Bursitis 

Introduction 

Bursitis

In this video, an expert describes the symptoms and treatment options for bursitis

Media last reviewed: 19/07/2014

Next review due: 19/07/2016

Bursae

There are about 160 bursae in the human body. They act as cushions between two surfaces that rub against each other, such as bones, muscles, joints and tendons. 

Each bursa is lined with special cells called synovial cells. The cells produce a liquid that lubricates the body's moving parts and helps reduce friction.

Sports injuries

Regular sports and exercise provide health benefits, but they can occasionally cause injuries

Bursitis is inflammation and swelling of a bursa. A bursa is a fluid-filled sac which forms under the skin, usually over the joints, and acts as a cushion between the tendons and bones.

The main symptoms of bursitis are pain, swelling and tenderness in the affected area.

Any bursa can become inflamed, but bursitis most commonly occurs in the:

  • shoulder
  • elbow 
  • knee (known as housemaid's knee)
  • hip

Other areas affected can include the ankle, foot and Achilles tendon (the large tendon that attaches the heel bone to the calf muscle). 

What causes bursitis?

A bursa can become inflamed through injury or repetitive movement.

Your risk of developing bursitis is increased if you regularly take part in physical activities that involve a lot of repetitive movement, for example running (bursitis in the ankle) or playing darts (bursitis in the elbow).

People who spend a lot of time kneeling, such as carpet fitters and gardeners, also have an increased risk of developing bursitis in their knee.

Less commonly, bursitis can develop as a result of an infection or as a complication of certain conditions, such as gout or rheumatoid arthritis.

Read more about the causes of bursitis.

Treating bursitis

Most cases of bursitis can be treated at home. Resting the affected area, using an ice pack (a frozen bag of vegetables wrapped in a tea towel works well) to reduce inflammation, and taking painkillers such as paracetamol and ibuprofen will help relieve your symptoms and speed up your recovery.

The pain usually improves within a few weeks, but the swelling may take longer to completely disappear.

See your GP if your symptoms do not improve after two weeks.

Read more about treating bursitis.

Preventing bursitis

Taking precautions, such as wearing knee pads when kneeling and warming up properly before exercise, may help reduce your risk of getting bursitis.

Read more about preventing bursitis.

Page last reviewed: 21/01/2013

Next review due: 21/01/2015

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Comments

The 4 comments posted are personal views. Any information they give has not been checked and may not be accurate.

wedgewood said on 26 August 2014

I had Bursitis of the shoulder for 3 months(Ididn't know at this time what it was.) treated myself with maximum doses of Ibuprofen for 6 weeksAlso every liniment known to man! No improvement. Bad pain Couldn't sleep. Doctor said "frozen Shoulder" Prescribed exercises---no improvement .Went to Osteopath He said Bursitis,and I started treatment of massage and manipulation-- no improvement. Had been diagnosed with pernicious anaemia at this time and after 5 Injections of vitamin B12 very close together my Bursitis disappeared! I then looked this up on the internet to find that is the treatment that many doctors in the USA use (including the famous Mayo Clinic) But I think that you would find it difficult to get that treatment from the NHS . You could try sub-lingual lozenges of B12 --Injections are prescription only.

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ianatrix said on 17 August 2014

I have been suffering with shocks over my knee cap for many months and the doctors said to spray ice and there isn't much wrong. I only have to have jeans coming over my knee and it can set the stining pains off or if i bend my knee. Such a shock when it happens, but not as bad on my other knee, yet. Watching this video made me realise what actually is wrong. I have many smacks to my knees due to spousal abuse and this is when my problem started. This site is so good to help you to self help and see what you actually have. I will go back to my doctors now as it has not gotten any better. Definitely worth coming to this site.

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Limping along said on 20 April 2014

After months of painful hip which was diagnosed as bursitis probably caused be deterioration of the hip joint I am now blocked from further treatment. Triage has ruled out hip replacement. Anti inflammatory drugs and painkillers are virtually useless. An injection to the bursa didn't work either. The consultation last week was to say that as I am female, menopausal and overweight there is nothing more they will do. Although slightly overweight, it is definitely not a serious problem. I need to exercise on advice of my oncologist who says that is the best thing to prevent reoccurrence of cancer. What can I do now? Ideas?

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John Carshalton said on 17 January 2013

Your information was extremely helpful. However, from personal experience, bursitis also occurs in the foot.

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Which painkiller?

The drugs you should take to treat pain depend on what type of pain you have

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