Bursitis is commonly caused by repetitive movement and excessive
pressure.
Elbows and
knees are the most commonly affected. Inflammation of the bursae might also be caused by other inflammatory conditions such as
rheumatoid arthritis. Although infrequent,
scoliosis might cause bursitis of the shoulders; however, shoulder bursitis is more commonly caused by overuse of the shoulder joint and related muscles.
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Traumatic
injury is another cause of bursitis. The inflammation irritates because the bursa no longer fits in the original small area between the bone and the functionary muscle or tendon. When the bone increases pressure upon the bursa, bursitis results. Sometimes the reason is unknown. It can also be associated with some chronic systemic diseases.
Treatment..........
Bursae that are not infected can be treated with rest,
ice, elevation,
physiotherapy,
anti-inflammatory drugs and pain medication. Since bursitis is caused by increased friction from the adjacent structures, a compression
bandage is contraindicated because compression would create more friction on movement (passive and active). Advanced
massage therapy techniques can also be employed to help with the inflammatory process of bursitis.
Bursae that are
infected requires further investigation and
antibiotic therapy. In cases when all conservative treatment fails, surgical therapy may be necessary. In a
bursectomy the bursa is cut out either
endoscopically or with open
surgery. The bursa grows back in place after a couple of weeks but without any inflammatory component.
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Originally Posted by tunaticer
