Bursitis

Bursitis is the inflammation of a bursa, one of the small, fluid-filled sacs that cushion the bones, tendons, and muscles near your joints. Repetitive motions, prolonged pressure, or direct trauma can trigger this inflammation, most commonly in the shoulder, elbow, hip, or knee. At Mountain Spine & Orthopedics, our specialists use a focused physical exam and, when needed, complimentary imaging to confirm the diagnosis and guide treatment to relieve pain and restore function. Bursitis that keeps coming back usually has a mechanical reason: the same pressure or friction that inflamed the bursa the first time is still there. Kneeling trades directly on the kneecap bursa, a tight iliotibial band works on the hip's trochanteric bursa, and a prominent elbow tip takes every desk lean. Lasting relief pairs calming the inflammation - relative rest, anti-inflammatories, and a targeted injection when needed - with removing the provocation through padding, technique, or footwear changes. One warning sign changes the plan entirely: a bursa that is hot, red, and increasingly painful may be infected, and septic bursitis needs prompt medical evaluation rather than home care.

Symptoms of bursitis include localized sharp or aching pain, visible swelling, warmth, and tenderness over the affected joint. The pain often intensifies with specific activities, such as leaning on an elbow or kneeling.

Risk factors include occupations or hobbies involving repetitive or prolonged pressure on a joint, such as gardening, tiling, or leaning on a desk. Overuse from sports, direct trauma, and underlying inflammatory conditions like gout or rheumatoid arthritis also increase the risk.

Diagnosis is primarily clinical, based on your history and a physical exam demonstrating point tenderness. We may use a complimentary ultrasound review to visualize the fluid collection and guide an aspiration or injection. An MRI can provide a more detailed assessment of adjacent structures and rule out other causes of pain.

Most cases of non-infectious bursitis respond to conservative care, including rest, ice, compression, and anti-inflammatory drugs (NSAIDs). If the fluid collection persists or the pain is severe, our specialists can perform an ultrasound-guided bursal aspiration and corticosteroid injection to accelerate recovery. Septic (infected) bursitis requires aspiration for culture and treatment with antibiotics.

Pain in bursitis originates from the stretching and irritation of the inflamed bursal lining. Mechanical pressure and movement stimulate pain receptors, leading to sharp or throbbing discomfort that can limit daily activities. Our goal is to reduce this inflammation quickly and effectively.

Preventive measures include avoiding prolonged pressure on vulnerable joints by using protective padding for kneeling or leaning. Practicing proper ergonomics and body mechanics, and strengthening the muscles surrounding the joint can also help prevent recurrence.

If you are experiencing persistent joint pain, swelling, or stiffness, schedule a consultation with Mountain Spine & Orthopedics today. Benefit from our complimentary MRI review and free second opinion to develop a tailored plan to diagnose and treat your bursitis.