Bursitis is characterised by swelling of the bursae. Bursae are fluid-filled sacs which act as a cushion for the tendons, ligaments, and muscles of the body, allowing smooth movements of these structures. Sometimes the bursae become swollen, leading to the area around them becoming extremely tender and painful. This condition is known as bursitis.

When the bursa of the hip is swollen, it is termed bursitis of the hip. However, bursitis is not limited to the hips; it may also occur in the shoulder, knee, or elbow. Bursitis in the hip can be acute or chronic. Overuse is the primary cause of bursitis of the hip, which results in excessive stress on the hip joint. 

Additionally, conditions like rheumatoid arthritis, gout, or pseudogout may also result in bursitis of the hip. In some cases, an injury or direct blow to the hip can lead to bursitis. Bacterial infections are also known to cause bursitis of the hip. Individuals suffering from scoliosis are also predisposed to having bursitis in the hip.

Symptoms and Diagnosis of Bursitis Causing It To Be Painful

The primary symptom of bursitis is pain in the affected area. This pain can be sharp and intense, making it difficult to move the joint. Swelling and redness around the joint are also common. In cases where an infection is present, the area may be warm to the touch and accompanied by fever.

Diagnosing bursitis typically involves a physical examination by a healthcare professional. They will check for tenderness and swelling in the affected area. In some cases, imaging tests such as X-rays, MRI, or ultrasound may be used to confirm the diagnosis and rule out other conditions.

What Causes of Bursitis

Several factors can contribute to the development of bursitis, including:

• Repetitive Motion: Engaging in activities that require repetitive movement of a joint, such as running, jumping, or lifting, can lead to bursitis. This repetitive stress can cause irritation and inflammation of the bursae.
• Prolonged Pressure: Continuous pressure on a joint, such as kneeling for extended periods, can cause bursitis. This is commonly seen in professions that require prolonged kneeling, such as gardening or carpentry.
• Trauma: A sudden injury or impact to a joint can damage the bursae and lead to bursitis. This can occur from falls, sports injuries, or accidents.
• Infection: Bacterial infections can cause septic bursitis, where the bursae become infected and inflamed. This type of bursitis requires immediate medical attention and treatment with antibiotics.
• Underlying Conditions: Certain medical conditions, such as rheumatoid arthritis, gout, or diabetes, can increase the risk of developing bursitis. These conditions can cause inflammation and affect the health of the bursae.

The Different Types of Bursitis

Bursitis can affect various joints in the body, each with its own specific characteristics and causes. Some common types of bursitis include:

• Hip Bursitis: This occurs when the bursae in the hip become inflamed. It is often caused by overuse, injury, or underlying conditions like arthritis. Hip bursitis can cause pain on the outer side of the hip, making it difficult to lie on that side or walk.
• Shoulder Bursitis: This type affects the bursae in the shoulder joint. It is commonly caused by repetitive overhead movements, such as those involved in swimming or painting. Shoulder bursitis can lead to pain and limited range of motion in the shoulder.
• Knee Bursitis: Knee bursitis occurs when the bursae in the knee become inflamed. It can be caused by repetitive kneeling, direct trauma to the knee, or underlying conditions like arthritis. Knee bursitis can result in pain, swelling, and difficulty bending the knee.
• Elbow Bursitis: This type affects the bursae in the elbow joint. It is often caused by repetitive movements, such as those involved in sports like tennis or activities like typing. Elbow bursitis can cause pain, swelling, and difficulty extending the elbow.

How Can You Treat Bursitis? 

At Health First Group, we can resolve your bursitis by identifying the common contributors to this pain and guiding you through a specifically targeted and gradually progressed rehabilitation program. Here are some effective treatment options for bursitis:

Rest and Activity Modification

Resting the affected joint and avoiding activities that exacerbate the pain is crucial for recovery. Your physiotherapist will guide you on how to modify your activities to prevent further irritation.

Ice and Heat Therapy 

Applying ice packs to the affected area can help reduce inflammation and numb the pain. Heat therapy, such as warm compresses, can also help relax the muscles and improve blood flow to the area.

Medications

Over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or naproxen can help reduce pain and inflammation. In some cases, your doctor may prescribe stronger medications or corticosteroid injections for more severe pain.

Physical Therapy

A structured physical therapy program can help strengthen the muscles around the affected joint, improve flexibility, and reduce the risk of future flare-ups. Your physiotherapist will design a personalised exercise plan tailored to your specific needs.

Assistive Devices

Depending on the severity of your bursitis, your physiotherapist may recommend using assistive devices such as braces, splints, or crutches to support the affected joint and reduce strain.

Lifestyle Modifications

Making certain lifestyle changes can help manage bursitis and prevent recurrence. This may include losing weight to reduce stress on the joints, using proper body mechanics, and incorporating regular exercise into your routine.

Alternative Therapies

Some individuals find relief from bursitis symptoms through alternative therapies such as acupuncture, chiropractic care, or massage therapy. These treatments can help reduce pain, improve circulation, and promote relaxation.

How Can You Prevent Bursitis?

While it may not always be possible to prevent bursitis, there are several steps you can take to reduce your risk:

Warm-Up and Stretch

Always warm up before engaging in physical activities and perform stretching exercises to improve flexibility and reduce the risk of injury.

Use Proper Technique

Whether you’re playing sports or performing everyday tasks, using proper technique can help prevent undue stress on your joints and bursae.

Take Breaks

Avoid prolonged periods of repetitive activity. Take regular breaks to rest your joints and muscles, especially if your work or hobbies involve repetitive motions.

Maintain a Healthy Weight 

Excess weight can put additional stress on your joints, increasing the risk of bursitis. Maintaining a healthy weight through a balanced diet and regular exercise can help reduce this risk.

Wear Protective Gear 

If you’re involved in activities that put your joints at risk, such as sports or manual labour, wearing protective gear like knee pads or elbow pads can help cushion and protect your joints.

Conclusion

Bursitis can be painful and debilitating, but with the right treatment and preventive measures, you can manage your symptoms and prevent recurrence. Understanding the causes, symptoms, and treatment options for bursitis is the first step towards recovery. If you’re experiencing symptoms, it’s important to consult with a healthcare professional for an accurate diagnosis and appropriate treatment plan. 

At Health First Group, our experienced physiotherapists can assess your condition, identify the underlying causes of your bursitis, and develop a tailored rehabilitation program. Don’t let bursitis keep you from enjoying your life. 

Book an initial consultation with Physio Cairns or any nearby Health First Group clinic to begin your bursitis rehabilitation.

Our skilled physiotherapists are dedicated to helping you achieve a pain-free and active lifestyle. 

Contact us today to learn more about our services and how we can help you overcome bursitis and regain your mobility.