ICD-10: M75.52

Bursitis of the left shoulder, classified under ICD-10-CM code M75.52, is a condition characterized by inflammation of the bursa, a small fluid-filled sac that acts as a cushion between bones and soft tissues in the shoulder joint. This condition can lead to pain, swelling, and restricted movement in the affected shoulder.

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, which can lead to pain during overhead activities and difficulty with arm movements. The inflammation can result from acute injuries or chronic overuse, making it a common ailment among athletes and individuals engaged in repetitive shoulder activities[2][6].

Symptoms

Patients with bursitis of the left shoulder typically present with:
- Localized Pain: Pain is often felt on the outer side of the shoulder and may radiate down the arm. It can be sharp or aching and is usually exacerbated by movement.
- Swelling and Tenderness: The affected area may appear swollen and tender to touch.
- Limited Range of Motion: Patients may experience difficulty lifting the arm or performing overhead activities due to pain and stiffness.
- Night Pain: Symptoms may worsen at night, particularly when lying on the affected shoulder[3][9].

Diagnosis

Diagnosis of bursitis of the left shoulder involves a combination of:
- Clinical Examination: A thorough physical examination to assess pain, swelling, and range of motion.
- Imaging Studies: X-rays may be used to rule out other conditions, while ultrasound or MRI can provide detailed images of the bursa and surrounding structures to confirm inflammation[4][6].

Treatment Options

Conservative Management

Initial treatment typically 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 such as ibuprofen or naproxen can help alleviate pain and inflammation.
- Physical Therapy: A structured rehabilitation program may be recommended to improve strength and flexibility in the shoulder[2][9].

Invasive Treatments

If conservative treatments fail, more invasive options may be considered:
- Corticosteroid Injections: Injecting corticosteroids into the bursa can provide significant relief from inflammation and pain.
- Surgery: In rare cases, surgical intervention may be necessary to remove the inflamed bursa or to address any underlying structural issues in the shoulder joint[6][10].

Prognosis

The prognosis for bursitis of the left shoulder is generally favorable, especially with early intervention and adherence to treatment protocols. Most patients experience significant improvement within weeks to months, although some may have recurrent symptoms, particularly if they return to activities that caused the initial inflammation[3][6].

In summary, ICD-10 code M75.52 represents a common yet manageable condition that can significantly impact a patient's quality of life. Early diagnosis and appropriate treatment are crucial for effective recovery and return to normal activities.

Bursitis of the left shoulder, classified under ICD-10 code M75.52, 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 left shoulder bursitis typically present with a range of signs and symptoms, which may include:

• Pain: The most prominent symptom is pain in the left shoulder, which may be localized or radiate to the upper 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].
• Tenderness: The area around the shoulder may be tender to touch, particularly over the bursa[1].
• Warmth and Redness: In some cases, the skin over the affected area may appear warm and red, indicating inflammation[1].

Patient Characteristics

Certain patient characteristics may predispose individuals to develop bursitis of the left shoulder:

• Age: Bursitis is more common in middle-aged and older adults, as the risk of degenerative changes in the shoulder increases with age[1].
• Occupational Factors: Individuals engaged in repetitive overhead activities or heavy lifting, such as construction workers or athletes, are at a higher risk[1][2].
• Previous Injuries: A history of shoulder injuries or trauma can increase susceptibility to bursitis[1].
• Comorbid Conditions: Conditions such as diabetes, rheumatoid arthritis, or gout may also contribute to the development of bursitis due to systemic inflammation[1][2].

Diagnosis

Diagnosis of left shoulder bursitis typically involves a combination of clinical evaluation and imaging studies. Physicians may perform a physical examination to assess pain, range of motion, and tenderness. Imaging techniques, such as ultrasound or MRI, can help confirm the diagnosis by visualizing inflammation of the bursa and ruling out other shoulder pathologies[1][2].

Conclusion

Bursitis of the left shoulder (ICD-10 code M75.52) is characterized by pain, swelling, and limited range of motion, primarily affecting middle-aged and older adults, particularly those with occupational risk factors or previous shoulder injuries. Accurate diagnosis and understanding of the clinical presentation are essential for effective management and treatment of this condition. If you suspect bursitis, consulting a healthcare professional for a thorough evaluation and appropriate management plan is advisable.

Bursitis of the left shoulder, classified under the ICD-10-CM code M75.52, is a specific condition characterized by inflammation of the bursa in the shoulder joint. Understanding alternative names and related terms can enhance clarity in medical documentation and communication. Below are some alternative names and related terms associated with this condition.

Alternative Names for Bursitis of the Left Shoulder

1. Left Shoulder Bursitis: A straightforward alternative that specifies the location of the bursitis.
2. Subacromial Bursitis: This term refers to inflammation of the bursa located beneath the acromion, which is a common site for shoulder bursitis.
3. Shoulder Bursa Inflammation: A more general term that describes the inflammation of the bursa in the shoulder region.
4. Left Shoulder Subdeltoid Bursitis: This specifies inflammation of the subdeltoid bursa, which is another common site for bursitis in the shoulder.
5. Left Shoulder Pain due to Bursitis: This term emphasizes the symptomatology associated with the condition.

Related Terms

1. Shoulder Impingement Syndrome: Often associated with bursitis, this condition occurs when shoulder tendons are intermittently trapped or compressed during shoulder movements.
2. Rotator Cuff Tendinitis: This condition can coexist with bursitis and involves inflammation of the rotator cuff tendons, often leading to similar symptoms.
3. Shoulder Tendinopathy: A broader term that encompasses various tendon-related issues in the shoulder, which may include bursitis as a contributing factor.
4. Acute Bursitis: Refers to a sudden onset of bursitis, which can occur in the shoulder.
5. Chronic Bursitis: This term describes long-standing inflammation of the bursa, which may be recurrent or persistent.

Conclusion

Understanding the alternative names and related terms for ICD-10 code M75.52 is essential for accurate diagnosis, treatment, and documentation in clinical settings. These terms not only facilitate better communication among healthcare professionals but also enhance patient understanding of their condition. If you need further information on treatment options or management strategies for bursitis, feel free to ask!

Bursitis of the left shoulder, classified under ICD-10-CM code M75.52, is a condition characterized by inflammation of the bursa, a small fluid-filled sac that acts as a cushion between bones and soft tissues. The diagnosis of bursitis, particularly in the shoulder, involves several criteria and clinical evaluations. Here’s a detailed overview of the diagnostic criteria and considerations for M75.52.

Clinical Presentation

Symptoms

Patients typically present with:
- Pain: Localized pain in the shoulder, which may radiate down the arm.
- Swelling: Noticeable swelling around the shoulder joint.
- Limited Range of Motion: Difficulty in moving the shoulder, especially during overhead activities.
- Tenderness: Tenderness upon palpation of the affected area.

History

A thorough medical history is essential, including:
- Onset of Symptoms: Understanding whether the pain is acute or chronic.
- Activity Level: Any recent activities that may have contributed to the condition, such as repetitive overhead movements or trauma.
- Previous Injuries: History of shoulder injuries or surgeries.

Physical Examination

Inspection and Palpation

• Visual Inspection: Look for signs of swelling, redness, or deformity.
• Palpation: Assess for tenderness over the bursa, typically located above the shoulder joint.

Range of Motion Tests

• Active and Passive Range of Motion: Evaluate the shoulder's movement capabilities. Pain during specific movements can indicate bursitis.

Diagnostic Imaging

X-rays

• While X-rays do not show bursitis directly, they can help rule out other conditions such as fractures or arthritis.

MRI or Ultrasound

• These imaging modalities can provide a clearer view of the soft tissues and confirm the presence of inflammation in the bursa.

Differential Diagnosis

It is crucial to differentiate bursitis from other shoulder conditions, such as:
- Rotator Cuff Injuries: These can present similarly but involve different structures.
- Tendinitis: Inflammation of the tendons around the shoulder.
- Arthritis: Inflammatory joint diseases that may mimic bursitis symptoms.

Laboratory Tests

In some cases, blood tests may be conducted to rule out systemic inflammatory conditions, although they are not routinely required for diagnosing bursitis.

Conclusion

The diagnosis of bursitis of the left shoulder (ICD-10 code M75.52) is primarily clinical, based on patient history, physical examination, and imaging studies when necessary. Accurate diagnosis is essential for effective treatment, which may include rest, physical therapy, corticosteroid injections, or, in severe cases, surgical intervention. Understanding these criteria helps healthcare providers ensure appropriate management of the condition and improve patient outcomes.

Bursitis of the left shoulder, classified under ICD-10 code M75.52, is a common condition characterized by inflammation of the bursa, a small fluid-filled sac that reduces friction between tissues in the shoulder joint. This condition can lead to pain, swelling, and limited mobility, significantly affecting daily activities. Understanding the standard treatment approaches for this condition is essential for effective management and recovery.

Initial Assessment and Diagnosis

Before initiating treatment, a thorough assessment is crucial. This typically involves:

• Medical History: Gathering information about the patient's symptoms, duration, and any previous shoulder injuries or conditions.
• Physical Examination: Evaluating the range of motion, tenderness, and swelling in the shoulder area.
• Imaging Studies: X-rays or MRI may be utilized to rule out other conditions, such as rotator cuff tears or fractures, and to confirm the diagnosis of bursitis[1][2].

Conservative Treatment Approaches

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

1. Rest and Activity Modification

• Rest: Avoiding activities that exacerbate the pain is crucial. This may involve temporary cessation of sports or repetitive overhead movements.
• Activity Modification: Adjusting daily activities to minimize strain on the shoulder can help reduce symptoms.

2. Ice Therapy

• Cold Compresses: Applying ice packs to the affected area for 15-20 minutes several times a day can help reduce inflammation and alleviate pain[3].

3. Medications

• Nonsteroidal Anti-Inflammatory Drugs (NSAIDs): Over-the-counter medications like ibuprofen or naproxen can help reduce pain and inflammation.
• Corticosteroids: In some cases, a doctor may prescribe oral corticosteroids or recommend an injection of corticosteroids directly into the bursa to provide more immediate relief[4].

4. Physical Therapy

• Rehabilitation Exercises: A physical therapist can design a tailored exercise program to improve shoulder strength and flexibility, which is vital for recovery.
• Manual Therapy: Techniques such as massage or mobilization may also be beneficial in reducing pain and improving function[5].

Advanced Treatment Options

If conservative treatments fail to provide relief after several weeks, more advanced interventions may be considered:

1. Aspiration

• Bursal Aspiration: In cases of significant swelling, a healthcare provider may perform a procedure to drain excess fluid from the bursa, which can relieve pressure and pain[6].

2. Surgical Intervention

• Surgery: If bursitis is chronic and does not respond to other treatments, surgical options such as bursectomy (removal of the bursa) may be considered. This is typically a last resort after all other treatments have been exhausted[7].

Conclusion

Bursitis of the left shoulder (ICD-10 code M75.52) can significantly impact a person's quality of life, but with appropriate treatment, most individuals can achieve relief and regain function. Initial conservative approaches, including rest, ice therapy, medications, and physical therapy, are often effective. However, if symptoms persist, more invasive options like aspiration or surgery may be necessary. It is essential for patients to work closely with their healthcare providers to determine the best course of action tailored to their specific needs and circumstances.