Bursitis

  1. Definition:

    Is a condition characterized by inflammation or irritation of a bursa. Bursae are small, fluid-filled sacs located throughout the body, typically near joints, where friction between bones, tendons, and muscles occurs. These sacs help reduce friction and cushion the joints during movement.

    When a bursa becomes inflamed, it can cause pain, swelling, and limited range of motion in the affected joint. Bursitis can occur in any joint of the body, but it most commonly affects the shoulder, elbow, hip, or knee.


  2. Principal causes:

    • Repetitive movements: Overuse or repetitive movements of a joint, such as throwing, lifting, or kneeling, can irritate the bursa and lead to inflammation.

    • Trauma: Direct trauma or injury to a joint can cause inflammation of the bursa.

    • Infection: In rare cases, bacterial infection of a bursa, known as septic bursitis, can occur and lead to inflammation and swelling.

    • Underlying conditions: Certain medical conditions such as rheumatoid arthritis, gout, or diabetes can increase the risk of developing bursitis.

  3. Symptoms:

    • Pain or tenderness in the affected joint, which may worsen with movement or pressure.

    • Swelling: Swelling or inflammation around the joint, often accompanied by redness or warmth.

    • Stiffness: Stiffness or limited range of motion in the joint, particularly after periods of rest or prolonged activity.

    • Difficulty with movement: Difficulty performing activities that involve the affected joint, such as lifting objects overhead or bending the knee.

    • Diagnosis of bursitis is typically based on the patient's medical history, a physical examination, and may include imaging studies such as X-rays or ultrasound to confirm the diagnosis and assess the extent of inflammation.

  4. Treatment as a EvivaPHYSIO:

Treatment for bursitis aims to reduce inflammation, alleviate pain, and improve joint function. It may include:

  • Rest: Resting the affected joint and avoiding activities that exacerbate symptoms can help reduce inflammation and promote healing.

  • Ice therapy: Applying ice packs to the affected area for 15-20 minutes several times a day to reduce pain and swelling.

  • Pain medication: Over-the-counter or prescription medications such as nonsteroidal anti-inflammatory drugs (NSAIDs) or corticosteroid injections may be prescribed to alleviate pain and inflammation (if necessary).

  • Physical therapy: Specific exercises to strengthen the muscles around the affected joint, improve flexibility, and promote proper biomechanics.

  • Assistive devices: Using splints, braces, or crutches can help reduce stress on the affected joint and improve mobility.

  • Bursa aspiration: In cases of septic bursitis, aspiration of fluid from the affected bursa may be necessary to relieve pressure and prevent the spread of infection.

  • In severe cases of bursitis that do not respond to conservative treatment, surgical intervention to remove the inflamed bursa may be considered.

It is important to consult a doctor or healthcare professional for an accurate diagnosis and appropriate treatment plan for bursitis. Early intervention and proper management can help alleviate symptoms and prevent long-term complications.

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