ABSTRACT
The shoulder can be considered as one of the largest and most flexible joints in the human body. Bursa is a liquid-filled sac that can be found between tissues (bone, skin, tendons and muscle). Bursa reduces the pressure and tension between the tissues. If the bursa isn't disturbed, joints work quickly and without discomfort. So, if it becomes bloated and inflamed, patient will experience pain during physical activity.1Subcoracoid bursa is located between the scapula's coracoid process and the shoulder joint capsule. Subcoracoid bursitis should be seen as a potential cause of painful snapping of the anterior shoulder.2 Inflammation of the sub acromial - sub deltoid bursa (SASD) has lately been indicated as a key radiological predictor indicating shoulder joint discomfort and chronic restriction in operation in both operated patients and general patients. The SASD bursa is an extra-articular synovial gap between the tendons of the rotator cuff and the under surface of the acromion, the acromioclavicular joint and the deltoid muscle, which forms the bicipital groove. Friction between the neighbouring structures or rotator cuff impingement can result in inflammation and bursitis.3 Supraspinatus tendinitis is also one factor that allows discomfort to radiate over the shoulder. Supraspinatus tendinitis progresses to tendinitis supraspinatus, specific impingement location arises in both the cycles of acromion and the bursa.4Physiotherapy modalities and manual techniques are the preferred choice of management in such musculoskeletal disorders. The shoulder can be considered as one of the largest and most flexible joints in the human body. Occurrence of shoulder discomfort in individuals is enhanced as different pathologies exist in shoulder joint systems. Shoulder bursitis is a debilitating form with shoulder joint inflammation. It is natural, treatable and found more in the young and middle-aged population. In this case, the recorded pain progression had been gradual; there was no history of fall or trauma. Pain was sharp during external rotation, abduction and flexion of the left shoulder and reported NPRS was 9 / 10 on activity. The patient was managed conservatively with PRP therapy and physiotherapy. The patient underwent 4 weeks rehabilitation and follow up for 2 weeks period in preparation for return to normal daily activities.