Goyal Hospital

Bursitis: Types, Causes, Symptoms, Treatment, and Prevention

There is inflammation or irritation in the bursa sac when you develop bursitis. Your body contains these sacs throughout. They are hydrated with fluid to reduce rubbing and friction between skin, muscles, tendons, and other connective tissues. You may develop bursitis around big joints such as your shoulders, elbows, hips, or knees. 

The human body has more than 150 bursae. They lubricate and cushion the articular surfaces of the muscles, tendons, and joints. These bursae become inflamed when a person has bursitis, making movement or pressure on the area unpleasant. Bursitis may be brought on by overuse, trauma, or inflammation from gout or rheumatoid arthritis

What Are The Types of Bursitis?

Your elbow, shoulder, hip, thigh, buttocks, knee, heel, etc. could all be affected by bursitis. There are numerous forms of bursitis because the human body contains over 150 bursae. The most popular four forms are.

  • Prepatellar bursitis is inflammation of the patella, which is the kneecap. It could be acute or ongoing.
  • Olecranon bursitis is elbow-area irritation. The olecranon, or tip of your elbow, is where the impacted bursae are located. Small nodules may occasionally be felt inside the bursae. Typically, it is ongoing.
  • Your hip bursae experience trochanteric bursitis. It might grow gradually. It could manifest along with other illnesses like arthritis.
  • Retrocalcaneal bursitis may make your heel hurt and bulge. It could be acute or ongoing.

Symptoms of Bursitis:

Shoulder bursitis symptoms-

Your rotator cuff’s tendon, which joins two bones, is supported by the shoulder bursa. Certain shoulder and tendon movements might be quite painful and uncomfortable if you have bursitis. Depending on the nature of the damage, the pain may change. However, a few of the more typical signs of bursitis include.

  • when you’re on your shoulder, soreness.
  • ache on the top or outside of your shoulder.
  • when you lift your arm to the side, the discomfort becomes worse.
  • suffering when opening or pushing on a door.
  • your arm hurts when you try to “circle” it.
  • pressing on the top of your shoulder causes pressure and pain.

Bursitis can develop in any joint, however, it most frequently affects the shoulder. Overuse or repetitive shoulder movements frequently lead to shoulder bursitis. Friction between bones and tissues is exacerbated by overhead actions. The bursae may become inflamed and irritated due to this constant contact. Bursitis results from an accumulation of fluid in the bursa sacs.

Shoulder bursitis can affect anyone. This issue is particularly common in some professionals and sportsmen that engage in frequently repeated shoulder motions. These include artists, builders, carpenters, and athletes who play lacrosse, softball, or football.
Shoulder bursitis may be more likely to develop if you have one.

  • Arthritis or gout.
  • Diabetes
  • Kidney disease or uremia (waste buildup in the blood).
  • Rheumatoid arthritis.
  • Thyroid disease.

Bursitis knee symptoms-

The type and severity of knee (prepatellar) bursitis will determine the symptoms. There are three common symptoms of knee bursitis, but you don’t need to exhibit all of them to have the condition. The three signals consist of

  • Swelling at the front of your knee: Swelling at the front of your knee is a common symptom of knee bursitis.
  • Limitations on knee range of motion: Mild to moderate knee bursitis typically does not restrict your ability to bend and stretch your knee. You might not be able to move your knee as normally as you would if you have a severe case of knee bursitis.
  • Some persons with knee bursitis don’t feel any pain. Others may experience pain or achiness in the knee even when they are resting.

Knee bursitis is a common issue, but the likelihood that you may experience this excruciating condition rises from it.

  • Prolonged kneeling. People who spend a lot of time on their knees, such as carpet layers, plumbers, and gardeners, are more likely to get knee bursitis.
  • Participation in certain sports. Your chance of developing knee bursitis can rise if you play sports like wrestling, football, or volleyball that involve direct hits to the knee or frequent falls. Runners can experience painful swelling of the pes anserine bursa, located below the joint on the inside of the knee.
  • Obesity and osteoarthritis. Obese women with osteoarthritis frequently experience pes anserine bursitis, which affects the inner side of their knee below the joint.

Causes of Bursitis:

All of these factors can result in bursitides, such as an injury, infection, or pre-existing condition such as gout, which can cause crystals to form in the bursa.

Injury-

An injury to the bursa’s internal tissue can irritate and inflame it. The bursa may suffer trauma from impact injuries or repetitive use of muscles, tendons, or joints nearby. Overuse often results from repetitive movements.

It depends on the cause of bursitis and where the affected body part is located. Some such reasons are.

  • Elbow: Tennis players and golfers frequently experience bursitis. Inflammation and damage to the elbow can be caused by repetitive elbow bending.
  • Knee: Kneeling repeatedly might harm and swell the bursae near the knee.
  • Shoulder: Bursitis in the shoulder can be brought on by often reaching up or lifting high.
  • Ankle: Injury to the ankle can result from walking too much and with the wrong shoes.
  • Buttocks: After spending a lot of time sitting on a hard surface, like a bicycle, the lower pelvic bursae may get irritated. It’s possible to feel sore in the buttocks and legs.
  • Hips: Hip bursitis can be brought on by excessive running, stair climbing, or prolonged standing.

Infection-

Bursae that are closer to the skin’s surface, like those at the elbow, are more likely to develop infectious bursitis. A cut provides a route for microbes to infiltrate the skin.
Similar to other types of bursitis, infectious bursitis is typically caused by repeated stress and abuse of joints near to the bursae. However, people with immune system issues can be more vulnerable to an infection that causes bursitis.

Health conditions-

People with particular medical conditions are more susceptible to develop crystals inside the bursa. The crystals cause the bursa to swell and become irritated. Bursitis can be brought on by a number of conditions, including gout, rheumatoid arthritis, and scleroderma.

How is Bursitis Diagnosed?

Diagnostic testing for bursitis may involve the following in addition to a thorough medical history and physical examination:

  • X-ray. A diagnostic procedure that captures images of inside organs, bones, and tissues on film using invisible electromagnetic radiation beams.
  • A type of imaging test that creates precise images of the body’s organs and architecture using a mix of powerful magnets, radio waves, and computers.
  • an imaging procedure that examines inside organs and tissues using high-frequency sound waves.
  • A treatment that entails taking fluid with a tiny needle from the enlarged bursa in order to check for gout or infection as potential bursitis causes.
  • Blood test. To confirm or rule out other conditions, lab testing may be performed.

Bursitis Treatment:

Self-treatment-

Bursitis may be manageable at home with the use of over-the-counter (OTC) medications and some self-care methods.

Self-care usually involves:

  • Padding can shield the damaged bursae from unpleasant contact, protecting the area.
  • Resting can help reduce inflammation. Avoid utilizing the affected joints unless absolutely essential.
  • How to use ice packs: Ice packs covered in a towel and applied to the affected region might help ease discomfort and inflammation. Never put ice directly on your skin; instead, use ice packs or ice that has been wrapped in a cloth.
  • bringing up the impacted area: Elevating a wounded location prevents blood from accumulating there and may also assist to relieve inflammation.
  • Using painkillers: Ibuprofen works well to ease pain and may also assist to reduce inflammation.

Medical Treatments for Bursitis-

Medical attention is suggested when self-care measures have failed to relieve symptoms, when symptoms are severe, or when septic bursitis is suspected. According to the situation, a doctor could advise continuing home treatment as well as:

  • Physical treatment to flex and strengthen the muscles surrounding the injured bursa
  • Orthotics to reduce bursa stress and enhance body mechanics
  • a bursal aspiration to drain the bursa of extra fluid.
  • An injection of cortisone to rapidly decrease inflammation (typically done along with an aspiration).
  • ultrasonic therapy helps promote healing and blood flow.
  • For situations of septic bursitis, antibiotics.

Some types of bursitis may not respond to all of the above treatments.

Bursitis Prevention:

Bursitis sufferers may want to take precautions to reduce their chance of recurrence. It might be advised to use one or more of the following preventative methods.

  • Avoid performing repetitive activities that could aggravate bursae by taking regular pauses.
  • Avoid kneeling or leaning on your elbows, which can aggravate the bursa in question.
  • When kneeling or leaning on the elbows is necessary and cannot be avoided, wear cushioned knee or elbow pads to assist protect a bursa.
  • Wearing comfortable, supportive, low-heeled shoes and/or an orthotic, such as a knee brace or shoe insert, will assist in healthy body mechanics.
  • Exercise the muscles and tendons surrounding the injured joint.
  • Treat underlying medical disorders that may be related to bursitis, such as rheumatoid arthritis.

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