Bursitis

Bursitis is inflammation of the fluid-filled sac (bursa) that lies between a tendon and skin, or between a tendon and bone. Bursae are fluid-filled cavities near joints where tendons or muscles pass over bony projections. They assist movement and reduce friction between moving parts.Bursitis can be caused by chronic overuse, trauma, rheumatoid arthritis, gout, or infection. Bursitis commonly occurs in the shoulder, knee, elbow, and hip. Other areas that may be affected include the Achilles tendon.

Symptoms

• Joint pain and tenderness

• Swelling

• Warmth over the affected joint

Your health care provider may recommend temporary rest or immobilization of the affected joint. Ibuprofen may relieve pain and inflammation and Physical Therapy may be helpful as well. If the inflammation does not respond to the initial treatment, it may be necessary to draw out fluid from the bursa and inject corticosteroids. Surgery is rarely required. Exercises for the affected area should be started as the pain resolves. If weakness and/or decrease in muscle size have occurred, your health care provider may suggest exercises to build strength and increase mobility. Call your health care provider if symptoms recur or do not improve after 2 weeks of treatment. To help prevent this inflammation avoid activities that include repetitive movements of any body parts whenever possible.

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