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Published on 11/11/25
(Updated on 12/19/25)
69

What Is Bursitis?

Written by
Dr. Aarav Deshmukh
Government Medical College, Thiruvananthapuram 2016
I am a general physician with 8 years of practice, mostly in urban clinics and semi-rural setups. I began working right after MBBS in a govt hospital in Kerala, and wow — first few months were chaotic, not gonna lie. Since then, I’ve seen 1000s of patients with all kinds of cases — fevers, uncontrolled diabetes, asthma, infections, you name it. I usually work with working-class patients, and that changed how I treat — people don’t always have time or money for fancy tests, so I focus on smart clinical diagnosis and practical treatment. Over time, I’ve developed an interest in preventive care — like helping young adults with early metabolic issues. I also counsel a lot on diet, sleep, and stress — more than half the problems start there anyway. I did a certification in evidence-based practice last year, and I keep learning stuff online. I’m not perfect (nobody is), but I care. I show up, I listen, I adjust when I’m wrong. Every patient needs something slightly different. That’s what keeps this work alive for me.
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Introduction

Welcome! If you’ve ever wondered What Is Bursitis? and why your shoulder or hip might hurt more than usual, you’re in the right place. In this deep-dive article, we’ll cover everything from causes to treatments and even share some real-life stories. Grab a seat, maybe a cup of tea (or coffee if that’s your thing), and let’s get started on understanding bursitis better than ever before.

What Is Bursitis?

Bursitis is simply the inflammation of a bursa — those tiny, fluid-filled sacs that cushion your bones, muscles, and tendons during movement. Think of them as miniature shock absorbers, helping joints glide smoothly. When they get irritated, you’ll notice pain, swelling, and limited mobility. It’s kind of like having a small water balloon that’s overstretched and sore, but inside your body.

Why Understanding Bursitis Matters

Imagine trying to paint a ceiling with a stiff shoulder or struggling to get out of a chair because your hip hurts like heck. That’s what untreated bursitis can do. By grasping What Is Bursitis? and how it works, you empower yourself to prevent flare-ups, manage symptoms, and get back to living pain-free. Plus, when you know the causes and treatments, you’re less likely to fall for bogus “miracle cures” on the internet.

  • Common joints affected: shoulder, elbow, hip, knee, ankle
  • Symptoms often include pain, redness, and stiffness
  • Can be acute (short-term) or chronic (long-lasting)
  • Often misdiagnosed as tendonitis or arthritis

Fun fact: Your body has over 150 bursae! Most of them quietly do their job, but once in a while, one decides to get grumpy. Let’s figure out why.

Causes and Types of Bursitis

Common Causes

There isn’t a single cause of bursitis — it’s usually a mix. Overuse is a big player: gardening, painting ceilings, or playing tennis can all irritate bursae near your elbow or shoulder. A sudden injury, like a hard fall onto your hip, can also trigger bursa inflammation. And don’t overlook infections: septic bursitis happens when bacteria invade a bursa sac, often around the elbow (olecranon bursitis).

Types of Bursitis

  • Subacromial bursitis – Shoulder pain when lifting your arm above shoulder level.
  • Trochanteric bursitis – Pain on the outer hip, especially when lying on your side.
  • Baker’s cyst – Popliteal bursa behind the knee bulges, can mimic bursitis.
  • Olecranon bursitis – Swelling at the tip of the elbow, sometimes called “student’s elbow.”
  • Prepatellar bursitis – “Housemaid’s knee,” seen in people kneeling a lot.

Knowing which type you might have helps you find targeted treatments — more on that later. But first, let’s talk about spotting the signs early so you’re not left wondering “why does my shoulder ache?”

Symptoms and Diagnosis of Bursitis

Recognizing Symptoms

Symptoms can vary by location, but generally you’ll see:

  • Pain at rest or during movement – Often sharp if acute, dull ache if chronic.
  • Swelling and redness – A sign of inflammation, especially in septic cases.
  • Limited range of motion – Might feel stiff first thing in morning.
  • Warmth over the joint – Bursae inflamed can radiate heat.

Example: Jane, a 42-year-old tennis coach, noticed a sharp twinge in her shoulder after serving balls for hours. Soon, she could barely reach behind her back to buckle her bra. That’s classic subacromial bursitis setting in.

Diagnosing Bursitis

Doctors will start with a thorough history — did you tweak it gardening? Paint? Fall? Then comes physical exam: pressing on the bursa location will usually reproduce the pain. To rule out other culprits (like tendon tears or arthritis), imaging might be ordered:

  • X-rays – Can show bone spurs but not bursae directly.
  • Ultrasound – Great for viewing fluid buildup in bursae.
  • MRI – Detailed image; used if you’re not improving.
  • Fluid aspiration – In suspected infection, your doc may draw fluid from the bursa sac to test for bacteria.

Occasionally, people skip professional diagnosis and try random treatments. Without proper evaluation, you might mask a serious infection or tendon tear.

Treatment Options for Bursitis

Home Remedies and Self-care

Your first line of defense? Rest, ice, compression, elevation (RICE). Here’s how:

  • Rest the joint: Avoid activities that aggravate bursitis — like kneeling if you have prepatellar bursitis.
  • Ice packs: Apply 15-20 minutes 3-4 times daily to reduce swelling.
  • Compression sleeve or wrap: Helps limit swelling but don’t wrap too tight.
  • Elevation: For elbow or knee bursitis, prop your arm/leg up on pillows.

Additionally, over-the-counter NSAIDs (ibuprofen, naproxen) can ease pain and inflammation, but use them wisely — they’re not a long-term fix.

Medical Interventions

If home care isn’t cutting it, you might need medical treatments:

  • Corticosteroid injections – Reduce inflammation quickly. Not more than a few per year, though.
  • Physiotherapy – Targeted exercises strengthen muscles around the bursa, improving support.
  • Antibiotics – For septic bursitis after aspiration confirms infection.
  • Surgery – Rare, but needed if conservative methods fail or bursitis recurs constantly; doctors remove the affected bursa sac.

Real-life note: My uncle Bob had trochanteric bursitis so bad he limped for weeks. A single steroid shot and a few weeks of gentle PT had him dancing at his granddaughter’s wedding. 

Prevention and Lifestyle Tips for Bursitis

Preventive Measures

Better than cure is prevention. Follow these tips:

  • Vary your tasks: Don’t paint an entire room lifting your arm overhead for hours straight.
  • Use pads or cushions: If you kneel a lot, invest in knee pads.
  • Warm up before exercise: Gentle stretching can prep bursae and tendons for activity.
  • Maintain healthy weight: Less stress on hip and knee bursae.

tip: When gardening, alternate between kneeling and standing — mix it up so you don’t overstress one bursa sac.

Lifestyle Adjustments

Long-term relief often means tweaking daily habits:

  • Desk ergonomics: Adjust your chair height and keyboard to keep shoulders relaxed.
  • Regular breaks: If you’re doing repetitive work, take mini-breaks every 30 minutes.
  • Strength training: Building up the muscles around vulnerable joints (like rotator cuff exercises for shoulders) can reduce flare-ups.
  • Balanced diet: Omega-3s and antioxidants (think salmon, berries) may help modulate inflammation.

Note: You dont have to overhaul your entire routine overnight. Gradual changes often stick better and feel less intimidating.

Conclusion

So, what have we learned about What Is Bursitis? It’s basically an inflamed bursa sac that can make everyday movements painful. From shoulders to hips to elbows, bursitis can slow you down if you let it. But armed with the right knowledge—knowing the causes, spotting the symptoms early, and applying proper treatments—you’ve got a solid roadmap to beating the pain.

Remember, self-care measures like RICE and gentle stretching often work wonders. If things don’t improve, don’t wait—seek medical advice to rule out infections or tendon tears. And prevention is key: vary your tasks, improve ergonomics, and listen to your body before it screams “enough!”

FAQs

  • Q: How long does bursitis last?
    A: Acute bursitis often resolves within a few weeks with proper rest and ice. Chronic cases can linger for months if not managed well.
  • Q: Can exercise cure bursitis?
    A: Exercise isn’t a cure, but targeted physiotherapy can strengthen muscles and take pressure off inflamed bursae, reducing recurrence.
  • Q: Is bursitis contagious?
    A: No, bursitis itself isn’t contagious. However, septic bursitis involves bacteria, so that fluid can be infectious if mishandled (hence why docs wear gloves!).
  • Q: Are natural remedies effective for bursitis?
    A: Some folks swear by turmeric or ginger tea for inflammation. They might help as adjuncts but shouldn’t replace conventional treatments if your pain is severe.
  • Q: When should I see a doctor?
    A: If pain worsens despite home care, you notice fever or severe swelling, or suspect an infection, seek medical attention right away.
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