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Bursitis is a painful swelling
of a small sac of fluid called a bursa. Bursae (plural of bursa) cushion and
lubricate areas where tendons, ligaments, skin, muscles, or bones rub against
each other. People who repeat the same movement over and over or who put
continued pressure on a joint in their jobs, sports, or daily activities have a
greater chance of getting bursitis.
Bursitis is commonly caused
Bursitis can also be caused by other problems, such as
arthritis or infection (septic bursitis).
Bursitis usually causes a
dull pain, tenderness, and stiffness near the affected bursa. The bursa may
swell and make the skin around it red and warm to the touch.
Bursitis is most common in the shoulder, elbow, hip, and knee. Bursitis may
also occur near the Achilles tendon or in the foot.
bursitis may be like those of
tendinopathy. Both occur in the tissues in and
around the joints.
Check with your doctor if your pain is severe, if the sore area becomes
very hot or red, or if you have a fever.
Your doctor will check
for bursitis by asking questions about your past health and recent activities
and by examining the area.
If your symptoms are severe or get worse even after treatment, you may need other tests. Your doctor may drain fluid from the bursa through
a needle (aspiration) and test it for infection. Or you may need X-rays, an MRI, or an ultrasound.
Home treatment is often enough
to reduce pain and let the bursa heal. Your doctor may suggest physical therapy to strengthen
the muscles around your joints.
If you have severe bursitis, your
doctor may use a needle to remove extra fluid from the bursa. You might wear
a pressure bandage on the area. Your doctor may also give you a shot of medicine to reduce swelling. Some
people need surgery to drain or remove the bursa.
fluid in the bursa can get infected. If this happens, you may need
Bursitis is likely to improve in a few days or weeks
if you rest and treat the affected area. But it may
return if you don't stretch and strengthen the muscles around the joint and
change the way you do some activities.
You may be able to
prevent bursitis from happening or coming back.
Learning about bursitis:
Other Works Consulted
Colburn KK (2011). Bursitis, tendinitis, myofascial pain, and fibromyalgia. In ET Bope et al., eds., Conn's Current Therapy 2011, pp. 1011–1015. Philadelphia: Saunders.
McMahon PJ, Kaplan LD (2006). Sports medicine. In HB
Skinner, ed., Current Diagnosis and Treatment in Orthopedics, 4th ed., pp. 163–220. New York: McGraw-Hill.
Current as of:
June 4, 2014
William H. Blahd, Jr., MD, FACEP - Emergency Medicine
& Kenneth J. Koval, MD - Orthopedic Surgery, Orthopedic Trauma
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