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What is Bursitis? Bursitis is the inflammation of one or more bursae, or small sacs of synovial fluid, in the body. Bursae rest at the points where internal functionaries, like muscles and tendons, slide across bone. Healthy bursae create a smooth and almost frictionless gliding surface. With hundreds of them throughout the body they provide this surface for all motion, making movement normally painless. When bursitis takes hold, however, movement that relies on the inflamed bursa become rough and painful. Movement of tendons and muscles over the inflamed bursa causes it to become more inflamed, perpetuating the problem.
and knees are the most commonly affected because they are rested upon more than many parts of the body with bursae and they also get the most repetitive use. Inflammation of bursae can also be caused by other inflammatory conditions such as rheumatoid arthritis. Scoliosis can also be a cause of bursitis of the shoulders. What are The Symptoms? Symptoms can vary from an ache and stiffness in the local area of the joint, to a burning that surrounds the whole joint around the inflamed bursa. With this condition, the pain is usually worse during and after activity, and the bursa and surrounding joint area can become stiffer the following day.
of swelling and pain above the patella (kneecap), and is due to inflammation of the prepatellar bursa. This structure is a superficial bursa with a thin synovial lining located between the skin and the patella. The bursa develops within the first years of life as a result of mechanical pressure and friction, and it serves the purpose of reducing friction on underlying structures and allowing maximal range of motion in the knee. Aseptic prepatellar bursitis is commonly caused by repetitive work in a kneeling position, hence the name "housemaid's knee". Inflammation of the prepatellar bursa may be aseptic (most common) or septic (e.g. bacterial infection), the septic variants being most common in children and immune system compromised individuals. Prepatellar bursitis is more common in men than women. Common, aseptic bursitis is usually managed conservatively, but complicated cases may be treated with oral NSAIDs or corticosteroid injections when infection has been ruled out. Surgical excision is seldom necessary. Trochanteric bursitis is inflammation of the trochanteric bursa. This bursa is situated adjacent to the femur, between the insertion of the gluteus medius and gluteus minimus muscles into the greater trochanter of the femur and the femoral shaft. It has the function, in common with other bursae, of working as a shock absorber and as a lubricant for the movement of the muscles adjacent to it. Occasionally, this bursa can become inflamed and clinically painful and tender.This condition can be a manifestation of rheumatoid arthritis or of an injury, but sometimes arises for no obviously definable cause. The symptoms are pain in the hip region on walking, and tenderness over the upper part of the femur, which may result in the sufferer being unable to lie in comfort on the affected side. The primary treatment is rest. This does not mean bed rest or immobilising the area but avoiding actions which result in aggravation of the pain. Taking anti-inflammatory medications may relieve pain and reduce the inflammation, however, if these are ineffective, the definitive treatment is steroid injection into the inflamed area. Olecranon bursitis is a clinical condition characterised by pain, swelling and inflammation of the olecranon bursa. This bursa is located over the extensor aspect of the extreme proximal end of the ulna. In common with other bursae, it is in the normal state invisible and impalpable, and contains only a very small amount of fluid, but fulfils the function of all bursae in facilitating movement at a joint (in this case the elbow) by enabling anatomical structures to glide more easily over each other. Also in common with other bursae, it can become inflamed, producing a condition called bursitis. Bursitis normally develops as a result either of a single injury to the elbow, or perhaps more commonly due to repeated minor injuries, such as may be caused by repeatedly leaning on the point of the elbow on a hard surface. As a reaction to injury, the lining of the bursa becomes inflamed. It then secretes a much greater than normal amount of fluid into the closed cavity of the bursa, from where it has nowhere to go. The bursa therefore inflates, producing a swelling over the distal end of the ulna which is usually inflamed and tender. Ideal treatment consists of aspirating the excess with a syringe, and injecting into the bursa a hydrocortisone type medication which will relieve the inflammation and prevent further accumulation of fluid. The patient must also be instructed to avoid leaning on the elbow. Subacromial bursitis is inflammation of the subacromial bursa, which lies between the acromion and the head of the humerus leading to extreme pain. The cause of the condition is often unclear. It can in some cases be blamed either on repeated minor traumata or on a single more significant injury, but in a large percentage of sufferers there is no obvious or remembered cause. The presenting symptom is of pain in the shoulder on abduction of the arm, either actively or passively. Typically, movement at the shoulder either backwards or forwards in the sagittal plane causes little or no pain; rotation in either direction, however, is usually painful. The definitive, and curative, treatment is by injection of a hydrocortisone-type medication, ideally one which will remain active for a significantly long period of time, (a so-called depot injection) into the bursa. Orally administered or topically applied non-steroidal anti-inflammatory medications (NSAIDs) will provide some degree of symptom relief, but will not provide a cure. As a number of other conditions will cause pain and limitation of movement at the shoulder joint, such as adhesive capsulitis and supraspinatus tendinitis, it is important to make an exact diagnosis, as a steroid injection into the wrong place will be wholly ineffective. Home Remedies for Bursitis Restrict your movement and allow your joints to heal. It may prove to be the best medicine. A continuous application of hot and cold compression can do the trick, 10 minutes hot, 10 minutes cold and so on and so forth. Ginger is one of the best known fighters for such kind of pain. It can be applied directly on the skin by making a poultice or can be taken orally to overcome the pain. Emu oil is known to treat bursitis problem due to high level of linolenic acid - which eases muscle and joint paints. The oleic acid is anti-inflammatory which penetrates the skin to provide the necessary relief. You can eat alfalfa capsules which consist of rich minerals much needed for recuperation of the bones. Apply vitamin E oil over the joints to have easy and free movement. Consuming vitamin E capsule is also very beneficial. Castor oil compression also works in your favor. Apply good amount of castor oil over the affected area and cover it with cotton and then apply heating compression with a heating pad. Stretching exercises may also provide a positive change in your life. Warning: The reader of this article should exercise all precautionary measures while following instructions on the home remedies from this article. Avoid using any of these products if you are allergic to it. The responsibility lies with the reader and not with the site or the writer.
very informative information. |
