motion, trauma, or underlying conditions such as arthritis. In the shoulder, the subacromial bursa is most commonly affected, leading to pain during overhead activities and at rest. The inflammation can result from acute injuries or chronic overuse, particularly in individuals engaged in sports or occupations that require repetitive shoulder movements.

Symptoms

Patients with shoulder bursitis typically present with:
- Pain: Often localized to the outer shoulder and may radiate down the arm. Pain is usually exacerbated by movement, especially overhead activities.
- Swelling: The affected area may appear swollen or tender to the touch.
- Limited Range of Motion: Patients may experience difficulty lifting the arm or performing daily tasks due to pain and stiffness.
- Crepitus: A sensation of grinding or popping may be felt during shoulder movement.

Diagnosis

Diagnosis of shoulder bursitis is primarily clinical, based on the patient's history and physical examination. Imaging studies, such as X-rays or MRI, may be utilized to rule out other conditions, such as rotator cuff tears or fractures, and to assess the extent of inflammation.

Treatment

Management of bursitis of the shoulder typically includes:
- Rest and Activity Modification: Avoiding activities that exacerbate symptoms is crucial for recovery.
- Physical Therapy: Strengthening and stretching exercises can help restore function and reduce pain.
- Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) are commonly prescribed to alleviate pain and inflammation.
- Corticosteroid Injections: In cases of severe inflammation, corticosteroid injections may be administered to provide rapid relief.
- Surgery: Rarely, surgical intervention may be necessary if conservative treatments fail, particularly in cases of chronic bursitis or when there is significant structural damage.

Conclusion

ICD-10 code M75.5 for bursitis of the shoulder encapsulates a condition that can significantly affect an individual's mobility and quality of life. Early diagnosis and appropriate management are essential to alleviate symptoms and restore function. Understanding the clinical presentation and treatment options is vital for healthcare providers to effectively address this common musculoskeletal issue.

Bursitis of the shoulder, classified under ICD-10 code M75.5, is a common condition that involves inflammation of the bursa, a small fluid-filled sac that acts as a cushion between bones and soft tissues. Understanding the clinical presentation, signs, symptoms, and patient characteristics associated with this condition is crucial for effective diagnosis and management.

Clinical Presentation

Signs and Symptoms

Patients with shoulder bursitis typically present with a range of symptoms that can vary in intensity. Common signs and symptoms include:

• Pain: The most prominent symptom, often described as a dull ache or sharp pain, particularly when moving the arm. Pain may worsen with overhead activities or when lying on the affected shoulder[1].
• Swelling: Localized swelling may occur around the shoulder joint, indicating inflammation of the bursa[1].
• Limited Range of Motion: Patients often experience stiffness and reduced mobility in the shoulder, making it difficult to perform daily activities such as reaching or lifting[1][2].
• Tenderness: The area over the bursa may be tender to touch, and patients may flinch when pressure is applied[2].
• Crepitus: A sensation of grinding or popping may be felt during shoulder movement, which can indicate underlying joint issues[1].

Patient Characteristics

Certain demographic and lifestyle factors can influence the likelihood of developing shoulder bursitis:

• Age: Bursitis is more common in individuals aged 40 and older, as the risk of degenerative changes in the shoulder increases with age[2].
• Occupation: Jobs that require repetitive overhead movements or heavy lifting, such as construction work or certain sports, can predispose individuals to shoulder bursitis[1][2].
• Previous Injuries: A history of shoulder injuries or conditions, such as rotator cuff tears, can increase the risk of developing bursitis[1].
• Comorbidities: Conditions such as diabetes, rheumatoid arthritis, or other inflammatory diseases may also contribute to the development of bursitis due to systemic inflammation[2].

Diagnosis

Diagnosis of shoulder bursitis typically involves a combination of patient history, physical examination, and imaging studies. Physicians may assess the range of motion, perform specific tests to elicit pain, and may order ultrasound or MRI to confirm inflammation of the bursa and rule out other shoulder pathologies[1][2].

Conclusion

Shoulder bursitis (ICD-10 code M75.5) is characterized by pain, swelling, and limited mobility, primarily affecting middle-aged and older adults, particularly those engaged in repetitive overhead activities. Understanding the clinical presentation and patient characteristics is essential for timely diagnosis and effective management, which may include rest, physical therapy, and in some cases, corticosteroid injections to reduce inflammation. Early intervention can help prevent chronic issues and improve patient outcomes.

Bursitis of the shoulder, classified under ICD-10 code M75.5, is a condition characterized by inflammation of the bursa in the shoulder joint. This condition can be referred to by various alternative names and related terms, which can help in understanding its clinical context and implications.

Alternative Names for Bursitis of Shoulder

1. Shoulder Bursitis: This is a straightforward term that directly describes the condition, emphasizing the location (shoulder) and the type of inflammation (bursitis).

2. Subacromial Bursitis: This term specifies the location of the bursa that is commonly affected in shoulder bursitis, which is situated beneath the acromion of the shoulder blade.

3. Rotator Cuff Bursitis: This name highlights the relationship between the bursitis and the rotator cuff, a group of muscles and tendons that stabilize the shoulder joint.

4. Shoulder Impingement Syndrome: While not synonymous, this term is often associated with bursitis of the shoulder, as inflammation of the bursa can contribute to impingement of the rotator cuff tendons.

5. Acromial Bursitis: Similar to subacromial bursitis, this term refers to inflammation of the bursa located near the acromion.

Related Terms

1. Shoulder Pain: A broader term that encompasses various conditions affecting the shoulder, including bursitis.

2. Tendinitis: Often related to bursitis, tendinitis refers to inflammation of the tendons around the shoulder, which can occur concurrently with bursitis.

3. Shoulder Lesions: This term includes various pathological changes in the shoulder, including bursitis, tendinitis, and other injuries.

4. Inflammatory Shoulder Conditions: A general category that includes bursitis, tendinitis, and other inflammatory disorders affecting the shoulder joint.

5. Chronic Shoulder Pain: This term may be used when bursitis becomes a long-term issue, leading to persistent discomfort and functional limitations.

Understanding these alternative names and related terms can aid healthcare professionals in diagnosing and discussing shoulder bursitis more effectively, as well as in differentiating it from other shoulder-related conditions.

Bursitis of the shoulder, classified under ICD-10 code M75.5, is a common condition characterized by inflammation of the bursa, a small fluid-filled sac that reduces friction between tissues in the shoulder joint. Diagnosing this condition involves a combination of clinical evaluation, patient history, and imaging studies. Below are the key criteria and considerations used in the diagnosis of shoulder bursitis.

Clinical Evaluation

Symptoms

Patients typically present with specific symptoms that guide the diagnosis:
- Pain: Often localized to the shoulder, particularly during movement or at rest.
- Swelling: May be observed around the shoulder joint.
- Limited Range of Motion: Difficulty in raising the arm or performing overhead activities.
- Tenderness: Pain upon palpation of the shoulder area, especially over the bursa.

Physical Examination

A thorough physical examination is crucial:
- Range of Motion Tests: Assessing both active and passive movements to identify limitations.
- Special Tests: Specific maneuvers, such as the Neer test or Hawkins-Kennedy test, can help elicit pain indicative of bursitis.

Patient History

Gathering a comprehensive patient history is essential:
- Previous Injuries: History of trauma or repetitive strain to the shoulder.
- Occupational Factors: Activities that involve overhead motions or heavy lifting may contribute to the condition.
- Medical History: Conditions such as rheumatoid arthritis or diabetes that may predispose individuals to bursitis.

Imaging Studies

While not always necessary, imaging can support the diagnosis:
- X-rays: To rule out other conditions such as fractures or arthritis.
- Ultrasound: Can visualize the bursa and assess for fluid accumulation or inflammation.
- MRI: Provides detailed images of soft tissues and can confirm the presence of bursitis and rule out other shoulder pathologies.

Differential Diagnosis

It is important to differentiate shoulder bursitis from other conditions that may present similarly:
- Rotator Cuff Injuries: Tendonitis or tears can mimic bursitis symptoms.
- Shoulder Impingement Syndrome: Overlapping symptoms necessitate careful evaluation.
- Arthritis: Both osteoarthritis and inflammatory arthritis can cause shoulder pain.

Conclusion

The diagnosis of shoulder bursitis (ICD-10 code M75.5) relies on a combination of clinical symptoms, physical examination findings, patient history, and, when necessary, imaging studies. Accurate diagnosis is crucial for effective management and treatment, which may include rest, physical therapy, corticosteroid injections, or, in severe cases, surgical intervention. Understanding these criteria helps healthcare providers deliver appropriate care and improve patient outcomes.

Bursitis of the shoulder, classified under ICD-10 code M75.5, is a common condition characterized by inflammation of the bursa, a small fluid-filled sac that reduces friction between tissues in the shoulder joint. Understanding the standard treatment approaches for this condition is essential for effective management and recovery.

Overview of Bursitis of the Shoulder

Bursitis can result from repetitive overhead activities, trauma, or underlying conditions such as arthritis. Symptoms typically include pain, swelling, and limited range of motion in the shoulder, which can significantly impact daily activities and quality of life[1][2].

Standard Treatment Approaches

1. Rest and Activity Modification

One of the first steps in treating shoulder bursitis is to rest the affected shoulder. Patients are advised to avoid activities that exacerbate the pain, particularly overhead movements. Modifying daily activities to reduce strain on the shoulder can help alleviate symptoms and promote healing[3].

2. Ice Therapy

Applying ice packs to the shoulder can help reduce inflammation and numb the pain. It is generally recommended to apply ice for 15-20 minutes every few hours, especially during the initial stages of treatment[4]. This method is particularly effective in the acute phase of bursitis.

3. Medications

• Nonsteroidal Anti-Inflammatory Drugs (NSAIDs): Over-the-counter medications such as ibuprofen or naproxen can help reduce pain and inflammation associated with bursitis[5]. These should be taken as directed and can be effective for short-term relief.
• Corticosteroid Injections: In cases where pain persists despite conservative treatment, corticosteroid injections may be administered directly into the bursa. This can provide significant relief and reduce inflammation[6].

4. Physical Therapy

Engaging in physical therapy is crucial for recovery. A physical therapist can design a tailored exercise program that focuses on:
- Strengthening: Building strength in the shoulder muscles to support the joint.
- Stretching: Improving flexibility and range of motion.
- Manual Therapy: Techniques to relieve pain and improve function[7].

5. Surgical Intervention

In rare cases where conservative treatments fail to provide relief, surgical options may be considered. This could involve:
- Bursectomy: Removal of the inflamed bursa.
- Debridement: Cleaning out any damaged tissue in the shoulder joint[8].

Surgery is typically a last resort and is only recommended after thorough evaluation and consideration of the patient's overall health and activity level.

Conclusion

The management of shoulder bursitis (ICD-10 code M75.5) primarily involves conservative treatment strategies, including rest, ice therapy, medications, and physical therapy. While most patients respond well to these approaches, ongoing symptoms may necessitate further evaluation and potential surgical options. Early intervention and adherence to treatment protocols are key to achieving optimal recovery and restoring shoulder function. If symptoms persist or worsen, it is essential to consult a healthcare professional for a comprehensive assessment and tailored treatment plan[9].