Understanding Bursitis

A Comprehensive Guide to Joint Inflammation and Treatment

Orthopedics

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Last updated: Mar 24, 2025

What is Bursitis?

Bursitis is the inflammation of small, fluid-filled sacs called bursae that cushion the bones, tendons, and muscles near your joints. These bursae help reduce friction during movement.

Common Locations

  • Shoulder (subacromial bursitis)
  • Hip (trochanteric bursitis)
  • Elbow (olecranon bursitis)
  • Knee (prepatellar bursitis)
  • Heel (retrocalcaneal bursitis)

Causes and Risk Factors

Primary Causes:

  • Repetitive motions
  • Direct pressure on the joint
  • Traumatic injury
  • Inflammatory conditions

Risk Factors:

  • Age (more common over 40)
  • Occupation requiring repetitive movements
  • Athletic activities
  • Certain medical conditions (rheumatoid arthritis, gout)

Symptoms

  • Localized pain
  • Swelling and tenderness
  • Limited range of motion
  • Pain that worsens with movement or pressure
  • Redness in the affected area

Diagnosis

  • Physical examination
  • Medical history review
  • Imaging tests (X-rays, MRI, ultrasound)
  • Fluid aspiration (in some cases)

Treatment Options

Conservative Treatment

  1. Rest and activity modification
  2. Ice/heat therapy
  3. Over-the-counter pain medications
  4. Physical therapy

Medical Interventions

  • Corticosteroid injections
  • Antibiotics (if infection present)
  • Aspiration of fluid
  • Surgery (rarely needed)

Prevention

  • Proper warm-up before exercise
  • Use of protective equipment
  • Regular stretching
  • Proper posture and ergonomics
  • Taking regular breaks during repetitive activities

When to Seek Medical Care

  • Severe pain or disability
  • Fever
  • Excessive swelling or redness
  • Symptoms lasting longer than 2 weeks
  • Recurrent episodes

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