BURSITIS

What is Bursitis? Bursitis is an acute or chronic inflammation of the fluid-filled sac (bursa) that lies between tendon and skin, or between tendon and bone. Bursae are fluid-filled cavities located at tissue sites where tendons or muscles pass over bony prominences near joints. Their function is to facilitate movement and reduce friction between moving parts.

What causes Bursitis?

The cause of bursitis may be chronic overuse, trauma, rheumatoid arthritis, gout, infection, or unknown. Bursitis commonly occurs in the shoulder, knee (washmaid’s knee), elbow, and hip. Other areas affected include the Achilles tendon and the foot. Chronic inflammation can occur with repeated attacks of bursitis or injuries.

What are the Symptoms of Bursitis?

  • joint pain and tenderness
  • swelling over the area involved
  • warmth over the affected joint

What is the Treatment for Bursitis?

Temporary rest or immobilization of the affected joint may be recommended. Non-steroidal anti-inflammatory drugs may be effective in relieving pain and decreasing the inflammation. If the inflammation does not respond to conservative treatment, aspiration of fluid from the bursa and the injection of corticosteroids into the bursa is an alternative treatment. Surgery is rarely required. Exercises for the affected area should be started as the pain resolves. If muscle atrophy has occurred from disuse or prolonged immobility, exercises to build strength and increase mobility are indicated. Bursitis caused by infection is treated with antibiotics. Sometimes surgical drainage of the infected bursa is indicated.