Reaspiration and injection may be required with resistant inflammation. Chronic bursitis is treated as acute bursitis, except that splinting and rest are less likely to be helpful. Rarely, surgical removal or large-needle aspiration of radiologically demonstrated calcification in chronic calcific supraspinatus tendinitis may be necessary if corticosteroid injections are not helpful. Manipulation under anesthesia does not improve long-term results unless measures to correct adhesive capsulitis are followed. Muscle atrophy should be corrected with exercise to reestablish range of motion and strength.
Infection requires antibiotics and drainage or excision therapy.
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