A “bursa” is a small fluid-filled sac that sits near a bone. It cushions and protects nearby tissues when they rub on or slide over bones. These sacs, called “bursae,” are found in many places throughout the body (figure 1 and figure 2). Bursitis happens when a bursa gets irritated and swollen. This can happen when a person:

        Moves a joint over and over again in the same way, over a short period of time

• Sits on a hard surface or stays in a position that presses on the bursa for a long time


• Has certain kinds of arthritis, such as gout or rheumatoid arthritis, that can affect their joints and bursae


• Gets hurt near a bursa


• Has an infection that spreads to a bursa

What are the symptoms of bursitis? — Symptoms of bursitis can include:

          Pain, including when the area is touched

• Swelling


• Trouble moving the joint

A bursa can get infected if a person gets a cut on the skin nearby. An infected bursa can cause a fever and the area around the bursa to be:

          Red, Swollen ,Warm ,Painful

If you have any of the symptoms of an infected bursa, let your doctor or nurse know as soon as possible.

Is there a test for bursitis? — Yes. Your doctor or nurse will ask about your symptoms and do an exam.

If you have symptoms of an infected bursa, your doctor might use a needle to remove some fluid from the bursa. Then he or she can do lab tests on the fluid to find out what is causing the bursitis, and if you need antibiotics.

He or she might also order imaging tests, such as an MRI scan or ultrasound. Imaging tests can create pictures of the inside of the body.

What can I do to treat my bursitis? — To treat your bursitis, you can:

      Rest, cushion, and protect the area – Try not to irritate the area that hurts. For example, people with very painful shoulder bursitis might need to avoid lifting or carrying heavy things for a while. They might also need to wear an arm sling. People with bursitis behind the heel might need to use a thick heel pad. This can raise the heel so that it does not rub against the back of the shoe.

• Avoid positions that put pressure on the area – For example, people with bursitis in the front of the knee should avoid kneeling.


• Put ice on the area to reduce pain – Use a frozen bag of peas or a cold gel pack a few times a day for 20 minutes each time.


• Put heat on the area to reduce pain and stiffness – Do not use heat for more than 20 minutes at a time. Also, do not use anything too hot that could burn your skin.

What other treatments might I have? — Your doctor or nurse might use other treatments, depending on your symptoms and where your bursitis is. Treatments can include:

Pain-relieving medicines called “nonsteroidal anti-inflammatory drugs” or “NSAIDs” – NSAIDs include ibuprofen (also sold as Advil® or Motrin®), and naproxen (also sold as Aleve® or Naprosyn®). These medicines can reduce pain and prevent the bursae from getting swollen and painful.

• Steroid injections – During this procedure, a doctor injects a steroid medicine into the area of the bursitis. The medicine used in this treatment is different from the steroids that athletes might take to build muscle.


• Exercises and stretches – Your doctor or nurse might recommend that you work with a physical therapist. A physical therapist can teach you stretches and exercises to help reduce your symptoms.


• Surgery – A doctor can do surgery if other treatments do not work and you have had symptoms for a long time.

People with an infected bursa might also have treatment that includes:

Antibiotics

Having the fluid in the bursa drained – A doctor can drain the fluid using a needle and syringe, or by doing surgery.

Can bursitis be prevented? — Yes. To help reduce the chance that you get bursitis, you can:

           Use cushions or pads to avoid putting too much pressure on joints – For example, people who     garden can kneel on a kneeling pad. People who sit for a long time can sit on a cushioned chair.

• Take breaks, if you are using a certain joint too much


• Stop an activity or change the way you are doing it, if you feel pain


• Exercise


• Lose weight, if you are overweight


• Use good posture

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