Bursitis is inflammation of the bursa is accompanied by pain. Bursa is a flat pouch that contains synovial fluid, which facilitates normal movement of multiple joints in the muscles and reduces friction. Bursa is located on the side of the friction, especially in places where tendons or muscles pass through bone.
There are about 150 bursae (plural of bursa) throughout the body. Bursae act as cushions in the form of joint movement like a parcel of air bubbles.
Located near the tendon joints, bursae reduce friction between bones and tendons, making the joints flexible and easy to move. Bursae are not filled with air, but contains clear lubricating fluid called synovial fluid.
Bursitis occurs when a bursa becomes inflamed. Sometimes this inflammation causes the bursa to produce more fluid, causing swelling. Because the stock is in any joint in the body, the bursitis may potentially arise anywhere in the body. The most commonly affected by bursitis are the shoulders, hips, elbows, knees, ankles, buttocks, and sometimes the thumb or toe.
Causes of Bursitis
The cause is often unknown, but bursitis can be caused by:
- Excessive use over the years
- Injury
- Gout
- Pseudogout
- Rheumatoid arthritis
- Infection.
Most susceptible to bursitis is the shoulder, part of the body can also be affected by bursitis are elbows, hips, pelvis, knees, toes and heels.
Symptoms of Bursitis
Bursitis causes pain and tend to limit movement, but the specific symptoms depend on the location of the inflamed bursa. If the inflamed bursa in the shoulder, then if the patient raises his arm to wear will have difficulty and pain.
Acute bursitis occurs suddenly. If touched or moved, there will be pain in the inflamed area. The skin over the bursa looks reddish and swollen. Acute bursitis caused by an infection or gout causes tremendous pain and the affected area look red and feel warm.
Chronic bursitis may result from previous bouts of acute bursitis or repeated injury. In the end, the bursa will thicken the walls and collects inside dense calcium deposits that resemble limestone. Exchanges that have been damaged very sensitive to additional inflammation. Chronic Pain and swelling can limit movement, so that muscle shrinking (atrophy) and became weak.
Chronic bursitis attack lasted for several days to several weeks and often recur.
How to Diagnose Bursitis?
Diagnosis is based on symptoms and physical examination. The area around the bursa painful if touched and certain joint movement painful. If the bursa looks swollen, it could take a sample of fluid from the bursa and the fluid examined to determine the cause of the inflammation.
Treatment for Bursitis Singapore
Treatment for bursitis will be depending on the severity of one symptoms. Infected bursa must be drained and given antibiotics. Acute non-infectious bursitis usually treated with rest, which temporarily affected joints are not moved and was given a non-steroidal inflammatory drugs (such as indomethacin, ibuprofen or naproxen)
Sometimes given pain medication. Also can be injected a mixture of local anesthetic and corticosteroid directly into the bursa. Injections may need to be done more than one time.
For severe bursitis treatment, corticosteroids (such as prednisone) by mouth (swallowed) for a few days. Once the pain subsides, it is recommended to perform specific exercises to improve joint coverage.
For immediate pain relief treatment for bursitis include bursitis aspiration. However, it may come back.
Chronic bursitis treated in the same way. Sometimes large calcium deposits in the shoulder can be removed through a needle or surgically. Corticosteroids can be injected directly into the joint.
Physical therapy is performed to restore joint function. Exercise can help strengthen muscles and joints coverage. Bursitis often recur if the cause (such as gout, rheumatoid arthritis or overuse) are not addressed.
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