What is Bursitis?

By Jared Ernest Physical Therapist

What is Bursitis?

Bursitis

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Bursitis is an inflammation or irritation of the bursa. A bursa is a fluid filled sac between tissues that reduces friction between tissues such as tendons, bones, muscles and skin. Often, mild trauma or repetitive stress to an area will cause bursitis. As the body ages, bursae can tolerate less stress and may be more prone to developing bursitis. Some activities that are at higher risk for developing bursitis include gardening, raking, carpentry, shoveling, painting, scrubbing, tennis, golf, throwing and pitching. Poor posture and I sufficient stretching prior to activity can lead to bursitis as well. The most common symptom of bursitis is pain.

Bursitis Pain

The pain may develop slowly or develop suddenly and become severe rather quickly. Bursitis can also lead to “adhesive capsulitis” or a frozen shoulder which is a severe loss of motion in the shoulder. Bursitis can be prevented with proper stretching prior to activity, avoiding activities that aggravate the pain, icing the affected area, protecting the area from further trauma and taking over-the-counter anti-inflammatories.

Elbow Bursitis or Olecranon Bursitis

The most common area for bursitis is the elbow.  The elbow is often bumped or bruised in one’s daily activities or it can be hurt easily in a fall.  People often can make a bruise worse by leaning on their elbow or supporting themselves on their elbows.  The elbow can become swollen, warm to touch and red in appearance.  The elbow would need to be protected from further irritation by wearing an elbow pad or sleeve.  With treatment, the swelling should begin to go away in 1-2 weeks.  You should seek medical intervention if the swelling does not decrease or if you have signs of an infection.  Complications from bursitis would be an infection or calcium deposits in the joint.

Bursitis of the Hip

The hip is another area of the body which bursitis can develop.  Hip bursitis can start with trauma or it can occur from excessive sitting or laying on the hip itself.  Hip bursitis can also occur from repetitive activities which cause the IT Band to irritate the bursae of the hip joint.  It is important to find the cause of the bursitis so that the correct treatment plan can be developed.

JOI Hip Pain

Image of the Hip Joints

 

Treatment Options for Bursitis

Treatment for bursitis may include corticosteroid injections at the injured site to treat the inflammation at the source and alleviate the pain. In some cases, physical therapy is prescribed to address weaknesses or inflexibility in the surrounding muscles both of which can predispose the tendons to tendonitis.  Physical Therapy could also include modalities such Ultrasound, Ice, Heat and Laser Treatments.  JOI’s team of dedicated physicians, physical therapists, and athletic trainers are ready to help you get back to activity.

If you want to schedule an appointment with a JOI MD, Call JOI-2000.  If you want to schedule an appointment for physical therapy, call 858-7045.

By: Jared Ernest, Physical Therapist 


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