Condition 101 About Bursitis

What is the definition of Bursitis?

Bursitis is the swelling and irritation of a bursa. A bursa is a fluid-filled sac that acts as a cushion between muscles, tendons, and bones.

What are the alternative names for Bursitis?

Student's elbow; Olecranon bursitis; Housemaid's knee; Prepatellar bursitis; Weaver's bottom; Ischial gluteal bursitis; Baker's cyst; Gastrocnemius - semimembranosus bursa

What are the causes for Bursitis?

Bursitis is often a result of overuse. It can also be caused by a change in activity level, such as training for a marathon, or by being overweight.

Other causes include trauma, rheumatoid arthritis, gout, or infection. Sometimes, the cause can't be found.

Bursitis commonly occurs in the shoulder, knee, elbow, and hip. Other areas that may be affected include the Achilles tendon and the foot.

What are the symptoms for Bursitis?

Symptoms of bursitis may include any of the following:

  • Joint pain and tenderness when you press around the joint
  • Stiffness and aching when you move the affected joint
  • Swelling, warmth or redness over the joint
  • Pain during movement and rest
  • Pain may spread to the nearby areas

What are the current treatments for Bursitis?

Your provider will talk to you about a treatment plan to help you resume your normal activities, including some of the following tips.

Tips to relieve bursitis pain:

  • Use ice 3 to 4 times a day for the first 2 or 3 days.
  • Cover the painful area with a towel, and place the ice on it for 15 minutes. DO NOT fall asleep while applying the ice. You can get frostbite if you leave it on too long.
  • Rest the joint.
  • When sleeping, do not lie on the side that has bursitis.

For bursitis around the hips, knees, or ankle:

  • Try not to stand for long periods.
  • Stand on a soft, cushioned surface, with equal weight on each leg.
  • Placing a pillow between your knees when lying on your side can help decrease pain.
  • Flat shoes that are cushioned and comfortable often help.
  • If you are overweight, losing weight may also be helpful.

You should avoid activities that involve repetitive movements of any body part when possible.

Other treatments include:

  • Medicines such as NSAIDs (ibuprofen, naproxen)
  • Physical therapy
  • Wearing a brace or splint to support the joint and help reduce inflammation
  • Exercises you do at home to build strength and keep the joint mobile as pain goes away
  • Removing fluid from the bursa and getting a corticosteroid shot 

As the pain goes away, your provider may suggest exercises to build strength and keep movement in the painful area.

In rare cases, surgery is done.

What is the outlook (prognosis) for Bursitis?

Some people do well with treatment. When the cause cannot be corrected, you may have long-term pain.

What are the possible complications for Bursitis?

If the bursa is infected, it becomes more inflamed and painful. This often requires antibiotics or surgery.

When should I contact a medical professional for Bursitis?

Call your provider if symptoms recur or do not improve after 3 to 4 weeks of treatment, or if the pain is getting worse.

How do I prevent Bursitis?

When possible, avoid activities that include repetitive movements of any body parts. Strengthening your muscles and working on your balance may help decrease the risk of bursitis.

Bursa
Bursa
Bursitis

REFERENCES

Biundo JJ. Bursitis, tendinitis, and other periarticular disorders and sports medicine. In: Goldman L, Schafer AI, eds. Goldman-Cecil Medicine. 26th ed. Philadelphia, PA: Elsevier; 2020:chap 247.

Hogrefe C, Jones EM. Tendinopathy and bursitis. In: Walls RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018:chap 107.

Top Global Doctors For Bursitis

CC
Elite
Chul-hyun H. Cho
Daegu, KR
YH
Elite
Yoshihiro Hagiwara
Sendai, JP
KC
Elite
Ke-vin J. Chang
TPQ, TW
AI
Elite
Annamaria Iagnocco
IT
DK
Elite
Du H. Kim
Seoul, KR
TK
Distinguished
Tim Kraal
Hoofddorp, NH, NL

Latest Advances On Bursitis

  • Condition: Primary Frozen Shoulder
  • Journal: The bone & joint journal
  • Treatment Used: Ultrasound-Guided or Blind Intra-Articular Corticosteroid Injection
  • Number of Patients: 90
  • Published —
This study compared the clinical outcome of using an ultrasound-guided or a blind intra-articular corticosteroid injection to treat patients with primary frozen shoulder.
  • Condition: Adhesive Capsulitis
  • Journal: JPMA. The Journal of the Pakistan Medical Association
  • Treatment Used: Spencer Muscle Energy Technique and Passive Stretching
  • Number of Patients: 60
  • Published —
The study researched the use of spencer muscle energy technique and passive stretching for treating adhesive capsulitis.

Clinical Trials For Bursitis

Clinical Trial
  • Status: Not yet recruiting
  • Phase: N/A
  • Intervention Type: Other
  • Participants: 40
  • Start Date: April 1, 2021
Efficacy of Eccentric Exercises in Individuals With Frozen Shoulder: A Randomized Controlled Clinical Trial