Bursitis occurs when a bursa—one of the body’s small, fluid-filled sacs that cushions areas where tendons or muscles glide over bone—becomes inflamed and irritated. These bursae sit near joints and are designed to reduce friction, absorb pressure, and help movement feel smooth and comfortable. However, because bursitis can mimic other problems such as tendon injuries, arthritis, or stress fractures, consulting a Montgomery County podiatrist at Neville Foot & Ankle Centers can be especially helpful to confirm the cause of your symptoms and create a targeted plan to relieve inflammation and prevent it from returning.
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Why Does Bursitis Happen?
Repeated pressure or irritation—such as overuse, a direct impact, tight footwear, or foot mechanics that increase friction—can inflame a bursa, leading to swelling and pain that makes walking or wearing shoes uncomfortable. Bursitis may also be triggered by underlying conditions, such as rheumatoid arthritis or gout, and in some cases, it can develop from an infection. Typical symptoms include:
- Joint pain and tenderness
- Swelling
- Warmth over the affected joint
While bursitis most often affects the shoulder, knee, elbow, and hip, it can occur in other areas as well, including near the Achilles tendon.
What Does Bursitis Treatment Involve?
Most cases of bursitis improve with conservative care that calms inflammation, protects the area while it heals, and then gradually restores strength and motion. Our Greater Houston podiatrists start with a comprehensive examination, and then design a personalized treatment protocol
- Rest and protection
- Pain and inflammation relief
- Physical therapy
- Gradual return to exercise
- Avoiding repetitive motions or prolonged pressure in the area
If inflammation doesn’t respond to these approaches, we may remove fluid from the bursa and/or use a corticosteroid injection to reduce it. However, surgery generally isn't necessary except in particularly stubborn cases, such as when the condition hasn't improved after a couple of weeks or if symptoms return after a period of time.
