Health Library Logo

Health Library

Bursitis

Overview

Small, fluid-filled sacs called bursae act like cushions in your joints, reducing rubbing and friction between bones, tendons, and muscles. When these bursae get inflamed or irritated, it's called bursitis.

Shoulder Bursitis: Inflammation of the bursa in your shoulder causes pain. This bursa helps smooth the movement of the shoulder joint.

Elbow Bursitis: Irritation or swelling of the bursa around your elbow can be painful. The bursa cushions the elbow's moving parts.

Hip Bursitis: Inflammation of one or more bursae in your hip can lead to discomfort. These bursae help with the movement of your hip joint.

Knee Bursitis: Swelling (inflammation) of one or more bursae around your knee is known as knee bursitis. These bursae are positioned to protect the knee from rubbing against other tissues during movement.

Bursitis in General: Bursitis is a painful condition that happens when these cushioning bursae become inflamed. This inflammation can occur in various locations, including the shoulder, elbow, hip, knee, heel, and even the base of the big toe. It's common in areas that move a lot, especially with repetitive motions.

What Causes Bursitis? Repetitive movements or overuse of a joint are common causes of bursitis. Injuries or direct blows to the area can also trigger it.

Treating Bursitis: The main treatments usually involve resting the affected joint, avoiding further injury, and sometimes using ice or pain relievers. Most cases resolve within a few weeks with proper care. However, some people may experience repeated episodes of bursitis.

Symptoms

Bursitis is a condition that can cause pain and discomfort in a joint. When you have bursitis, the affected joint might feel sore and stiff. You might also find it hurts more when you try to move the joint or if you press on it. The affected area might look swollen and red.

It's important to see a doctor if you're experiencing any of these symptoms:

  • Severe joint pain: If the pain is bad enough to interfere with your daily activities, it's time to see a doctor.
  • Trouble moving a joint: If you suddenly can't move a joint, this is a sign that something might be seriously wrong and needs medical attention right away.
  • Significant swelling, redness, or bruising: A lot of swelling, redness, or bruising around the affected area is another reason to see a doctor. This could indicate an infection or other problem.
  • Skin rash: A rash in the affected area is unusual and should be checked by a medical professional.
  • Sharp or shooting pain, especially during activity: Pain that gets worse when you use the joint, like when exercising or doing other physical tasks, needs to be evaluated.
  • Fever: A fever could be a sign of a more serious infection, and you should see a doctor immediately.

These symptoms can be a sign of bursitis, but they could also indicate other health issues. A doctor can properly diagnose the problem and recommend the best course of treatment.

When to see a doctor

See a doctor if you're experiencing any of these issues:

  • Severe joint pain: If your joint pain is so bad it makes it hard to do everyday things, see a doctor. This includes pain that keeps you from moving around or doing your normal activities.

  • Suddenly can't move a joint: If you suddenly lose the ability to move a joint, don't wait. This could be a sign of a serious problem.

  • Swelling, redness, or bruising: If the area around a joint is noticeably swollen, red, or has bruises, it's important to see a doctor. A rash in the affected area is also a reason to seek medical attention. These signs could indicate an infection or other problem needing medical care.

  • Sharp or shooting pain: If you have pain that feels sharp or like a jolt, especially when you're doing physical activities, see a doctor. This kind of pain is often a sign of something needing medical attention.

  • Fever: If you have a fever, it's important to talk to your doctor. A fever can be a sign of many different health problems. Even if the fever is not directly related to a joint problem, it's important to discuss it with your doctor.

Causes

Bursitis is often caused by actions that repeatedly put pressure on the small, fluid-filled sacs (bursae) around a joint. These sacs help cushion the joint and allow for smooth movement. Examples of activities that can lead to bursitis include:

  • Repetitive movements: Throwing a baseball repeatedly, lifting heavy objects overhead frequently, or even typing for extended periods can strain the bursae in the shoulder, elbow, or wrist.
  • Sustained positions: Leaning on your elbows for a long time, especially if you're supporting weight, can irritate the bursae in your elbow. Similarly, prolonged kneeling, such as when laying carpet or scrubbing floors, can inflame the bursae in your knees.
  • Injuries: A direct blow or fall to a joint can also cause bursitis. A sudden, hard impact can damage the bursa, leading to inflammation.
  • Inflammatory conditions: Certain types of arthritis, like rheumatoid arthritis, can cause inflammation throughout the body, including the bursae. Gout, another form of arthritis, can also affect the bursae.
  • Infections: In some rare cases, an infection can spread to the bursae, causing bursitis.

In short, bursitis happens when the fluid-filled sacs that cushion our joints become irritated or inflamed. This irritation can come from overuse, awkward positions, injuries, certain health conditions, or infections.

Risk factors

Bursitis can happen to anyone, but some things make it more likely.

Age: As you get older, you're more likely to develop bursitis. Your body's tissues and joints naturally change over time, making them more prone to inflammation.

Jobs and Hobbies: If your work or hobbies involve doing the same thing over and over again, or putting a lot of pressure on certain parts of your body, you're at higher risk. For example, people who lay carpets, set tiles, garden, paint, or play musical instruments often repeat the same motions, increasing the strain on the bursae (small fluid-filled sacs around joints). This repeated motion can lead to inflammation and bursitis.

Other Health Issues: Some medical conditions can make you more likely to get bursitis. These include:

  • Rheumatoid arthritis: This is a disease that causes inflammation in the joints.
  • Gout: This is a type of arthritis that involves painful inflammation, often in the big toe.
  • Diabetes: High blood sugar can affect the body's healing process and increase inflammation.

Weight: Being overweight can also increase the risk of bursitis, especially in the hips and knees. Extra weight puts extra pressure on these joints, making them more prone to inflammation.

Prevention

Bursitis is a painful condition, but you can often lessen its impact. While not all types are preventable, you can significantly reduce the chances of getting it worse or having it come back. Here are some ways to lower your risk:

1. Lift with Care: When lifting anything, bend your knees. This distributes the weight more evenly and takes pressure off the cushioning sacs (bursae) in your hips. If you don't bend your knees, you're putting a lot more strain on these sacs, which can lead to bursitis.

2. Use the Right Tools for Heavy Loads: Moving heavy things directly can put a lot of stress on the bursae in your shoulders. Whenever possible, use a dolly, wheeled cart, or other equipment designed to move heavy objects. This takes the strain off your body.

3. Take Breaks: If your job or activities involve repetitive motions, it's important to take regular breaks. Alternate between the repetitive task and other activities to give your joints a rest. This allows your body to recover and reduces the chance of overuse bursitis.

4. Maintain a Healthy Weight: Being overweight puts extra pressure on your joints. Losing weight can significantly reduce the stress on your joints and reduce your risk of bursitis.

5. Stay Active, but Smartly: Exercise is important for overall health, and it can also help strengthen the muscles that support your joints. Stronger muscles help protect your joints from injury.

6. Prepare Your Body Before Activity: Always warm up and stretch before any strenuous activity. This helps prepare your muscles and joints for the work ahead, reducing the risk of injury and bursitis. Stretching increases flexibility and warms up the tissues, making them more resistant to strain.

Diagnosis

Doctors usually figure out if you have bursitis by talking to you about your symptoms and examining you physically. Sometimes, extra tests are helpful:

  • Imaging tests (like X-rays, ultrasounds, or MRIs): X-rays can't tell you for sure if you have bursitis, but they can help rule out other problems causing your pain. If a physical exam isn't enough to diagnose bursitis, an ultrasound or MRI might be used to get a clearer picture of the affected area. These tests create images of the tissues and structures around the joint.

  • Lab tests: Your doctor might order blood tests or a test that looks at fluid taken from the inflamed bursa. These tests can help find out what's causing the inflammation and pain in your joint. For example, they can check for infections or other conditions that might be causing the bursitis. The fluid sample can also reveal details about the nature of the inflammation.

Treatment

Treating Shoulder Bursitis: A Guide

Shoulder bursitis is a painful inflammation of the bursa, a small fluid-filled sac that cushions your shoulder joint. It often gets better on its own. In the meantime, you can try simple home remedies like resting, applying ice, and taking over-the-counter pain relievers.

If home remedies aren't enough, your doctor might recommend several other options.

Medication:

If the bursitis is caused by an infection, your doctor will likely prescribe antibiotics to fight the infection.

Therapy:

Physical therapy exercises can help strengthen the muscles around your shoulder, reducing pain and preventing future problems. This is a proactive way to address the underlying cause of the pain.

Injections:

Cortisone shots, which are injections of a corticosteroid medication directly into the bursa, can quickly reduce pain and inflammation. Often, just one injection is enough. This treatment is designed to minimize pain and inflammation in the short term.

Assistive Devices:

Using a walking cane or other support can help take pressure off the affected shoulder, easing discomfort. This is often a temporary measure to provide immediate relief.

Surgery:

In rare cases, when other treatments fail, surgery may be necessary to drain the inflamed bursa or, even more rarely, to remove it entirely. This is typically only considered as a last resort.

Getting Help:

If you are experiencing shoulder pain, it's important to see a doctor. They can properly diagnose the condition and recommend the best course of action for your specific situation. Early intervention can often prevent the condition from worsening and help you recover faster.

Important Note: The information provided here is for general knowledge and does not constitute medical advice. Always consult with a healthcare professional for diagnosis and treatment of any medical condition.

Preparing for your appointment

Dealing with Bursitis Pain: A Guide for Patients

If you're experiencing joint pain, you'll likely start by seeing your family doctor. They might suggest a specialist in joint problems, called a rheumatologist. To help your doctor understand your situation, prepare a list of information. This list should include:

  • Detailed descriptions of your symptoms: Explain exactly what the pain feels like (sharp, dull, throbbing). Also, note when the pain started. Was it a sudden onset, or did it develop gradually?

  • Your medical history: Tell your doctor about any past illnesses, injuries, or surgeries. Include any conditions you currently have.

  • Your family's medical history: Some joint problems run in families. Information about your family's health can help your doctor understand your situation better.

  • All medications and supplements: List all the medicines, vitamins, and supplements you take, including the dosage.

  • Questions for your doctor: Prepare a list of questions to ask your doctor. These are important for understanding your condition and getting the best treatment. For bursitis, some important questions include:

    • What's the most likely cause of my pain?
    • What other possibilities are there?
    • What tests do I need to get?
    • What's your recommended treatment plan?
    • I have other health issues. How can we manage them together?
    • Should I limit my activities?
    • Do you have any brochures or other printed information I can take?
    • Are there any helpful websites you recommend?

What to expect during your doctor's visit:

Your doctor will physically examine the affected joint. They'll likely press on different spots around the joint to see if a specific fluid-filled sac (bursa) is the source of the pain. Your doctor may also ask you questions, such as:

  • How did the pain start? Was it sudden or gradual?
  • What's your job like? Your daily activities can influence your pain.
  • What are your hobbies and recreational activities? Certain activities might worsen your pain.
  • Have you been injured recently?
  • What treatments have you tried, and what was the result?

This information will help your doctor diagnose the problem and create a personalized treatment plan. Remember to be as thorough as possible with your answers to help your doctor give you the best possible care.

footer.address

footer.talkToAugust

footer.disclaimer

footer.madeInIndia