Male athlete having patellofemoral pain syndrome

Did you know that bursitis accounts for roughly 0.4% of all primary care visits? While that number might seem small, it represents countless individuals whose daily lives are impacted by joint pain, swelling, and discomfort. If you've been dealing with nagging pain in your shoulder, elbow, hip, or another joint, you might be facing this common inflammatory condition.

At Greater Pittsburgh Orthopaedic Associates, our ultimate mission is to provide comprehensive, compassionate orthopaedic care to patients in a wide variety of age groups. We use state-of-the-art technology to ensure that the treatment you receive from our orthopaedic specialists will always be effective and cutting-edge. Our team can pinpoint the cause of your joint pain and develop a treatment plan to restore your mobility and improve your quality of life. Schedule your appointment with us today.

Let's dive into what bursitis is and the key things you need to know about managing it.

1. Defining Bursitis: What's Happening in Your Joints?

The simplest bursitis meaning is the inflammation of a bursa. A bursa is a tiny, jelly-like sac filled with fluid that sits near your joints. Your body has over 150 of them, and their job is to act as a cushion between bones and soft tissues like muscles, tendons, and skin. By reducing friction, they help your joints move smoothly and without pain.

When a bursa becomes irritated, it produces excess fluid, causing it to swell and become inflamed. This pressure on the surrounding tissues leads to the pain and discomfort we know as bursitis. This condition most often develops due to repetitive motions or sustained pressure on a particular joint, but it can also stem from a sudden injury or an underlying health issue.

2. Recognizing the Symptoms and Affected Areas

The most common bursitis symptoms are often localized and distinct. You might experience a dull ache or stiffness around the affected joint, which can intensify with movement or pressure. The area may also appear swollen, red, and feel warm to the touch. This can make simple activities, from lifting groceries to climbing stairs, a painful challenge.

While bursitis can develop near almost any joint, it most frequently occurs in:

  • Shoulders: Often from repetitive overhead movements like painting or throwing.
  • Elbows: Frequently caused by leaning on a hard surface for long periods.
  • Hips: Can be triggered by running, prolonged standing, or an injury from a fall.
  • Knees: Associated with frequent kneeling, sometimes called 'clergyman's knee.'
  • Heels/Ankles: Common in runners and athletes due to overuse of the Achilles tendon.

Noticing these symptoms early can help you get the right treatment and avoid long-term discomfort.

3. Understanding the Causes and Risk Factors

A variety of factors can contribute to developing this condition. Understanding the primary bursitis causes is key to both treatment and prevention.

Some of the most significant risk factors include:

  • Repetitive Overuse: Jobs or hobbies that require the same motion over and over, like carpentry, gardening, or playing a musical instrument, are common culprits.
  • Age: As we get older, our tendons can tolerate less stress and are more prone to injury, which can lead to bursitis.
  • Underlying Medical Conditions: People with inflammatory conditions like rheumatoid arthritis, gout, or certain infections have a higher risk.
  • Poor Posture or Joint Stress: Incorrectly sitting, standing, or lifting can place extra strain on your bursae.
  • Trauma: A direct blow or sudden injury to a joint can cause acute bursitis.

For many active Pittsburghers who enjoy our city's parks and sports facilities, overuse is a common path to joint pain. Being mindful of these risks is the first step toward protecting your joints.

4. The Different Types of Bursitis

Not all bursitis is the same. It can be classified into several bursitis types, and knowing the difference is important for proper diagnosis and treatment.

  • Acute Bursitis: This form comes on suddenly, often after an injury or overuse. The pain is typically sharp and intense, worsening with any movement of the joint.
  • Chronic Bursitis: This type develops over a longer period, resulting from repeated irritation or multiple minor injuries. It may involve recurring flare-ups of pain and swelling, and can lead to muscle weakness and limited mobility over time.
  • Septic Bursitis: This is a more serious condition where the bursa becomes infected by bacteria. It requires urgent medical care. In addition to pain and swelling, you might experience fever, chills, and significant redness over the joint.

An accurate diagnosis from an orthopaedic specialist is essential to ensure you receive the most effective care for your specific type of bursitis.

5. Modern Treatment Options in Pittsburgh, PA

The good news is that most cases of bursitis respond well to conservative, non-surgical treatments. The goal is to reduce inflammation and alleviate pain so you can return to your normal activities.

Initial treatment often involves:

  • The RICE Method: Rest, Ice, Compression, and Elevation helps control swelling and pain.
  • Activity Modification: Temporarily avoiding the activities that cause irritation is crucial.
  • Medications: Over-the-counter anti-inflammatory drugs can provide significant relief.
  • Physical Therapy: A physical therapist can guide you through exercises to improve flexibility and strengthen the muscles supporting the joint.

When these methods aren't enough, our team at Greater Pittsburgh Orthopaedic Associates (GPOA) can help. We offer advanced solutions, including corticosteroid injections to rapidly decrease inflammation. In rare, persistent cases, a minimally invasive procedure may be recommended. Our board-certified specialists in sports medicine and joint care will create a treatment plan tailored just for you.

Frequently Asked Questions

Can bursitis be prevented?

Yes. To reduce your risk, warm up before exercise, take breaks from repetitive tasks, use padding when kneeling or leaning on elbows, and maintain a healthy weight. Strengthening the muscles around your joints also helps.

Is walking good for hip bursitis?

It depends. Short walks on flat surfaces might be okay, but if it causes pain, you should rest and consult a doctor. Water aerobics or swimming are often better alternatives as they put less stress on the joint.

When should I see a doctor for bursitis?

See a doctor if the pain is severe, disrupts your daily life, or doesn’t improve after a week of self-care. Seek immediate medical attention if you have a fever, major swelling, or redness, as these could be signs of an infection.

Get Expert Care for Your Joint Pain

Bursitis can be a painful and frustrating condition, but it doesn't have to control your life. By understanding its causes and seeking proper treatment, you can find lasting relief. Greater Pittsburgh Orthopaedic Associates is dedicated to providing expert orthopaedic care to help you move without pain.

Don't wait for the pain to become unbearable. For personalized bursitis treatment from some of the leading orthopaedic specialists in the Pittsburgh area, schedule an appointment with GPOA today.