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Bursitis Introduction

 

 

Part of the reason that we are able to move so freely is due to the flexibility of our joints. Bursas are small, fluid filled sack-like structures that serve to diminish friction between two moving structures, to allow them to move over one another with more fluidity. There are over 150 bursas throughout your body, found where tendons meet bones to cushion their movement and reduce rubbing; if we didn't have bursas the lack of lubrication would limit our range of motion, significantly increase wear and tear, and be very painful.


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When a bursa is inflamed it results in a condition called bursitis. This usually occurs with repetitive use of a joint or constant pressure; occasionally an infection within the bursa will be responsible for the inflammation. Due to this inflammatory process, the bursa loses its lubricating ability, becoming more swollen, painful and inflamed as it is moved. Due to its diminished function, the joint itself will become painful and hard to move. Normally, it is the major joints that are more susceptible to bursitis such as the knee, hip or shoulder, but it can also occur in the smaller joints such as the big toe. Sometimes, small calcifications can form on tendons were they meet joints, causing the development of new bursas in these areas.

 

Symptoms of bursitis can appear similar to tendonitis or arthritis and can be mistaken for these other conditions. Bursitis is unlike other conditions involving bones and joints and does not lead to deformity and is usually short lived, but can flare up chronically. Symptoms can be more noticeable at night or after periods of use. Similar to other musculoskeletal conditions, bursitis can be very painful and limit motion. As stated earlier, the most common reason for bursitis is over-use or injury, but it can also be associated with other conditions such as arthritis, gout, bacterial infection, and rarely, tuberculosis.

 

There a few different types of bursitis, mainly named after the type of occupation that can cause the condition:

  • Weaver's bottom. This type of bursitis gets its name from an inflamed bursa resulting from sitting on a hard surface and swaying back and forth, such as sitting at a loom. The bursa affected sits over the bone in your buttocks.

     

  • Housemaid's knee. In this type of bursitis a soft, egg-shaped bump forms on the front of your knee, due to kneeling while scrubbing a floor, gardening or doing other activities that place pressure on your knees.

     

  • Miners' elbow. This form results from swinging a pick. You may get a similar inflammation by pushing a vacuum cleaner back and forth. Constant hammering and swinging a tennis racket are other examples of repeated physical activities that may lead to bursitis of the elbow or shoulder. In addition, repeated leaning on your elbows could lead to bursitis over the tip of your elbow.

  

Bursitis Symptoms

 

  • Dull ache in your hip, shoulder or elbow or smaller affect joint

  • Heat or swelling in area with inflamed bursa

  • Limited range of motion in affected joint

  • Pain and stiffness with movement or pressure to inflamed bursa

 

With hip bursitis, there will be no noticeable redness at the hip, due to the fact that the bursa lies deep to major muscles. The pain with this type of bursitis will manifest over the greater trochanter, the part of your thighbone that juts out just below your hip.

 

Bursitis Symptoms
  • 32 people per 1000 experience bursitis

  • 8.7 million people in USA suffer from bursitis

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