Bursitis is inflammation of a bursa. A bursa is a thin sac that lies between bone and soft tissue. It can be found near some joints. A healthy bursa allows smooth movement of soft tissue over bone. If a bursa becomes inflamed it can make movement painful.
Bursitis occurs most often in the:
|Bursitis in the Shoulder|
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Factors that may increase your chance of bursitis include:
- Repetitive motion activities when done to an extreme, such as swimming, running, or tennis
A job that requires:
- Repetitive motions such as hammering or painting
- Long hours in one position such as a carpenter kneeling
- Contact sports
- Sporting gear that is too tight
- A puncture or deep cut that involves bursa
Bursitis treatment will focus on decreasing inflammation and pain. The main step is to stop the activity causing the pain. You will be asked to rest the area and protect it from injury. Your doctor may also recommend:
- Applying ice to the area in the first few days
- Nonsteroidal anti-inflammatory drugs (NSAIDs) for inflammation and pain
- Crutches or a cane if knee or hip bursitis needs support
Most bursitis will clear up with basic care. However, it can become a long-term problem if the cause is not relieved. Options for chronic bursitis or bursitis that does not respond to steps above include:
Chronic bursitis may need more aggressive treatment. Additional steps may include:
- A corticosteroid injection
- Often only offered for bursitis that is very painful and not responding to basic care.
- Have short-term benefits and some risk. Talk to your doctor about benefits and risks for you.
- Physical therapy—sessions may include exercises and heat therapy
- Surgery—only if all other treatments are not effective
To help reduce your chance of bursitis:
- Do not overdo sports and other activities.
- Do a gradual increase in the intensity and duration of your activity. This is very important when you start new sports.
- Use proper protective pads if you play contact sports.
- Use proper safety equipment at work.
- Work with an ergonomic specialist. They may be able to help decrease stress on joints. This works best in jobs with repetitive motion or long periods of pressure on the joints.
This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.
Edits to original content made by Denver Health.
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Ortho Info—American Academy of Orthopaedic Surgeons http://orthoinfo.org
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