ICD-10: M75.51

Bursitis of the right shoulder, classified under ICD-10-CM code M75.51, is a condition characterized by inflammation of the bursa located in the shoulder joint. The bursa is a small, fluid-filled sac that acts as a cushion between bones and soft tissues, reducing friction and allowing for smooth movement. When the bursa becomes inflamed, it can lead to pain, swelling, and restricted movement in the shoulder.

Clinical Presentation

Symptoms

Patients with bursitis of the right shoulder typically present with the following symptoms:
- Pain: Often localized to the shoulder area, the pain may radiate down the arm or up into the neck. It can be sharp or aching and is usually exacerbated by movement.
- Swelling: There may be noticeable swelling around the shoulder joint due to inflammation.
- Limited Range of Motion: Patients may experience difficulty in raising the arm or performing overhead activities.
- Tenderness: The affected area may be tender to touch, particularly over the bursa.

Causes

Bursitis can result from various factors, including:
- Repetitive Motion: Activities that involve repetitive overhead movements, such as swimming or painting, can irritate the bursa.
- Injury: Trauma to the shoulder, such as a fall or direct impact, can lead to bursitis.
- Underlying Conditions: Conditions like rheumatoid arthritis or gout can predispose individuals to bursitis due to increased inflammation.

Diagnosis

Clinical Evaluation

Diagnosis typically involves a thorough clinical evaluation, including:
- Medical History: A detailed history of symptoms, activities, and any previous shoulder injuries.
- Physical Examination: Assessment of pain, swelling, and range of motion in the shoulder.

Imaging Studies

In some cases, imaging studies may be utilized to confirm the diagnosis or rule out other conditions:
- X-rays: To check for bone spurs or other abnormalities.
- Ultrasound or MRI: These imaging modalities can provide detailed views of the bursa and surrounding structures, helping to assess the extent of inflammation.

Treatment

Conservative Management

Initial treatment often focuses on conservative measures, including:
- Rest: Avoiding activities that exacerbate symptoms.
- Ice Therapy: Applying ice packs to reduce swelling and pain.
- Nonsteroidal Anti-Inflammatory Drugs (NSAIDs): Medications like ibuprofen or naproxen can help alleviate pain and inflammation.

Physical Therapy

Physical therapy may be recommended to improve shoulder strength and flexibility, which can aid in recovery and prevent future episodes.

Injections

In cases where conservative treatment is ineffective, corticosteroid injections into the bursa may be considered to reduce inflammation.

Surgery

Surgical intervention is rarely required but may be necessary in chronic cases where conservative measures fail, or if there are structural issues contributing to the bursitis.

Prognosis

The prognosis for bursitis of the right shoulder is generally favorable, with most patients experiencing significant improvement with appropriate treatment. However, recovery time can vary based on the severity of the condition and adherence to treatment protocols.

In summary, ICD-10 code M75.51 encapsulates the clinical aspects of bursitis of the right shoulder, highlighting its symptoms, causes, diagnostic approaches, and treatment options. Understanding this condition is crucial for effective management and recovery.

Bursitis of the right shoulder, classified under ICD-10 code M75.51, 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. 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 bursitis of the right shoulder typically present with a range of signs and symptoms, which may include:

• Pain: The most prominent symptom is localized pain in the shoulder, which may radiate down the arm. The pain often worsens with movement, particularly overhead activities or lifting[1].
• Swelling: There may be noticeable swelling around the shoulder joint due to inflammation of the bursa[1].
• Limited Range of Motion: Patients often experience stiffness and a reduced range of motion in the shoulder, making it difficult to perform daily activities[1][2].
• Tenderness: The area over the affected bursa may be tender to touch, and patients may flinch when pressure is applied[1].
• Warmth and Redness: In some cases, the skin over the affected area may appear warm and red, indicating inflammation[1].

Functional Impairment

Patients may report difficulty with specific movements, such as reaching behind the back or lifting objects overhead. This functional impairment can significantly impact daily activities and quality of life[2].

Patient Characteristics

Demographics

Bursitis of the right shoulder can affect individuals across various demographics, but certain characteristics are more commonly observed:

• Age: It is more prevalent in middle-aged and older adults, particularly those over 40 years of age, due to degenerative changes in the shoulder joint[2].
• Gender: While both men and women can be affected, some studies suggest a higher incidence in males, particularly those engaged in manual labor or sports[2][3].
• Occupation: Individuals with occupations that require repetitive overhead movements, such as construction workers, athletes, and musicians, are at a higher risk of developing shoulder bursitis[3].

Comorbidities

Patients with certain underlying conditions may be more susceptible to bursitis, including:

• Diabetes: Individuals with diabetes may experience a higher incidence of shoulder problems, including bursitis[2].
• Obesity: Excess body weight can contribute to increased stress on the shoulder joints, leading to inflammation[2].
• Previous Injuries: A history of shoulder injuries or surgeries can predispose individuals to bursitis due to altered biomechanics or scar tissue formation[3].

Conclusion

Bursitis of the right shoulder (ICD-10 code M75.51) is characterized by pain, swelling, and limited range of motion, significantly affecting patients' daily lives. Understanding the clinical presentation and patient characteristics is essential for healthcare providers to diagnose and manage this condition effectively. Early intervention, including rest, physical therapy, and, in some cases, corticosteroid injections, can help alleviate symptoms and restore function.

When discussing the ICD-10 code M75.51, which specifically refers to "Bursitis of right shoulder," it is helpful to understand the alternative names and related terms that are commonly associated with this condition. Below is a detailed overview of these terms.

Alternative Names for Bursitis of Right Shoulder

1. Subacromial Bursitis: This term is often used interchangeably with bursitis of the shoulder, particularly when referring to inflammation of the bursa located beneath the acromion, which is a bony prominence on the shoulder blade.

2. Shoulder Bursitis: A more general term that encompasses bursitis affecting any of the bursae in the shoulder region, including the right shoulder.

3. Rotator Cuff Bursitis: This term highlights the relationship between bursitis and the rotator cuff, a group of muscles and tendons that stabilize the shoulder joint. Inflammation of the bursa can often occur alongside rotator cuff injuries.

4. Shoulder Impingement Syndrome: While not synonymous, this term is related as it describes a condition where the shoulder tendons are intermittently trapped and compressed during shoulder movements, often associated with bursitis.

5. Acute Bursitis of the Shoulder: This term may be used to specify a recent onset of bursitis, distinguishing it from chronic cases.

Related Terms and Concepts

1. Bursa: A small fluid-filled sac that acts as a cushion between bones and tendons or muscles around joints. In the shoulder, several bursae can become inflamed, leading to bursitis.

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

3. Shoulder Pain: A broader term that encompasses various conditions affecting the shoulder, including bursitis, tendinitis, and other musculoskeletal issues.

4. Shoulder Inflammation: This term can refer to any inflammatory condition affecting the shoulder, including bursitis and tendinitis.

5. Chronic Bursitis: Refers to long-standing inflammation of the bursa, which may require different management strategies compared to acute cases.

6. ICD-10 Code M75.5: This is the broader category for bursitis of the shoulder, which includes various types of shoulder bursitis, not limited to the right side.

Understanding these alternative names and related terms can aid in better communication among healthcare professionals and enhance patient education regarding the condition. It is essential to accurately diagnose and code for bursitis to ensure appropriate treatment and management strategies are implemented.

The diagnosis of bursitis of the right shoulder, classified under ICD-10 code M75.51, involves a combination of clinical evaluation, patient history, and specific diagnostic criteria. Here’s a detailed overview of the criteria used for diagnosing this condition.

Clinical Presentation

Symptoms

Patients typically present with the following symptoms:
- Pain: Localized pain in the shoulder, which may worsen with movement or pressure.
- Swelling: Inflammation and swelling around the shoulder joint.
- Limited Range of Motion: Difficulty in moving the shoulder, particularly in overhead activities.
- Tenderness: Tenderness upon palpation of the affected area.

History

A thorough patient history is essential, including:
- Duration of Symptoms: Understanding how long the symptoms have been present.
- Activity Level: Inquiry about recent activities that may have contributed to the condition, such as repetitive overhead movements or trauma.
- Previous Injuries: Any history of shoulder injuries or surgeries that could predispose the patient to bursitis.

Physical Examination

Inspection and Palpation

• Visual Inspection: Look for signs of swelling, redness, or deformity in the shoulder area.
• Palpation: Assess for tenderness over the bursa, typically located on the outer aspect of the shoulder.

Range of Motion Tests

• Active and Passive Range of Motion: Evaluate the shoulder's range of motion to identify limitations and pain during specific movements.

Diagnostic Imaging

Imaging Studies

While not always necessary, imaging can aid in 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: May be used in complex cases to evaluate soft tissue structures around the shoulder.

Differential Diagnosis

It is crucial to differentiate bursitis from other shoulder conditions, such as:
- Rotator Cuff Injuries: These can present similarly but may involve different treatment approaches.
- Tendinitis: Inflammation of the tendons can mimic bursitis symptoms.
- Arthritis: Osteoarthritis or rheumatoid arthritis can also cause shoulder pain and swelling.

Conclusion

The diagnosis of bursitis of the right shoulder (ICD-10 code M75.51) is based on a combination of clinical symptoms, patient history, physical examination findings, and, when necessary, imaging studies. Accurate diagnosis is essential for effective treatment and management of the condition, which may include rest, physical therapy, corticosteroid injections, or, in severe cases, surgical intervention. If you suspect bursitis, consulting a healthcare professional for a comprehensive evaluation is recommended.

Bursitis of the right shoulder, classified under ICD-10 code M75.51, 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 Right Shoulder

Bursitis can result from repetitive motion, injury, 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. Conservative Management

Most cases of shoulder bursitis can be effectively managed with conservative treatment options, which include:

• Rest: Avoiding activities that exacerbate the pain is crucial. This may involve modifying or temporarily halting certain movements or sports[3].

• Ice Therapy: Applying ice packs to the affected area for 15-20 minutes several times a day can help reduce swelling and alleviate pain[4].

• Nonsteroidal Anti-Inflammatory Drugs (NSAIDs): Over-the-counter medications such as ibuprofen or naproxen can help relieve pain and reduce inflammation[5].

2. Physical Therapy

Engaging in physical therapy is often recommended to improve shoulder mobility and strength. A physical therapist can design a tailored exercise program that focuses on:

• Stretching: Gentle stretching exercises can help maintain flexibility in the shoulder joint[6].

• Strengthening: Strengthening exercises for the shoulder and surrounding muscles can provide better support and reduce the risk of future injuries[7].

3. Corticosteroid Injections

In cases where pain persists despite conservative treatment, corticosteroid injections may be considered. These injections can provide significant relief by reducing inflammation directly in the bursa[8]. However, they are typically used sparingly due to potential side effects with repeated use.

4. Surgical Intervention

Surgery is rarely required for bursitis but may be considered in chronic cases that do not respond to other treatments. Surgical options can include:

• Bursectomy: Removal of the inflamed bursa to alleviate pain and restore function[9].

• Arthroscopy: A minimally invasive procedure to clean out the shoulder joint and remove any debris or inflamed tissue[10].

5. Lifestyle Modifications

Incorporating lifestyle changes can also aid in the management of shoulder bursitis:

• Ergonomic Adjustments: Modifying workstations or activity techniques to reduce strain on the shoulder can prevent recurrence[11].

• Weight Management: Maintaining a healthy weight can reduce stress on the joints, including the shoulders[12].

Conclusion

Bursitis of the right shoulder (ICD-10 code M75.51) can be effectively managed through a combination of conservative treatments, physical therapy, and, in some cases, more invasive procedures. Early intervention and adherence to treatment protocols are key to alleviating symptoms and preventing recurrence. If symptoms persist or worsen, it is essential to consult a healthcare professional for further evaluation and tailored treatment options.