Bursitis
What Is Bursitis?
Bursitis occurs when the fluid-filled sacs (bursae) between tendons and muscles or bones become inflamed. Bursae help to reduce friction and allow joints to move through their full range of motion. Bursitis is most commonly found in the hip, elbow, and shoulder, but it can also develop in the foot and heel (near the Achilles tendon) or in the knee.
Bursitis occurs when a joint is injured or kept under pressure due to overuse and the bursae become inflamed. Wear and tear from aging also contributes to the development of bursitis, which is common in adults over age 40.
People whose work requires manual labor like heavy lifting, long shifts, or repetitive motion are more likely to develop bursitis. Sports that involve frequent running, throwing, and jumping—such as tennis or baseball—can also lead to bursitis over time. Conversely, sedentary people who suddenly increase their activity level may also experience bursitis.
Symptoms
Bursitis symptoms commonly include pain and stiffness in the affected joint. The area may also be red and warm to the touch. The joint and surrounding area commonly feel tender and painful when touched or pressed.
With rest and treatment, the symptoms of bursitis usually disappear. Unfortunately, recurring flare-ups of bursitis are common. It is important to contact a healthcare provider if you experience severe or disabling pain, pain lasting more than a week or two, fever, sharp or shooting pain, rash or bruising, or significant swelling or redness.
Nonsurgical Treatments
Most cases of bursitis can be effectively managed without surgery. Our specialists offer a range of nonsurgical treatments to help relieve pain and restore function.
Rest & Activity Modification
Resting the affected joint and avoiding activities that aggravate the condition is crucial for healing. Simple changes to work tasks or sports activities can help reduce strain on the affected area and prevent recurrence.
Ice Therapy
Applying an ice pack to the affected area several times a day can help reduce inflammation and relieve pain caused by bursitis. For best results, apply ice for 15 – 20 minutes at a time.
Medications
Over-the-counter anti-inflammatory drugs like ibuprofen can help reduce inflammation and discomfort. Be sure to talk to your pharmacist before purchasing anti-inflammatories as these medications may interact with other medications and medical conditions.
Physical Therapy
Customized exercise programs can help strengthen the muscles around the affected joint, improve flexibility, and restore range of motion. A physical therapist can guide you through safe exercises that support recovery without aggravating the bursitis.
Supportive Devices
Braces, compression wraps, or padding can help protect the affected joint and relieve pressure on the inflamed bursa. Walking aids may also be recommended to reduce stress on weight-bearing joints in the legs and feet.
Advanced Treatments
For persistent or severe cases of bursitis that don't respond to conservative treatment, more advanced options may be recommended.
Corticosteroid Injections
For more severe pain or swelling, your doctor may recommend a corticosteroid injection directly into the affected bursa for short-term relief and to reduce inflammation.
Aspiration
In some cases, a healthcare provider may recommend removing excess fluid from the inflamed bursa using a needle. This procedure can provide immediate relief from pressure and pain.
Surgical Treatment
If the injury isn't responding to conservative treatment, your doctor may recommend surgery to repair or remove damaged tissue. Surgery for bursitis is typically reserved for chronic cases that don't respond to other treatments.