Massage Therapist

Category - Application

Valerie Vertebra, licensed massage therapist, has just learned that her client is experiencing shoulder bursitis. What would be the correct protocol for treating this common type of condition?
  1. Use cross-fiber friction (CFF) at the site of pain or tenderness.
  2. Move the glenohumeral joint through various types of ROM to relieve the pain of the bursitis.
  3. Use ice on the bursitis.
  4. Use heat on the bursitis.
Explanation
Answer: C Bursitis is an inflammation of the bursa. Bursae are sacs of synovial fluid found throughout the body that provide cushioning for areas. Sometimes areas experience overuse and overstress, which can cause the bursae to inflame and create pain at the site of the structure/bursae. In this situation, movement is contraindicated, along with any type of deep work or heat. The best protocol would be ice at the site of the inflammation and light massage to reduce any type of muscle tightness in the area. Bursitis can only be alleviated by stopping the movement that is aggravating the bursae. Golfers, swimmers, carpenters, etc. often experience bursitis since their movement is repetitive, and repetitive movement is the primary cause for this condition.
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