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Shoulder Bursitis and Impingement Treatment in Fort Lauderdale

Non-surgical shoulder pain care with Dr. Jorge A. Gonzalez, MD, triple board-certified

Shoulder bursitis and impingement are two of the most common causes of shoulder pain. They often cause pain on the outside of the upper arm when you lift your arm, reach overhead or lie on that side at night.

At the Institute of Regenerative Orthopedics & Sports Medicine (IROSM), Dr. Jorge Gonzalez, MD at IROSM in Fort Lauderdale finds the cause with an exam and an ultrasound scan in the office. He then offers exercises, guided injections and, for some patients, PRP.

Book Your Appointment Now: (954) 751-6990 Make an Inquiry Online
Shoulder bursitis and impingement treatment at IROSM in Fort Lauderdale
Important Notice from IROSM: Your treatment plan is made for you by Dr. Jorge Gonzalez. After an exam at IROSM in Fort Lauderdale, he will tell you which option fits your shoulder, including when surgery is the better choice.

Bursitis or Impingement: What Is the Difference?

A bursa is a small, fluid-filled cushion that helps tendons glide. In the shoulder, the main bursa sits between the rotator cuff tendons and the bony roof of the shoulder (the acromion). Shoulder bursitis (also called subacromial bursitis) means this cushion is swollen and irritated.

Shoulder impingement means the rotator cuff tendons and the bursa get pinched when you lift your arm. The two often go together: pinching irritates the bursa, and a swollen bursa takes up space and makes the pinching worse. Many doctors now call this subacromial pain.

Symptoms of Shoulder Bursitis and Impingement

  • Pain on the outside of the shoulder or upper arm
  • Pain when lifting the arm out to the side or overhead
  • Pain when reaching behind your back
  • Pain at night, especially when lying on that shoulder
  • A catching or pinching feeling as the arm moves up

Common causes include repeated overhead work or sports, a sudden increase in activity, slouched posture, weak shoulder blade muscles and wear in the rotator cuff tendons. Pain with weakness can also be a sign of a rotator cuff tear, so an exam matters.

How Dr. Gonzalez Finds the Cause

Shoulder pain can come from the bursa, the rotator cuff, a calcium deposit in the tendon, frozen shoulder or even the neck. Dr. Gonzalez checks how your shoulder moves and where it hurts. He then uses ultrasound in the office to look at the bursa and tendons while you move your arm. X-rays or an MRI are ordered only when they will change the plan.

Shoulder Bursitis and Impingement Treatment in Fort Lauderdale

Most people get better without surgery. Care usually starts simple and steps up only if needed. Options at IROSM in Fort Lauderdale may include:

Exercises and Physical Therapy

Strengthening the rotator cuff and shoulder blade muscles opens up space in the shoulder. This is the main treatment.

Activity Changes

Short-term changes to overhead work, lifting or sports while the shoulder calms down.

Guided Injections

A cortisone (steroid) injection into the bursa, placed while watching on ultrasound, can ease pain so exercises are easier to do.

PRP or Your Own Cells

For pain that keeps coming back, PRP (made from your own blood) may be considered, often when the tendon is also worn. See PRP therapy in Fort Lauderdale.

Read how image-guided injections improve accuracy. Not every treatment is right for everyone, and results vary. Dr. Gonzalez will tell you at your visit which options fit you.

Is Surgery Needed for Shoulder Impingement?

An operation called subacromial decompression shaves bone from the roof of the shoulder to make more room. Research has made doctors rethink this surgery, because a large study found it worked no better than a “look only” operation (see the research below). Surgery may still be the right choice for some people, for example when there is a large rotator cuff tear. If surgery is the better fit for you, Dr. Gonzalez will explain why and help with a referral.

Other Shoulder Pain We Treat

At IROSM in Fort Lauderdale, Dr. Gonzalez also treats shoulder tendonitis, shoulder labral tears and calcific tendonitis.

What the Research Says About Shoulder Impingement Treatment

  • Decompression surgery: In a large UK study, people with this type of shoulder pain were randomly put into three groups: decompression surgery, a “look only” arthroscopy with nothing removed, or no treatment. Both surgery groups did slightly better than no treatment, but decompression gave no extra benefit over the look-only operation. Beard DJ, et al. Arthroscopic subacromial decompression for subacromial shoulder pain (CSAW): a multicentre, pragmatic, parallel group, placebo-controlled, three-group, randomised surgical trial. Lancet. 2018;391(10118):329-338. View the study.
  • Ultrasound-guided shoulder injections: A review of studies found that ultrasound-guided injections reached the right spot more often than injections placed by feel at most shoulder sites. For injections into the bursa, the ultrasound-guided injections also worked better for pain. Aly AR, et al. Ultrasound-guided shoulder girdle injections are more accurate and more effective than landmark-guided injections: a systematic review and meta-analysis. Br J Sports Med. 2015;49(16):1042-1049. View the study.

Shoulder Bursitis Treatment in Fort Lauderdale

Providing shoulder bursitis and impingement treatment to residents in Fort Lauderdale, Oakland Park, Tamarac, Lauderdale Lakes, Plantation, Pompano Beach, Deerfield Beach, and Broward County. For our Hialeah office, se habla español.

Institute of Regenerative Orthopedics & Sports Medicine (IROSM)
3333 West Commercial Blvd, Suite 101
Fort Lauderdale, FL 33309
Phone: (954) 751-6990

Frequently Asked Questions About Shoulder Bursitis and Impingement

What is the difference between shoulder bursitis and impingement?

What is the difference between shoulder bursitis and impingement?
Bursitis means the small cushion (bursa) in the shoulder is swollen and irritated. Impingement means the tendons and bursa get pinched when you lift your arm. They often happen together and are treated in a similar way.

How is shoulder bursitis treated?

How is shoulder bursitis treated?
Most people start with shoulder exercises and activity changes. A cortisone injection guided by ultrasound can ease pain so the exercises are easier. For pain that keeps coming back, PRP may be considered. Dr. Gonzalez at IROSM in Fort Lauderdale explains which options fit.

Does a cortisone shot help shoulder bursitis?

Does a cortisone shot help shoulder bursitis?
A cortisone injection into the bursa often eases pain for a while, which makes it easier to do the exercises that help the shoulder long term. Placing it with ultrasound helps it reach the bursa.

Do I need surgery for shoulder impingement?

Do I need surgery for shoulder impingement?
Most people do not. Exercises are the main treatment. A large study found that decompression surgery worked no better than a look-only operation, so surgery is usually saved for people with other problems, such as a large rotator cuff tear.

Why does shoulder bursitis hurt more at night?

Why does shoulder bursitis hurt more at night?
Lying on the sore side presses on the swollen bursa. Lying on your back or the other side, with a pillow under the sore arm, often helps.

Is shoulder bursitis treatment covered by insurance?

Is shoulder bursitis treatment covered by insurance?
Coverage depends on the treatment and your plan. Office visits, imaging, therapy and cortisone injections are often covered, while PRP and treatments made from your own cells usually are not. Our team explains costs clearly before any treatment begins.

Do I need a referral to be seen at IROSM?

Do I need a referral to be seen at IROSM?
It depends on your insurance. Many HMO, Medicare Advantage and Medicaid plans need a referral from your primary care doctor before you see a specialist. Please check with your plan, or call us at (954) 751-6990 before your visit to confirm.

Find Out What Is Causing Your Shoulder Pain

Triple board-certified · Fellowship-trained at the Andrews Institute · Fort Lauderdale & Hialeah

Schedule a consultation with Dr. Jorge Gonzalez at IROSM in Fort Lauderdale for an in-office ultrasound of your shoulder and a clear treatment plan.

Book Your Appointment Now: (954) 751-6990 Make an Inquiry Online
Dr. Jorge A. Gonzalez, MD
Medically reviewed by: Dr. Jorge A. Gonzalez, MD
Institute: Institute of Regenerative Orthopedics & Sports Medicine (IROSM)
Last reviewed: September 2026

Disclaimer: This content is for general educational purposes and does not constitute formal medical advice. Individual patient outcomes will vary. Shoulder bursitis and impingement treatment at IROSM in Fort Lauderdale requires a clinical examination by Dr. Jorge Gonzalez to establish candidacy. Serving Fort Lauderdale, Pompano Beach, Plantation, and surrounding Broward County communities.