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Overview

Bursitis: Treatment, Procedure, Cost and Side Effects

What is the treatment?

Burstitis is also known as inflammation, redness or rubor in medical terms.

How is the treatment done?

Bursitis is a painful condition caused due to the inflammation or irritation of the bursa. The bursa is a sac filled with lubricating fluid and is located between tissues such as bone, muscle, tendons, and skin. There are several concurrent causes of bursitis. Trauma, auto-immune disorders, infection and medical related iatrogenic factors can all cause bursitis. Bursitis is most commonly caused by excessive pressure and repetitive movement. Shoulders, elbows and knees are the most commonly affected parts of the body. There are other inflammatory conditions which can cause inflammation of the bursa. These are rheumatoid arthritis, scleroderma, systemic lupus erythematosus and gout. Immune deficiencies, including HIV and diabetes, can also cause bursitis. Infrequently, scoliosis can also be held as the cause of bursitis of the shoulders. Traumatic injury is another cause of bursitis. Various other chronic systemic diseases can also cause bursitis.

The most common symptom of bursitis is pain. The pain becomes severe when there is calcium deposits in the bursa. Severe loss of motion in the shoulder which is called the "adhesive capsulitis" or frozen shoulder is also as a result from the immobility and pain associated with shoulder bursitis. The regions affected become itchy and stiff, hurts on moving and pressing and becomes swollen and red.

Treatment of bursitis depends on whether the condition is infected or non-infected. Bursitis which is not infected can be treated with ample rest, ice, elevation, physiotherapy, anti-inflammatory drugs and pain medication etc. Infected or worse situations of bursitis can be treated with prescription drugs. Corticosteroids help to decrease the inflammation and pain. Antibiotic therapy and surgical therapy may also be done to help treat bursitis. Also, injections can be used to relieve the pain but is mostly avoided because of the side effects.

Who is eligible for the treatment? (When is the treatment done?)

Doctors can diagnose bursitis with the signs and symptoms. They can recommend physical tests to determine whether the condition is infected or not. Tests for bursitis may include image tests and lab tests. Doctors might recommend blood tests or an analysis of fluid from the inflamed bursa in order to diagnose the exact cause of the joint inflammation and pain. X-Rays, MRIs and ultrasound may help in the diagnosis of bursitis.

Treatment of bursitis varies depending on the location of the inflammation like hips, shoulders, elbow etc and the type of bursitis. Mild bursitis which are not infected can be cured with enough rest, ice compaction, elevation of the affected region and pain relievers can help relieve discomfort. Apart from these conservative methods, other methods of treatment may be applied to cure bursitis. Over the counter medicines like corticosteroid may be used to lower the pain and cure the inflammation. Sometimes corticosteroid drugs drugs like ibuprofen (Advil, Motrin IB, others) or naproxen sodium (Aleve, others) may also be injected into the bursa to provide relief. This is a quick method for treating bursitis but may affect the patient adversely and hence is avoided in most cases if not necessary. Physical therapy and exercises will help to strengthen the muscles and prevent recurrence of the inflammation. Also, people should use assistive means and devices to keep the affected area free from further pressure and movement. Use of walking cane or other devices can prevent additional pressure on the affected regions and facilitate healing faster. Surgery is a rarely used method in the treatment of bursitis.

Who is not eligible for the treatment?

People should consult a doctor when they face pain and stiffness in their joints and other parts of the body. When people find signs and symptoms of bursitis like swelling, redness and warmth in regions adjoining their joints, general illness, disabling joint pain, inability to move the affected area, and fever which is over 102 F, they should immediately consult the doctor.

Are there any side effects?

People may find inflammation of the joints and associated pain due to many other reasons apart from bursitis. Inflammation of the skin and pain may be caused due to injury, cuts, overuse etc. In those cases, providing rest will cause the pain to go away in hardly two days. People do not need to consult medical treatment or care in those cases. Only if the pain persists and affects daily life activities and chores, people should consult a doctor for medical assistance.

What are the post-treatment guidelines?

The risk of complication from the treatment methods of bursitis is comparatively low. But corticosteroid injection method of treatment may cause certain side effects in people. These side effects are very rare and mild, and resolve within a few days only. Some of the side effects of the injection method are bruising, swelling or inflammation at the injection site. People may face frequent hiccups, increased appetite and heart beat rate, insomnia, headache, abdominal cramping or bloating. They may also show signs of extreme water retention in the body along with flushed face and slight fever. In patients with diabetes, injection of corticosteroid can cause an increase in the blood sugar levels (BSL) for a few days. For these adverse effects of injection treatment, doctors tend to avoid this method.

How long does it take to recover?

After treatment, people should be careful not to exert too much pressure or overuse the affected parts. Medications and other doctor advices including exercises and physical therapies must be taken or done as directed. People with diabetes should also check their blood sugar level every month as sugar level can rise due to these medications. Also, they should consult the doctor if there be signs of recurrence of the condition or the condition does not improve.

What is the price of the treatment in India?

Time taken for recovery from the treatment of bursitis will vary depending on the severity of the condition, the location of injury and the type of treatment provided. Normally, people take two to three weeks to recover from the condition after proper treatment. Whether knee bursitis or shoulder inflammation, people with mild symptoms do not take more than five weeks to recover. However, for severe and extreme cases of this condition, where surgical treatments are involved, people may take six to eight weeks to recover. Sometimes, they take three months to recover completely and perform the daily chores without any problems or issues.

Are the results of the treatment permanent?

Similar to duration of recovery, cost of the treatment also varies. It depends on the severity, location of the inflammation and pain and also on the type of treatment taken. Injection method and surgical operations to remove the cause of inflammation require greater costs than other treatment methods like OTC medications. Corticosteroid injection and surgeries may cost between Rs. 70000 to Rs 140000/-. Medications and physio-therapies require less cost which can range between Rs 500- Rs 5000/- while mild bursitis which cures on its own with rest and ice compression do not require any additional costs.

What are the alternatives to the treatment?

In most cases, provided the affected and inflamed area or body part is given rest, the treatment is permanent. However, with excessive pressure or overuse of the once-already-affected part, bursitis inflammation and pain may recur back with greater severity. Thus, in order for the treatment to be permanent, people should be careful and precautious.

Safety: Condition Effectiveness: High Timeliness: Medium Relative Risk: Medium Side Effects: Low Time For Recovery: Medium Price Range:

Rs 50- Rs 140000/-

Popular Health Tips

Six Common Causes for Shoulder Pain

Fellowship in Shoulder and Knee Surgeries, DNB (Orthopedics), Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedist, Nagpur
Six Common Causes for Shoulder Pain

The shoulder is one of the most important joints in the body that uses a ball and socket to join the arm to the rest of the body. Any pain can make it difficult to carry out motion in a comfortable manner. The shoulder consists of the long arm bone called the humerus, the collarbone or the clavicle, as well as the shoulder blade called the scapula. A layer of cartilage provides essential padding to the bones in this area and its two main joints. There are a number of issues that can cause shoulder pain

Let us get to know the six most common ones. 

  1. Rotator Cuff Injury: This is the most common cause of shoulder pain and it occurs when the four muscles or the tendons are injured. These muscles and tendons usually control the movement of the arm. This injury can involve strains and tears which may also be caused by constant lifting of heavy objects. 
  2. Rotator Cuff Tendonitis: This condition affects the tendons and muscles that help in moving the arm freely. This usually happens due to inflammation in the tendons. It is commonly experienced by patients who are actively involved in sports and other heavy physical pursuits in their line of work. 
  3. Frozen Shoulder: This is a debilitating condition that restricts the free movement of the arm and is also known as adhesive capsulitis. When the shoulder tissues become too thick, it leads to the growth of scar tissue that hinders proper movement and causes pain. 
  4. Osteoarthritis: Osteoarthritis is a condition that comes as part of aging bones that also become hollow and brittle over the passage of time, which leads to joint and bone pains in various parts of the body. It is a degenerative disease that is caused due to prolonged wear and tear as well as other factors including family history and sports injury.
  5. Bursitis: This condition is known to affect the fluid-filled sacs that lie in between the joints. These are known as bursae. When the bursae suffers from swelling, the effect usually shows up as pain in the joints. 
  6. Tendon Sheath Inflammation: The fibrous tissue that connects the bones and the muscles is called a tendon. The presence of the tendon makes it possible to pursue activities like running, jumping, lifting, gripping and more. It is protected by a sheath known as synovium, which also lubricates the same. Any injury or tear to this sheath can cause shoulder pain.

Acute and persistent pain that does not abate and gets even worse should be treated with immediate medical intervention. If you wish to discuss about any specific problem, you can consult an orthopedist.

2592 people found this helpful

5 Symptoms Of Bursitis!

MBBS & MS, Fellowship in AO (Germany), Ranawat Arthoplasty Fellow(USA)
Orthopedist, Jaipur
5 Symptoms Of Bursitis!

Bursitis is a disorder that is characterized by inflammation of a fluid filled sac called the bursa. Bursa is present in between various tissues such as muscles, tendons and bones where friction may occur. This sac cushions the tissues and prevents friction. The usual areas that are affected by this condition are hip, shoulder and the elbows.

The symptoms of bursitis are:
1. You will experience pain in the affected area
2. Tightness and stiffness in the area
3. Local swelling of the muscle
4. Redness of the area
5. Any physical contact with the area causes pain

Bursitis may also occur due to the following reasons:
1. Ageing results in loss of elasticity of the tendons, thus impairing their ability to tolerate any stressful activity
2. Sports such as baseball where you are required to throw the ball with force may lead to bursitis
3. If you do tasks that require kneeling down on a regular basis
4. Sitting on hard surfaces for extended periods of time
5. Abnormalities such as improperly placed joints
6. Inflammation from other conditions such as gout, thyroid disorders and rheumatoid arthritis may lead to bursitis

Treatment
The condition is treated by using a variety of methods such as exercise and medication. Antibiotics are used to treat any underlying infection causing bursitis. Injections may be administered to reduce inflammation in the affected area along with exercises to strengthen the affected muscle. In severe cases, the doctor may resort to surgery to treat this condition.

Prevention
You may use certain preventive measures to stay clear of bursitis. Some of them are
1. Lift with proper form: If you are lifting something heavy, then make sure you keep the spine straight and bend your knees slightly.
2. Take breaks: Don’t remain in the same position for long durations, take small breaks and walk around to release the stress from your legs.
3. Exercise: Do strength building workouts to build strength in the joints. Include mobility and flexibility stretches in your routine to keep your joints healthy, thus increasing the range of motion.
4. Maintain optimal weight levels: If you are obese, then take steps to reduce your weight. Maintain a proper diet to check your waistline.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2357 people found this helpful

All About Adhesive Capsulitis & Subacromial Bursitis, Rotator Cuff Tear

MBBS, MS - Orthopaedics, Ozone Therapy
Orthopedist, Ghaziabad
All About Adhesive Capsulitis & Subacromial Bursitis, Rotator Cuff Tear

Adhesive Capsulitis: An Overview
If you are taken aback by the very mention of this condition, you must know this is something you face every now and then. The problem is not too serious until it persists and hence people do not bother to look up terrifying medical terms for the case. Adhesive capsulitis or frozen shoulder is a condition that could arise from a host of reasons. It is usually characterized by a marked stiffness in and around the shoulder blade felt either in the middle of the night, early in the morning or while trying to move a hand close to the end of its reach. Frozen shoulder might become a chronic problem in which case remedying it takes a minimum of one or two years.

Factors leading to Adhesive capsulitis

  1. This condition is prevalent amongst patients of diabetes.
  2. Lack of movement of a limb, either of the two hands, due to a fracture or a surgery can result in the same.
  3. Adhesive capsulitis occurs when the capsule of connective tissues ensconcing the ligaments and bones of your shoulder joint tightens around them hindering free and easy movement.

How is Adhesive Capsulitis Treated?

There are various treatments for adhesive capsulitis. Even though the condition usually gets better on its own, improvement can take two to three years. Over 90% of patients improve with non-surgical treatments, including the following:

  1. Physical therapy
  2. Heat
  3. Corticosteroid injections
  4. Anti-inflammatory medications

Surgery can be performed for patients who see no improvement after non-surgical measures are taken.

How is subacromial bursitis different from Adhesive capsulitis?

While a frozen shoulder affects your entire shoulder area, subacromial bursitis affects a single point in the shoulder blade. The topmost boney part of the shoulder blade is referred to as the acromion. The acromion is placed above the ball- and- socket joint without touching the bones directly. The subacromial bursa is a soft cushion like thing that prohibits friction between the muscles or tendons of the shoulder joint and the acromion. An irritable subacromial bursa is referred to as subacromial bursitis.

How is Subacromial Bursitis Treated?

Subacromial Bursitis can be treated in a number of ways, including:

  1. Avoiding activities that aggravate the problem
  2. Resting the injured area
  3. Icing the area the day of the injury
  4. Taking over-the-counter anti-inflammatory medicines

What do you mean by rotator cuff tear?

Rotator cuff is a group of tendons and muscles located on top of the upper arm bone or humerus. The cuff helps to hold your arm in place allowing easy movement. Acute stress or physical exertion can lead to muscle cramps or might even make the tendons tear apart. Tennis players, swimmers, or people lifting heavy weights are prone to Rotator Cuff Tear. This condition leads to excruciating pain and tenderness in your shoulder blade.

What's the Treatment for a Rotator Cuff Tear?

As bad as these injuries can be, the good news is that many rotator cuff tears heal on their own. You just need to give them a little time. You also should:

  1. Rest the joint as much as possible. Avoid any movement or activity that hurts. You may need a sling.heal
  2. Ice your shoulder two to three times a day to reduce pain and swelling.
  3. Perform range-of-motion exercises, if your doctor recommends them.
  4. Consider physical therapy to strengthen the joint.
  5. Use anti-inflammatory painkillers, or NSAIDS, like Advil, Aleve, or Motrin.

More serious rotator cuff tears require surgery. One procedure is shoulder arthroscopy, usually an outpatient procedure. In case you have a concern or query you can always consult an expert & get answers to your questions!

2616 people found this helpful

"Joint Pain Treatment" Physiotherapy:

BPT, MPT- Ortho
Physiotherapist, Gurgaon
"Joint Pain Treatment" Physiotherapy:

Joints form the connections between bones. They provide support and help you move. Any damage to the joints from disease or injury can interfere with your movement and cause a lot of pain
 

Many different conditions can lead to painful joints, including 
- Osteoarthritis 
- Rheumatoid arthritis 
- Bursitis 
- Gout 
Strains, sprains and other injuries of joints and around joints. 
-  Inflammation in and around joints 
- CFS (Chronic Fatigue Syndrome
- Fibromyalgia 
- Bursitis 
- Ankylosing Spondylitis(A.S.) 

- Tendon Sheath Inflammation (Tenosynovitis) etc. 

Joint pain is extremely common. In one national survey, about one-third of adults reported having joint pain within the past 30 days. 
Knee pain was the most common complaint, followed by shoulder and hip pain, but joint pain can affect any part of your body, from your ankles and feet to your shoulders and hands. As you get older, painful joints become increasingly more common. 
 

Physiotherapy treatment: 
For joint pain treatment we can use following techniques:
 
-Taping 
-Modalities 
-Exercises 
-Corrective devices if needed (orthotics) 
-Manual therapy etc. depending upon the case. 

 

22 people found this helpful

Bursitis - How It Can Be Managed?

MBBS, PG-Diploma In Clinical Pathology
General Physician, Sri Ganganagar
Bursitis - How It Can Be Managed?

The movement between bones and muscles is possible due to the fluid filled sacs that enable smooth gliding of the bones. When there is an inflammation of these sacs, condition known as bursitis results, leading to friction, reduced movement, painful movement, discomfort, and irritation.

Some of the common causes of bursitis include age, which brings along reduced elasticity of the tendons and ligaments.  Additionally, sudden injury to the bursa area, repetitive stress, overuse of the ligaments or tendons, incorrect posture, and improper exercise can all lead to bursitis.

The most commonly affected parts are the elbows, shoulders, hips, knees, and ankles. The dull, aching pain that ensues is accompanied by stiffness. Movement can worsen this pain.  The area can be red, hot, and swollen indicating infection. Whatever the area affected, some of the common ways to manage bursitis pain are listed below.

  1. Rest: As soon as bursitis is identified, the area must be rested. As noted, in most cases, repetitive stress and injury is the most common cause, and resting the area really helps.
  2. Ice only: If bursitis is happening for the first time, then an ice pack alone should help reduce the pain in 1 to 2 days.
  3. Ice and moist heat: If it is happening repeatedly, then alternating moist heat and ice for 15 minutes each will help.  This can be done two to three times a day. 
  4. Anti-inflammatories: In most cases, if rest and topical therapy are not working, then the regular anti-inflammatory agents may be given. 
  5. Physical Therapy: In some cases, mild exercises can help reduce inflammation and pain. 
  6. DMSO (dimethyl sulfoxide): This clear, colorless, oily liquid is made from wood pulp and helps in reducing the inflammation caused by bursitis. A 70% DMSO mixture can be applied with cotton on the affected area 3 times a day for 3 days, then 2 times a day for the next 3 days, and then 1 time a day for the next 3 days.  If there is no improvement in the first 3 days, it needs to be discontinued.
  7. Foods to remove calcium deposits: In a number of cases, bursitis that is present for months or years is worsened due to the calcium deposits. Foods like apple cider vinegar can help dissolve the calcium deposits that could have formed in the bursa.
  8. Steroids: Local injections of corticosteroids may be necessary in some cases. Though inflammation can be curtailed with this, there is always the fear of hampered immunity and altered sugar levels.
  9. Surgical drainage: In very rare cases, the bursa may need to be surgically drained.

Bursitis is a very common issue and can be managed easily as well. 

In case you have a concern or query you can always consult an expert & get answers to your questions!

3319 people found this helpful

Popular Questions & Answers

Recently from 3-4 months I got olecranon bursitis. I believe it occurred due to my desk when I put my elbow. What will be best treatment for it. please suggest Thanks.

ms orthopaedics, mbbs
Orthopedist, Noida
1. Avoid placing elbow over table or against rough surfaces. 2. Apply ice packs locally. 3. Medications like Enzomac and Tendocare will help. 4. Intralesional steroid injection offer great help if the problem is recurring.

I am 50 year old male and 96 kg weight and 5 feet 10 inches tall. I am suffering from bursitis in the left heel. What should I do?

DNB (Orthopedics), fellowship in arthroscopy and sports medicine
Orthopedist, Ghaziabad
do contrast bath twice daily use soft sole high heel slippers take good antiinflammatory medicine. do stretching exercises.
1 person found this helpful

Please suggest some medicine for calcaneal bursitis of her back heel. Her age is 50.

Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
Get treated with Ultrasonic therapy which would directly heal the calcaneal spur (inflammation of the calcaneum bone) which causes the heel pain in majority of the cases. Along with ultrasonic therapy, shortwave diathermy also can be given. Simultaneously it is better to wear MCR chappals (micro cellular rubber) which will help to transfer the weight evenly in the feet so that the weight will be completely felt in the heel area. Simultaneously it is better to wear MCR chappals (micro cellular rubber) which will help to transfer the Plantar Fascitis weight evenly in the feet so that the weight will be completely felt in the heel area. You shall do contrast bath to relieve this pain. Contrast bath is nothing but keeping in one tub hot water (bearable heat) and in another tub cold water Ask your father to apply ice in the painful area which would definitely help to greater extent. If still the pain persists then it is better to keep TENS stimulation at one of the nearby physiotherapy clinics.

Hi I have a pus infection on my elbow kindly advise appropriate tablet for the same.

BHMS
Homeopath, Hyderabad
Kindly do the dressing of the wound everyday (while maintaining the hygiene ). Go for a check up once so that it can be examined by the doctor. You can start Homeopathy which helps in faster healing (incase it does not heal in 1- 2 weeks ). You can contact me for further information.

I guess I am suffering from hip bursitis. I feel pain while I sit on chair or stand from that. Please suggest exercise and medicine.

MBBS
PMR (Physical Medicine & Rehabilitation) Specialist, Kolkata
I think you r right regarding your diagnosis. Lets do a X-ray first to see whether associated with sacroilitis or not.(X-ray both pelvis including sacroiliac joint AP VIEW). In the meantime you can use tab. Chymoral forte with tab. Rantac (150) two times a day for 3 days at least. If you allow we can talk personally for further management protocol after X-ray. Avoid sitting on hard surface and avoid blunt trauma.

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?
Having issues? Consult a doctor for medical advice