What is bursitis?
Bursitis is the inflammation of a bursa — a small, fluid-filled sac that acts as a cushion between your bones, tendons, and muscles near joints. When this sac becomes irritated or swollen, it leads to pain, swelling, and stiffness, commonly around the shoulder, elbow, hip, or knee.
The meaning of bursitis comes from the Latin word bursa, meaning “purse” or “sac.” When inflamed, this sac loses its ability to reduce friction smoothly, resulting in joint pain and discomfort during movement.
In simple terms, bursitis is your body’s way of saying, “You’re overusing this joint — it needs a break.”
Types of Bursitis
Bursitis can affect any joint with a bursa, but certain areas are more prone to inflammation. Below are the main types of bursitis, their common symptoms, and affected joints:
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Shoulder Bursitis (Subacromial Bursitis):
Inflammation under the shoulder bone causes pain when lifting or rotating the arm. Common in swimmers, painters, and athletes.
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Elbow Bursitis (Olecranon Bursitis):
Swelling at the tip of the elbow, often from leaning on hard surfaces or direct injury. Also called “student’s elbow.”
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Hip Bursitis (Trochanteric Bursitis):
Pain on the outer side of the hip, especially while lying on the affected side or climbing stairs. Common among runners and women over 40.
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Knee Bursitis (Prepatellar Bursitis):
Swelling in front of the kneecap, also known as “housemaid’s knee.” Often seen in people who kneel frequently.
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Heel Bursitis (Retrocalcaneal Bursitis):
Pain behind the heel, near the Achilles tendon. Frequently affects runners or those wearing tight shoes.
Each of these types of bursitis requires specific management strategies, though the underlying cause — inflammation of the bursa — remains consistent.
Causes of Bursitis
The causes of bursitis vary, but most cases stem from repetitive strain or pressure on a joint. Below are the most common triggers:
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Repetitive motion or overuse: Activities like throwing, kneeling, or lifting can overwork the bursa.
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Prolonged pressure on joints: leaning on elbows or kneeling for extended periods.
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Injury or trauma: A direct hit to a joint can inflame or irritate the bursa.
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Infection (Septic bursitis): Bacteria entering the bursa through a wound can cause infection, especially in the elbow or knee.
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Underlying conditions: Diseases such as arthritis, gout, or diabetes increase the risk of developing bursitis.
These factors create a repetitive strain injury that, over time, leads to joint inflammation and pain.
Symptoms of Bursitis
Recognizing bursitis symptoms early can help you manage pain before it worsens. Typical signs include:
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Localized joint pain – Usually around the affected joint, worsening with movement or pressure.
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Swelling and tenderness – The area may appear puffy or swollen.
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Warmth or redness – A sign of inflammation or possible infection.
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Restricted movement – Pain limits flexibility and joint mobility.
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Pain aggravated by activity – Discomfort increases when performing repetitive motions or pressing on the joint.
If you notice persistent joint swelling and stiffness, seek medical advice to confirm the diagnosis and rule out infection.
Bursitis Diagnosis
The diagnosis of bursitis typically involves both physical and imaging assessments. Doctors follow a structured approach to confirm the condition:
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Physical Examination:
The physician checks for swelling, tenderness, and range of motion around the joint.
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Medical History Review:
Questions about your daily activities, occupation, and previous injuries help pinpoint the cause.
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Imaging Tests:
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Fluid Analysis:
If infection is suspected, the doctor may draw fluid from the bursa to check for bacteria — confirming septic bursitis.
A correct bursitis test ensures proper treatment and faster recovery.
Treatment for Bursitis
The good news? Bursitis treatment is usually simple and effective. Most cases resolve with rest and non-invasive therapies.
1. Home Remedies for Bursitis
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Rest and avoid overuse: Give the affected joint time to heal.
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Ice compress: Apply for 15–20 minutes, 2–3 times daily to reduce swelling.
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Elevation: Keep the joint raised to minimize fluid buildup.
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Gentle stretching: Helps maintain flexibility without straining the joint.
2. Medical Treatments
If home care isn’t enough, doctors may recommend these medical options:
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Anti-inflammatory medications (NSAIDs): Ibuprofen or naproxen reduce pain and inflammation.
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Corticosteroid injections: Provide fast, targeted relief in severe cases.
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Antibiotics: Required for septic bursitis caused by infection.
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Physical therapy: Strengthens muscles around the affected joint, improving support and mobility.
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Surgery: Rarely needed but may be performed for chronic bursitis or recurring cases.
Physiotherapy plays a critical role in long-term management by correcting movement patterns and restoring full joint function.
Bursitis Prevention Tips
Preventing bursitis is all about protecting your joints from stress and repetitive pressure. Follow these bursitis prevention tips to keep your joints healthy:
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Warm up before exercise: Gentle stretches prepare the muscles and joints.
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Maintain joint flexibility: Regular movement keeps bursa sacs lubricated.
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Use padding or support: Knee and elbow pads help if your job involves kneeling or leaning.
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Avoid repetitive strain: Vary your activities and take frequent breaks.
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Maintain a healthy body weight: Reduces pressure on hips and knees.
These ergonomic tips not only prevent bursitis but also protect against other musculoskeletal injuries.
When to See a Doctor for Bursitis
While mild bursitis can improve with rest, some signs indicate you need professional help. Consult a doctor for bursitis if:
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Pain persists for more than a few days despite rest.
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You notice redness, warmth, or fever (signs of infection).
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Joint mobility is severely restricted, or pain interferes with daily activities.
Ignoring symptoms can lead to chronic bursitis or infection spreading to nearby tissues.
Conclusion
Bursitis may sound intimidating, but it’s one of the most manageable joint conditions when treated early. With rest, ice therapy, physiotherapy, and posture correction, most people recover completely and return to normal activities within a few weeks.
The key to long-term relief lies in bursitis prevention — staying active, maintaining flexibility, and avoiding repetitive stress on your joints.
Whether you’re an athlete, a desk worker, or someone recovering from injury, listening to your body and protecting your joints can keep bursitis — and the pain that comes with it — far away.