Bursitis
Leczenie

Bursitis, czyli zapalenie kaletki maziowej, to stan zapalny małych, wypełnionych płynem woreczków amortyzujących kości, ścięgna i mięśnie w okolicy stawów, najczęściej dotykający barki, kolana, łokcie i biodra. Objawia się bólem, zaczerwienieniem i obrzękiem, utrudniając funkcjonowanie. Leczenie zachowawcze obejmuje odpoczynek, unikanie obciążających ruchów, stosowanie zimnych kompresów przez 10-15 minut co kilka godzin w pierwszych 2-3 dniach, a następnie ciepłych okładów, farmakoterapię NLPZ (np. ibuprofen, naproksen) lub paracetamol, a także fizjoterapię z ćwiczeniami wzmacniającymi i rozciągającymi mięśnie oraz terapię manualną i fizykoterapię (ultradźwięki, elektrostymulacja, terapia zimnem i ciepłem, akupunktura). W przypadku braku poprawy stosuje się iniekcje metyloprednizolonu, które wykazują większą skuteczność niż NLPZ lub placebo. W razie nagromadzenia płynu możliwa jest aspiracja, a w opornych przypadkach terapia falami uderzeniowymi (ESWT) lub leczenie chirurgiczne (bursektomia otwarta lub artroskopowa).

Bursitis – podstawowe informacje

Bursitis (kaletki maziowej” class=”to-tag” data-termid=”33854″>zapalenie kaletki maziowej) to bolesna dolegliwość, która występuje, gdy małe, wypełnione płynem woreczki (kaletki), amortyzujące kości, ścięgna i mięśnie w pobliżu stawów, ulegają zapaleniu. Kaletki maziowe znajdują się w całym ciele w okolicach wyniosłości kostnych oraz między kośćmi, mięśniami, ścięgnami i więzadłami1. Zapalenie kaletki może powodować ból, zaczerwienienie i obrzęk, utrudniając codzienne funkcjonowanie2.

Bursitis najczęściej dotyka dużych stawów takich jak barki, kolana, łokcie i biodra, gdzie występują częste powtarzalne ruchy3. U większości pacjentów ból związany z bursitis ustępuje w ciągu kilku tygodni przy odpowiednim leczeniu, jednak nawroty zapalenia kaletki są powszechne4.

Leczenie zachowawcze bursitis

Większość przypadków bursitis można leczyć zachowawczo, bez konieczności interwencji chirurgicznej. Wczesne wdrożenie odpowiedniego leczenia jest kluczowe dla uniknięcia przewlekłych problemów56.

Odpoczynek i modyfikacja aktywności

Pierwszym krokiem w leczeniu bursitis jest odpoczynek i unikanie aktywności, które wywołują lub nasilają ból7. Zaprzestanie wykonywania ruchów, które powodują tarcie lub nacisk na zajętą kaletkę, zapewnia jej czas na wygojenie i zapobiega dalszym urazom8. Modyfikacja sposobu wykonywania codziennych czynności może znacząco zmniejszyć obciążenie zapalonych kaletek9.

Terapia zimnem i ciepłem

Stosowanie zimnych kompresów w pierwszych 2-3 dniach po wystąpieniu objawów pomaga zmniejszyć stan zapalny i ból10. Lód należy aplikować na 10-15 minut co kilka godzin11. Po ustąpieniu ostrego stanu zapalnego można zastosować ciepłe okłady, które zwiększają przepływ krwi w okolicy i przyspieszają proces gojenia12.

Leki przeciwzapalne

Niesteroidowe leki przeciwzapalne (NLPZ), takie jak ibuprofen (Advil, Motrin) lub naproksen (Aleve), są często stosowane w celu zmniejszenia stanu zapalnego i łagodzenia bólu1314. Paracetamol może być stosowany jako alternatywa dla osób, które nie mogą przyjmować NLPZ z powodu przeciwwskazań medycznych15.

W badaniu z randomizacją obejmującym 42 pacjentów z zapaleniem kaletki łokciowej wykazano, że iniekcja metyloprednizolonu była bardziej skuteczna w zmniejszaniu obrzęku i zapobieganiu nawrotom niż naproksen lub placebo16.

Urządzenia wspomagające i techniki kompresji

Stosowanie szyn, lasek, kul lub ortez może pomóc odciążyć bolesny staw i zmniejszyć nacisk na zapalony obszar1718. Kompresja za pomocą bandaży elastycznych może również pomóc w zmniejszeniu obrzęku i stabilizacji stawu podczas gojenia19.

Fizjoterapia w leczeniu bursitis

Fizjoterapia jest kluczowym elementem leczenia bursitis, zwłaszcza w przypadkach, gdy zapalenie kaletki jest związane z dysfunkcją ścięgien lub nieprawidłową mechaniką stawów20.

Ćwiczenia wzmacniające i rozciągające

Program fizjoterapii zazwyczaj obejmuje ćwiczenia wzmacniające mięśnie wokół zajętego stawu oraz poprawiające zakres ruchu21. Wzmocnienie mięśni otaczających staw zapewnia lepsze wsparcie i zmniejsza nacisk na kaletkę maziową22. Ćwiczenia rozciągające zwiększają elastyczność i zapobiegają przykurczom mięśniowym, które mogą przyczyniać się do powstawania bursitis23.

Fizjoterapeuta może zaprojektować indywidualny program ćwiczeń dostosowany do specyficznych potrzeb pacjenta, uwzględniający siłę mięśniową, zakres ruchu oraz cele funkcjonalne24.

Techniki manualne i mobilizacja

Terapia manualna, włączając w to masaż tkanek miękkich, mobilizację stawów i techniki rozluźniania mięśniowo-powięziowego, może zmniejszyć napięcie wokół zajętego stawu i poprawić jego funkcje25. Fizjoterapeuta może również nauczyć pacjenta technik autostretchingu, które pomagają zmniejszyć napięcie i przywrócić normalną ruchomość stawu26.

Fizykoterapia

W leczeniu bursitis stosowane są również różne metody fizykoterapii27:

  • Ultradźwięki – stymulują przepływ krwi i przyspieszają gojenie28
  • Elektrostymulacja – może zmniejszyć ból i stan zapalny29
  • Terapia zimnem i ciepłem – stosowana naprzemiennie dla zmniejszenia stanu zapalnego i zwiększenia przepływu krwi30
  • Akupunktura – może pomóc w zmniejszeniu obrzęku i zapalenia oraz łagodzeniu bólu31

Leczenie inwazyjne bursitis

Iniekcje kortykosteroidów

Gdy metody zachowawcze nie przynoszą ulgi, lekarz może zaproponować iniekcję kortykosteroidu bezpośrednio do zajętej kaletki32. Iniekcje kortykosteroidów szybko zmniejszają stan zapalny i ból, a w wielu przypadkach wystarcza jedna iniekcja33.

Badania wykazały, że iniekcje kortykosteroidów są skuteczną terapią zapewniającą długotrwałą ulgę w bólu34. Jednak nie powinny być stosowane, jeśli podejrzewa się zakażenie kaletki35.

Aspiracja płynu z kaletki

Jeśli w kaletce zgromadzi się znaczna ilość płynu, lekarz może zalecić aspirację (drenaż) za pomocą igły36. Procedura ta zmniejsza ciśnienie w obrębie kaletki i łagodzi objawy. W przypadku podejrzenia infekcji, pobrany płyn może być badany w celu identyfikacji patogenu37.

Terapia falami uderzeniowymi

Terapia falami uderzeniowymi o niskiej energii (ESWT) jest skuteczną alternatywą dla tradycyjnego leczenia zachowawczego38. Badania przeprowadzone przez Furia i wsp. oraz Vannet i wsp. wykazały, że ESWT jest skuteczną metodą leczenia, szczególnie u pacjentów z wysokim sygnałem w obrazowaniu MRI39.

Badanie Rompe i wsp. wykazało, że ESWT daje znacznie lepsze wyniki niż ćwiczenia domowe lub iniekcje kortykosteroidów40.

Leczenie chirurgiczne bursitis

Leczenie chirurgiczne jest rzadko stosowane w przypadku bursitis i zarezerwowane jest dla sytuacji, gdy metody zachowawcze nie przynoszą poprawy4142.

Wskazania do zabiegu chirurgicznego

Interwencja chirurgiczna może być konieczna w następujących sytuacjach43:

  • Niepowodzenie aspiracji igłowej w odpowiednim drenowaniu kaletki
  • Trudny dostęp do kaletki dla powtarzanych aspiracji
  • Ropień, martwica lub tworzenie przetoki
  • Konieczność oceny stopnia zakażenia sąsiednich struktur
  • Nawracająca lub oporna choroba po leczeniu zachowawczym

Metody operacyjne

Dostępne są dwie główne metody chirurgicznego usunięcia kaletki (bursektomii)44:

  • Otwarta bursektomia – tradycyjna metoda z większym nacięciem skóry
  • Artroskopowa bursektomia – mniej inwazyjna technika zyskująca na popularności, wykonywana przez małe nacięcia z użyciem kamery artroskopowej

Oba rodzaje zabiegów wykonywane są ambulatoryjnie, bez konieczności pozostawania w szpitalu na noc45.

Rekonwalescencja po zabiegu

Po usunięciu kaletki pacjent może potrzebować noszenia szyny lub opaski w celu ochrony operowanego obszaru przed ponownym urazem i zakażeniem46. Zazwyczaj zalecany jest program rehabilitacji fizycznej rozpoczynający się kilka dni po zabiegu, mający na celu wzmocnienie mięśni i poprawę zakresu ruchu47.

Okres powrotu do pracy po usunięciu kaletki wynosi zazwyczaj od dwóch do czterech tygodni, jednak konieczne może być dalsze oszczędzanie operowanego stawu przez kilka kolejnych tygodni48.

Leczenie septycznego zapalenia kaletki

Septyczne zapalenie kaletki (zakaźne) to stan, w którym kaletka uległa zakażeniu, najczęściej przez bakterie dostające się przez przerwanie ciągłości skóry49. Stan ten charakteryzuje się zaczerwienieniem, gorącem i obrzękiem w okolicy kaletki, a także ogólnymi objawami zakażenia, takimi jak dreszcze i gorączka50.

Antybiotykoterapia

Pierwszą linią leczenia septycznego zapalenia kaletki jest antybiotykoterapia i aspiracja płynu51. Antybiotyki o działaniu przeciwko bakteriom Gram-dodatnim są stosowane jako leczenie pierwszego rzutu52.

Pacjenci z łagodnym zakażeniem mogą być leczeni doustnymi antybiotykami ambulatoryjnie. W ciężkich przypadkach lub u osób z obniżoną odpornością może być konieczna hospitalizacja i dożylne podawanie antybiotyków53.

Chirurgiczny drenaż i debridement

W przypadkach, gdy kaletka jest silnie zakażona lub gdy aspiracja igłowa jest niewystarczająca, może być konieczny chirurgiczny drenaż i debridement (oczyszczenie) kaletki54. Zabieg ten zapobiega rozprzestrzenianiu się zakażenia i pozwala na usunięcie martwiczych tkanek55.

Alternatywne metody leczenia bursitis

Terapia osoczem bogatopłytkowym (PRP)

Terapia osoczem bogatopłytkowym (PRP) to nowoczesna metoda leczenia bursitis. Polega na pobraniu małej ilości krwi pacjenta, przetworzeniu jej w celu zwiększenia stężenia płytek krwi, a następnie wstrzyknięciu tak otrzymanego osocza bogatopłytkowego w bolesny staw56. PRP działa poprzez stymulację naturalnych procesów regeneracyjnych organizmu57.

Skleroterapia

Skleroterapia to mniej powszechna metoda eliminacji problematycznej kaletki. Polega na kurczeniu i niszczeniu tkanki kaletki za pomocą środków sklerotyzujących58.

Terapia SoftWave

Terapia SoftWave wykorzystuje fale uderzeniowe o niskiej intensywności do stymulowania naturalnych procesów gojenia organizmu i promowania regeneracji tkanek59. Szerokopasmowe fale uderzeniowe stymulują tkanki w zajętym obszarze, zwiększając przepływ krwi i uwalnianie czynników wzrostu60.

Terapia SoftWave oferuje kilka potencjalnych korzyści, w tym61:

  • Nieinwazyjność – nie wymaga operacji ani iniekcji
  • Brak okresu rekonwalescencji
  • Długotrwałe rezultaty – znacząca ulga w bólu i poprawa ruchomości nawet przez rok lub dłużej
  • Mniej skutków ubocznych w porównaniu z innymi metodami leczenia

Zapobieganie nawrotom bursitis

Aby zmniejszyć ryzyko nawrotów zapalenia kaletki, warto stosować następujące środki zapobiegawcze62:

  • Robienie regularnych przerw podczas wykonywania powtarzalnych ruchów63
  • Używanie podkładek amortyzujących dla obszarów narażonych na stały lub powtarzalny nacisk64
  • Praca z fizjoterapeutą w celu identyfikacji powtarzalnych ruchów i słabych mięśni, które mogą przyczyniać się do bursitis65
  • Praktykowanie prawidłowej postawy, w tym poprawa ergonomii i pozycji w domu lub w pracy66
  • Noszenie odpowiedniego, wspierającego obuwia i rozważenie konsultacji z podiatrą w sprawie ortez67

Ważne jest również wzmacnianie mięśni wokół stawów poprzez regularne ćwiczenia, co zapewnia lepsze wsparcie dla stawów i zmniejsza nacisk na kaletki maziowe68.

Kiedy szukać pomocy medycznej

Większość przypadków bursitis poprawia się w ciągu kilku tygodni przy zastosowaniu leczenia zachowawczego. Jednak w niektórych sytuacjach konieczna jest konsultacja medyczna69:

  • Gdy ból nie ustępuje mimo leczenia domowego przez 2-3 tygodnie70
  • Jeśli ból nagle się nasila71
  • Gdy pojawia się gorączka, zaczerwienienie lub znaczny obrzęk – mogą to być objawy zakażenia72
  • Jeśli nie można poruszać zajętym stawem73

Szybka interwencja medyczna w przypadku podejrzenia zakażenia kaletki jest szczególnie ważna, aby zapobiec rozprzestrzenianiu się infekcji do okolicznych tkanek i krwi74.

Podsumowanie leczenia bursitis

Leczenie bursitis zazwyczaj obejmuje kombinację metod zachowawczych i inwazyjnych, w zależności od przyczyny, lokalizacji i nasilenia stanu zapalnego. Większość przypadków reaguje dobrze na odpoczynek, leki przeciwzapalne i fizjoterapię75.

Kluczowe jest wczesne rozpoczęcie leczenia i unikanie czynników wywołujących, co pozwala zapobiec przewlekłemu bursitis i powtarzającym się zaostrzeniom76. W przypadkach opornych na leczenie zachowawcze lub gdy występuje zakażenie, mogą być konieczne bardziej inwazyjne interwencje, takie jak iniekcje kortykosteroidów, aspiracja płynu czy w rzadkich przypadkach zabieg chirurgiczny77.

Niezależnie od metody leczenia, ważne jest, aby kontynuować zalecenia terapeutyczne i program ćwiczeń nawet po ustąpieniu objawów, co pomoże wzmocnić okoliczne mięśnie i zapobiec nawrotom w przyszłości78.

Kolejne rozdziały

Zapraszamy do dalszego czytania naszego leksykonu.

Wybierz kolejny rozdział z menu poniżej, aby otworzyć nową podstronę kompedium wiedzy i uzyskać szczegółowe informację o leku, substancji lub chorobie.

  1. 11.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Bursitis – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK513340/
    Bursitis is a swelling or inflammation of a bursa, which is a synovium-lined, sac-like structure found throughout the body near bony prominences and between bones, muscles, tendons, and ligaments. […] This activity explains the risk factors, evaluation, and management of bursitis and highlights the importance of the interprofessional team in enhancing care for affected patients. […] Explain the treatment strategies for patients with bursitis. […] The vast majority of bursitis will heal on its own. However, there are several modalities for improving the patient’s pain and ensuring a return to complete functionality of the affected area. Conservative treatment involves the use of rest, ice, compression, and elevation for symptomatic improvement. […] For analgesia, NSAIDs and/or acetaminophen are first-line agents. For the deeper bursa, corticosteroid injections, sometimes with a local anesthetic, can provide symptomatic relief.
  • #2 Bursitis – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/bursitis/symptoms-causes/syc-20353242
    Bursitis (bur-SY-tis) is a painful condition that affects the small, fluid-filled sacs called bursae (bur-SEE) that cushion the bones, tendons and muscles near your joints. Bursitis occurs when bursae become inflamed. […] Treatment typically involves resting the affected joint and protecting it from further trauma. In most cases, bursitis pain goes away within a few weeks with proper treatment, but recurrent flare-ups of bursitis are common.
  • #3 Bursitis Treatment and Causes – The Pain Center
    https://www.thepaincenter.com/conditions/bursitis/
    Bursitis is a condition that causes the small, fluid-filled sacs called bursae to become inflamed. Bursae cushion the bones, tendons, and muscles near the joints to prevent them from rubbing together. The shoulders, elbows, hips, and knees are the most common areas to develop bursitis because these joints perform frequent, repetitive motions. […] The first step in treating your pain is to get an accurate diagnosis of the cause of your symptoms. Based on your diagnosis, you and your doctor can determine your best treatment options. At The Pain Center, we offer traditional and state-of-the-art therapies to treat your pain and help get you back to your normal activities. […] To alleviate related symptoms and support your healing process, here are a few things your trusted medical professional may recommend you do: Avoid Smoking Tobacco: Smoking can delay the healing of your wounds and tissue. Rest Your Joint: Limit yourself from engaging in activities that may exacerbate pain and reduce inflammation caused by bursitis.
  • #4 Bursitis – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/bursitis/symptoms-causes/syc-20353242
    Bursitis (bur-SY-tis) is a painful condition that affects the small, fluid-filled sacs called bursae (bur-SEE) that cushion the bones, tendons and muscles near your joints. Bursitis occurs when bursae become inflamed. […] Treatment typically involves resting the affected joint and protecting it from further trauma. In most cases, bursitis pain goes away within a few weeks with proper treatment, but recurrent flare-ups of bursitis are common.
  • #5 Bursitis Treatment & Management: Approach Considerations, Conservative Treatment, Antibiotic Therapy
    https://emedicine.medscape.com/article/2145588-treatment
    Most patients with bursitis are treated conservatively to reduce inflammation. Conservative treatment includes the following: Rest, Cold and heat treatments, Elevation, Nonsteroidal anti-inflammatory drugs (NSAIDs), Bursal aspiration, Intrabursal steroid injections (with or without local anesthetic agents). […] Patients with suspected septic bursitis should be treated with antibiotics while awaiting culture results. Superficial septic bursitis can be treated with oral outpatient therapy. Those with systemic symptoms or who are immunocompromised may require admission for intravenous (IV) antibiotic therapy. […] Surgical excision of bursae may be required for chronic or frequently recurrent bursitis. Surgery is reserved as a last resort for patients in whom conservative treatment fails. The operation varies according to site.
  • #6 Bursitis | Arthritis Foundation
    https://www.arthritis.org/diseases/bursitis
    Bursitis may go away over time with self-care. If it doesn’t, a primary care doctor will focus on reducing pain and inflammation and preserving mobility. The doctor may refer you to a rheumatologist, an orthopedic surgeon or a physical therapist for specialized treatment. When properly treated, bursitis doesn’t result in permanent joint damage or disability. […] Common bursitis treatment options include: […] Splints and Braces Many soft tissue conditions are caused by muscle overuse, so the first treatment may include resting the painful area or avoiding a particular activity for a while. Splints, braces or slings provide added support to the affected area until the pain eases. […] Medications The doctor may recommend a pain reliever, such as acetaminophen or a nonsteroidal anti-inflammatory drug (NSAID), such as ibuprofen or naproxen. You may begin using over-the-counter (OTC) versions. If the pain is severe or the OTC version doesnt help, the doctor may prescribe a stronger version. If necessary, an anti-inflammatory drug called a corticosteroid may be injected into the bursa. Learn more about the medications used to treat bursitis at the arthritis drug guide.
  • #7 Bursitis: Types, Treatment & Prevention
    https://my.clevelandclinic.org/health/diseases/10918-bursitis
    Bursitis Treatment Find a Doctor and Specialists Make an Appointment […] Usually, rest is all youll need to treat bursitis. Avoid the activity or positions that irritated your bursa. […] Taking a break from activities that put pressure on that part of your body will give it time to heal and prevent further injury. […] Your provider might suggest at-home treatments to reduce the pain and swelling while your bursa heals: […] Most cases of bursitis heal on their own with rest and at-home treatments. But your provider may recommend additional treatment options, including: […] Corticosteroid injections to decrease inflammation and pain. […] Surgery to resect (remove) your bursa if other treatments arent effective and youre still experiencing symptoms for six months or longer. […] The best way to prevent bursitis is to avoid overusing your body. […] Your healthcare provider will help you find treatments that let your injured bursae heal and solutions to prevent bursitis in the future.
  • #8 Bursitis
    https://www.nhs.uk/conditions/bursitis/
    Bursitis can usually be treated at home and should go away in a few weeks. […] If you have bursitis, to help bring down swelling and pain you can: rest try not to move the joint too much and avoid activities that put pressure on it, use ice gently hold an ice pack (or a bag of frozen peas) wrapped in a tea towel on the area for around 10 minutes at a time and repeat every few hours during the day, take painkillers, such as paracetamol or ibuprofen, to ease any pain. […] Treatments you may have for bursitis include: antibiotics usually taken for at least 7 days if bursitis is caused by an infection, a steroid injection given into the affected joint to reduce the swelling this will not be done if bursitis is caused by an infection, taking fluid from the joint using a needle (aspiration) to ease symptoms. […] If bursitis is severe or keeps coming back, the inflamed bursa may need to be surgically drained or even removed (but this is rare).
  • #9 Medical Treatment for Bursitis & Tendinitis | NYU Langone Health
    https://nyulangone.org/conditions/bursitis-tendinitis/treatments/medical-treatment-for-bursitis-tendinitis
    Many people find that a few weeks of rest, pain relief medication, and physical therapy are all they need to relieve symptoms of bursitis or tendinitis. […] Your doctor determines the most effective treatment plan and recovery timeline based on the severity of symptoms, the location of the injury, and your lifestyle goals. […] Doctors recommend a combination of rest, ice, compression, and elevation, called the RICE regimen, for several weeks after diagnosis. […] You are typically instructed to apply ice three times a day for 15 minutes at a time to reduce swelling during the first three days after the injury. […] Until inflammation in the bursa or tendon fully subsides, doctors recommend avoiding the activity that caused the injury as well as other activities that put stress on the affected part of the body.
  • #10 Bursitis: MedlinePlus Medical EncyclopediaLock
    https://medlineplus.gov/ency/article/000419.htm
    Bursitis commonly occurs in the shoulder, knee, elbow, and hip. […] Your provider will talk to you about a treatment plan to help you resume your normal activities, including some of the following tips. […] Tips to relieve bursitis pain: Use ice 3 to 4 times a day for the first 2 or 3 days. […] Other treatments include: Medicines such as nonsteroidal anti-inflammatory drugs (NSAIDs), (ibuprofen, naproxen), Physical therapy, Wearing a brace or splint to support the joint and help reduce inflammation, Exercises you do at home to build strength and keep the joint mobile as pain goes away, Removing fluid from the bursa and getting a corticosteroid shot. […] As the pain goes away, your provider may suggest exercises to build strength and keep mobility of movement in the painful area. […] In rare cases, surgery is done.
  • #11 Bursitis
    https://www.nhs.uk/conditions/bursitis/
    Bursitis can usually be treated at home and should go away in a few weeks. […] If you have bursitis, to help bring down swelling and pain you can: rest try not to move the joint too much and avoid activities that put pressure on it, use ice gently hold an ice pack (or a bag of frozen peas) wrapped in a tea towel on the area for around 10 minutes at a time and repeat every few hours during the day, take painkillers, such as paracetamol or ibuprofen, to ease any pain. […] Treatments you may have for bursitis include: antibiotics usually taken for at least 7 days if bursitis is caused by an infection, a steroid injection given into the affected joint to reduce the swelling this will not be done if bursitis is caused by an infection, taking fluid from the joint using a needle (aspiration) to ease symptoms. […] If bursitis is severe or keeps coming back, the inflamed bursa may need to be surgically drained or even removed (but this is rare).
  • #12 Bursitis: Symptoms, Causes, and Treatment
    https://www.webmd.com/pain-management/arthritis-bursitis
    Physical therapy can help you strengthen muscles and increase your joint’s range of motion. Your physical therapist might also teach you exercises for your core (the muscles in your back and belly that hold you up). A doctor or physical therapist can show you ways of sitting, standing, and moving that help bursitis get better or stop it from happening again. […] Its rare, but you might need surgery if other treatments arent helping. […] Bursitis Home Remedies […] Here are some things you can do to help your bursitis get better: […] Rest the area as much as you can, and avoid doing anything that makes the pain worse. […] Put an ice pack or cold compress on the area to help the swelling go down. After the first 2 days of icing it, you can also use a heating pad, hot water bottle, or heat pack, or take a hot bath or shower.
  • #13 Bursitis Treatment & Management: Approach Considerations, Conservative Treatment, Antibiotic Therapy
    https://emedicine.medscape.com/article/2145588-treatment
    Most patients with bursitis are treated conservatively to reduce inflammation. Conservative treatment includes the following: Rest, Cold and heat treatments, Elevation, Nonsteroidal anti-inflammatory drugs (NSAIDs), Bursal aspiration, Intrabursal steroid injections (with or without local anesthetic agents). […] Patients with suspected septic bursitis should be treated with antibiotics while awaiting culture results. Superficial septic bursitis can be treated with oral outpatient therapy. Those with systemic symptoms or who are immunocompromised may require admission for intravenous (IV) antibiotic therapy. […] Surgical excision of bursae may be required for chronic or frequently recurrent bursitis. Surgery is reserved as a last resort for patients in whom conservative treatment fails. The operation varies according to site.
  • #14 Medical Treatment for Bursitis & Tendinitis | NYU Langone Health
    https://nyulangone.org/conditions/bursitis-tendinitis/treatments/medical-treatment-for-bursitis-tendinitis
    Doctors may recommend over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen or naproxen, to reduce inflammation in the bursa and tendon and relieve pain. […] After swelling and tenderness caused by bursitis or tendinitis have been relieved, doctors may recommend physical therapy to rebuild strength and flexibility in the affected muscles and tendons. […] Most of the time, physical therapy can begin as soon as you can walk without pain, but timing depends on the severity of symptoms, the location of the affected bursa or tendon, and the length of time symptoms have been present. […] Acupuncture may also prompt the body to release endorphins, which are natural pain relievers.
  • #15 Patient education: Bursitis (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/bursitis-beyond-the-basics/print
    Medications for pain and inflammation – Talk with your healthcare provider about the best type of medicine to take to relieve pain and inflammation due to bursitis. If you have pain but do not have much swelling and redness, you can try acetaminophen (sample brand name: Tylenol). If you have more pain and swelling or your pain does not go away, your provider may recommend you substitute or add a nonsteroidal antiinflammatory drug (NSAID). NSAIDs are a group of medicines that includes ibuprofen (sample brand names: Advil, Motrin) and naproxen (sample brand names: Naprosyn). People who have certain medical conditions, including kidney disease and stomach ulcers, or who are taking certain medications like anticoagulants (blood thinners) should not take NSAIDs. […] Other types of treatment for bursitis depend on the type and/or cause of bursitis:
  • #16 Bursitis Treatment & Management: Approach Considerations, Conservative Treatment, Antibiotic Therapy
    https://emedicine.medscape.com/article/2145588-treatment
    Most patients respond well to conservative management. Patients who do not respond to nonoperative treatment or who have signs of tendinous or ligamentous injury require further evaluation. Consultation with a general or orthopedic surgeon or a rheumatologist may be helpful. […] With regard to resumption of activities, patients should let pain be their guide. […] NSAIDs are used to reduce inflammation and relieve pain. […] Corticosteroid injections can be helpful if the patient does not respond to other treatment within 7-14 days. […] Intrabursal steroid injections (with or without local anesthetics) should not be performed if infection is suspected. […] In a randomized study of 42 patients with olecranon bursitis who were assigned after bursal aspiration to 1 of 4 treatment groups (intrabursal methylprednisolone 20 mg plus naproxen 1 g/day for 10 days, intrabursal methylprednisolone without naproxen, naproxen only, or placebo), steroid injection was more successful in decreasing edema and preventing recurrence than naproxen or placebo was.
  • #17 Bursitis – Bone, Joint, and Muscle Disorders – Merck Manual Consumer Version
    https://www.merckmanuals.com/home/bone-joint-and-muscle-disorders/muscle-bursa-and-tendon-disorders/bursitis
    Rest followed by physical therapy, splinting, nonsteroidal anti-inflammatory drugs, and sometimes corticosteroid injections usually relieve symptoms. […] Pain relievers, anti-inflammatory medications, and rest […] Treatment of any gout or infection […] Sometimes injections of corticosteroids […] Acute bursitis, if not caused by an infection, is usually treated with the following: Temporary rest and immobilization (such as with a splint) of the affected joint […] Ice applied to the painful area […] Nonsteroidal anti-inflammatory drugs (NSAIDs) […] Physical therapy after rest and immobilization. […] Occasionally, stronger pain relievers are needed. Often a doctor may inject a local anesthetic and a corticosteroid directly into the bursa, particularly if the shoulder is affected. This treatment frequently provides relief a few days after the injection. The injection may have to be repeated after a few months. Removing the fluid with a needle also may help reduce pain.
  • #18 Bursitis: Causes, Symptoms & Treatment | UPMC
    https://www.upmc.com/services/orthopaedics/conditions/bursitis
    Doctors at UPMC may use nonsurgical or surgical methods to treat your bursitis. […] Treatments include: Rest. Avoiding activities that can cause symptoms or make them worse. Icing the affected area. Anti-inflammatory drugs, such as ibuprofen. Antibiotics, if an infection caused your bursitis. […] Your doctor may also suggest: Splints or canes to help relieve pain or keep a joint still. Physical therapy, including range of motion exercises for bursitis. Corticosteroid shots, if your bursitis doesn’t improve with more conservative treatments. […] Surgery may be necessary if other bursitis treatments don’t work. Your doctor may want to remove the affected bursa via open or arthroscopic surgery. Both are outpatient procedures, but arthroscopic methods are less invasive than open ones. Most people return home the same day. Depending on where your surgeon removes the bursa, you may need a rehab program before resuming normal activities.
  • #19 Bursitis: Symptoms, Causes, and Treatment
    https://www.webmd.com/pain-management/arthritis-bursitis
    Use a brace, ace bandage/elastic band, or splint to cushion the joint. […] Put the affected joint up on pillows. […] Pad the affected area and avoid hard surfaces. For example, use knee pads or a padded mat if you need to kneel down for work, or sit on a donut-shaped pillow or padded cushion instead of on the floor. […] Stretch before exercising. Doing exercises that strengthen your core muscles and make you more flexible can help some kinds of bursitis. […] Use good posture and body mechanics. A doctor or physical therapist can help you learn ways to move, sit, and lift that are easy on your body and wont irritate your joints. […] Massaging the area can help, but you should check with your doctor to make sure your bursitis isnt caused by an infection before you massage it.
  • #20 Patient education: Bursitis (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/bursitis-beyond-the-basics/print
    Physical therapy for mechanical causes of bursitis – When bursitis is associated with tendon dysfunction, people may benefit from evaluation by a physical therapist (exercise expert). The therapist can assess how your body is moving and teach you strengthening and stretching exercises and other strategies to help avoid stress on the affected bursa. […] Treatment of gout or rheumatoid arthritis – People with bursitis due to an underlying condition (eg, gout, rheumatoid arthritis) require targeted therapy for their related condition. […] PREVENTING RECURRENT BURSITIS […] Most people with bursitis will get better over the course of days to weeks. Less commonly, people may develop chronic (ongoing) bursitis or intermittent flares of recurrent bursitis. To try to reduce the risk of developing another episode of bursitis, you can try the following measures:
  • #21 Bursitis | Arthritis Foundation
    https://www.arthritis.org/diseases/bursitis
    Physical Therapy A physical therapist can provide the following: […] Hot/cold treatments, ultrasound, laser and water therapy […] Soft tissue manual therapy […] Orthotics or pressure-relieving devices for the arms and legs […] A personalized exercise program […] Analysis of posture and walking […] Education on ways to avoid overuse injuries […] Occupational Therapy An occupational therapist can different ways to do daily activities and work habits to prevent stress or injury to an affected area. The therapist can also create hand and wrist splints and suggest assistive devices to help make your daily activities easier. […] Surgery may be required if symptoms dont improve between six months and a year.
  • #22 Physical Therapy for Hip Bursitis: Exercises and Stretches to Improve Strength and Flexibility
    https://www.h2health.com/physical-therapy-for-hip-bursitis-exercises-and-stretches-to-improve-strength-and-flexibility/
    The benefits of physical therapy for hip bursitis include: Pain Relief: Techniques such as manual therapy, ice/heat application, and ultrasound therapy can help reduce pain and inflammation. […] Improved Mobility: Stretching exercises can increase flexibility and improve the range of motion in the hip joint. […] Strengthening: Strengthening the hip muscles can provide better support and reduce stress on the bursa. […] Education: Physical therapists can provide guidance on proper posture, body mechanics, and activity modification to prevent further irritation. […] At H2 Health, we understand that each patient’s experience with hip bursitis is unique. Our team of skilled physical therapists is dedicated to providing personalized care tailored to your specific needs and goals. Here is how we can help: Comprehensive Assessment: We begin with a thorough evaluation of your condition, medical history, and lifestyle to develop a customized treatment plan.
  • #23 Physical Therapy for Hip Bursitis: A Comprehensive Guide | Miracle Rehab Clinic
    https://www.miraclerehabclinic.com/blog/physical-therapy-for-hip-bursitis
    Hip bursitis is a common condition that causes pain and inflammation in the hip area. […] Treatment typically involves rest, ice, and medications to reduce pain and inflammation and physical therapy for hip bursitis. […] Physical therapy for bursitis helps manage it by reducing pain, improving joint function, and preventing future flare-ups. […] Physical therapists employ techniques like ultrasound therapy, ice application, and electrical stimulation to reduce inflammation and pain in the affected area. […] Physical therapy includes stretching exercises to improve flexibility in the hip flexors, hamstrings, and iliotibial band, which helps in alleviating the strain on the hip. […] Physical therapy can significantly help manage hip bursitis pain through various interventions. […] Strengthening exercises aim to bolster the muscles around the hip joint, enhancing stability and offloading stress from the inflamed bursa.
  • #24 Guide | Physical Therapy Guide to Shoulder Bursitis | Choose PT
    https://www.choosept.com/guide/physical-therapy-guide-shoulder-bursitis
    Physical therapy can be a very effective treatment for shoulder bursitis. Physical therapists help reduce pain, swelling, and stiffness caused by the condition. They also address related weakness in the shoulder, arm, neck, and upper back. […] A physical therapist can effectively treat all of these conditions. […] Your physical therapist will work with you to design a specific treatment program to speed your recovery. This program will include exercises and treatments that you can do at home. Physical therapy will help you return to your normal lifestyle and activities. The time it takes to heal the condition varies. Results can often be achieved in two to eight weeks when following a proper stretching and strengthening program. […] Your physical therapist will customize a treatment program to help you safely return to your desired activities. Your physical therapy program may include:
  • #25 Guide | Physical Therapy Guide to Shoulder Bursitis | Choose PT
    https://www.choosept.com/guide/physical-therapy-guide-shoulder-bursitis
    Your physical therapist will help you improve your shoulder pain by addressing inflammation, limited range of motion, and other factors. […] Your physical therapist can teach you self-stretching techniques to help decrease tension and help restore normal shoulder movement. […] Your physical therapist will design a safe, progressive resistance program to improve the strength of the muscles that support your shoulder. […] Your physical therapist will create a series of activities to help you learn how to move your body correctly and safely. […] If you have surgery, you will follow a physical therapy recovery program over several weeks. After surgery, your physical therapist will address your pain. At the right time, they will help you regain movement and strength through the methods described above.
  • #26 Guide | Physical Therapy Guide to Shoulder Bursitis | Choose PT
    https://www.choosept.com/guide/physical-therapy-guide-shoulder-bursitis
    Your physical therapist will help you improve your shoulder pain by addressing inflammation, limited range of motion, and other factors. […] Your physical therapist can teach you self-stretching techniques to help decrease tension and help restore normal shoulder movement. […] Your physical therapist will design a safe, progressive resistance program to improve the strength of the muscles that support your shoulder. […] Your physical therapist will create a series of activities to help you learn how to move your body correctly and safely. […] If you have surgery, you will follow a physical therapy recovery program over several weeks. After surgery, your physical therapist will address your pain. At the right time, they will help you regain movement and strength through the methods described above.
  • #27 Physical Therapy for Hip Bursitis: A Comprehensive Guide | Miracle Rehab Clinic
    https://www.miraclerehabclinic.com/blog/physical-therapy-for-hip-bursitis
    Hip bursitis is a common condition that causes pain and inflammation in the hip area. […] Treatment typically involves rest, ice, and medications to reduce pain and inflammation and physical therapy for hip bursitis. […] Physical therapy for bursitis helps manage it by reducing pain, improving joint function, and preventing future flare-ups. […] Physical therapists employ techniques like ultrasound therapy, ice application, and electrical stimulation to reduce inflammation and pain in the affected area. […] Physical therapy includes stretching exercises to improve flexibility in the hip flexors, hamstrings, and iliotibial band, which helps in alleviating the strain on the hip. […] Physical therapy can significantly help manage hip bursitis pain through various interventions. […] Strengthening exercises aim to bolster the muscles around the hip joint, enhancing stability and offloading stress from the inflamed bursa.
  • #28 Physiotherapy for Bursitis | Australian Sports Physiotherapy
    https://australiansportsphysio.com/physiotherapy-for-bursitis/
    Nonsurgical, conservative measures are almost always used to treat bursitis. Initial treatment options include rest from painful movements, activity/sports modification, and medication. Examples of medications include anti-inflammatory medications for pain and swelling and antibiotics for infections. […] Ice, ultrasound, interferential current, and acupuncture can reduce pain and inflammation. […] Exercises that improve joint function with painful bursitis almost always include stretching, strengthening, and movement retraining. […] Physio is good for bursitis since a physiotherapist can help reduce pain and promote recovery of the affected bursa by using a combination of massage, dry needling, electrotherapy, acupuncture and rehab exercises. […] If you would like a detailed treatment plan, it is best to be evaluated by a physiotherapist who can assess your movement, posture, soft tissue length and strength, as well as your biomechanics.
  • #29 Shoulder Bursitis Treatment – Long Island Spine Rehabilitation Medicine
    https://www.lispinemed.com/conditions-treatments/musculoskeletal-conditions-treatments/rotator-cuff-injuries/shoulder-bursitis/
    Effective treatments for Shoulder Bursitis include: Acupuncture, Platelet-rich plasma (PRP) to promote healing, Physical therapy, including electrical stimulation, to restore strength and range of motion, Ultrasound-guided injections of a corticosteroid and analgesics to relieve pain and inflammation directly at the source, PEMF (Pulsed Electromagnetic Field) therapy which, in addition to treating pain and inflammation, increases blood flow to your cells to promote more rapid healing. […] You should be aware that although bursitis pain, with proper treatment, almost always goes away within a few weeks, recurrent flare-ups may occur. We will take steps to strengthen your muscles and tendons to avoid recurrence by training you to use your shoulder carefully, without overexertion.
  • #30 Physical Therapy Exercises for Hip Bursitis
    https://www.verywellhealth.com/physical-therapy-exercises-for-hip-bursitis-5199259
    Pain in your hip can be caused by hip bursitis. Hip bursitis is when the small fluid-filled sacs (bursa) on the outside or inner part of your hip get inflamed. […] If you have hip bursitis, you may benefit from working with a doctor of physical therapy (DPT/PT). A therapist can assess your condition and determine the causes of your symptoms. They can show you exercises and other strategies that will help improve your functional mobility and strength if you have hip bursitis. […] PT treatment for hip bursitis uses strategies that reduce inflammation and pressure on the hip bursa. The goals of rehab for hip bursitis are to reduce pain, improve range of motion and strength, and restore normal functional mobility. […] Common physical therapy treatments for hip bursitis include: Heat, Ice, Ultrasound, Electrical stimulation, Massage, Manual stretching, Exercise for range of motion and strength, Balance, Hip stability.
  • #31 Bursitis Information | Mount Sinai – New York
    https://www.mountsinai.org/health-library/condition/bursitis
    In rare cases, the bursa is surgically removed. […] Alternative therapies may help reduce the pain and inflammation of bursitis. […] Acupuncture can help reduce swelling and inflammation and relieve pain. […] Although no well-designed scientific studies have looked at whether chiropractic treatment helps bursitis, chiropractors often treat people with this condition. They report that some persons have less pain and increased range of motion. […] Exercising the muscles around your joints helps reduce pressure on the joint and bursa. Gentle yoga may help bursitis by increasing flexibility and reducing muscle tension. Other movement therapies, such as Pilates and Tai Chi, may also help improve muscle and ligament strength and reduce the tension caused by repetitive motions. […] You should not use massage if your bursitis is caused by an infection. Otherwise, massage, especially myofascial release therapy, may help you relax and may reduce the discomfort from a sore joint.
  • #32 Bursitis – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/bursitis/diagnosis-treatment/drc-20353247
    Injection of a corticosteroid medication into your bursa can relieve the pain and inflammation of bursitis. […] Conservative measures, such as rest, ice and taking a pain reliever, can relieve discomfort. If conservative measures don’t work, you might require: […] Physical therapy or exercises can strengthen the muscles in the affected area to ease pain and prevent recurrence. […] A corticosteroid drug injected into the bursa can relieve pain and inflammation in your shoulder or hip. This treatment generally works quickly and, in many cases, one injection is all you need. […] Sometimes an inflamed bursa must be surgically drained, but only rarely is surgical removal of the affected bursa necessary.
  • #33 Bursitis – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/bursitis/diagnosis-treatment/drc-20353247
    Injection of a corticosteroid medication into your bursa can relieve the pain and inflammation of bursitis. […] Conservative measures, such as rest, ice and taking a pain reliever, can relieve discomfort. If conservative measures don’t work, you might require: […] Physical therapy or exercises can strengthen the muscles in the affected area to ease pain and prevent recurrence. […] A corticosteroid drug injected into the bursa can relieve pain and inflammation in your shoulder or hip. This treatment generally works quickly and, in many cases, one injection is all you need. […] Sometimes an inflamed bursa must be surgically drained, but only rarely is surgical removal of the affected bursa necessary.
  • #34 Trochanteric Bursitis Treatment & Management: Approach Considerations, Surgical Intervention, Activity
    https://emedicine.medscape.com/article/309286-treatment
    A randomized, controlled clinical trial found corticosteroid and lidocaine injection for trochanteric bursitis to be an effective therapy that provided a prolonged benefit. […] Studies by Furia et al and Vannet et al demonstrated that low-energy extracorporeal shock wave therapy (ESWT) is an effective treatment for GTPS, especially for those who have high signals on MRI. […] A study by Rompe et al showed that ESWT yielded significantly better results than home exercises or corticosteroid injections.
  • #35 Bursitis Treatment & Management: Approach Considerations, Conservative Treatment, Antibiotic Therapy
    https://emedicine.medscape.com/article/2145588-treatment
    Most patients respond well to conservative management. Patients who do not respond to nonoperative treatment or who have signs of tendinous or ligamentous injury require further evaluation. Consultation with a general or orthopedic surgeon or a rheumatologist may be helpful. […] With regard to resumption of activities, patients should let pain be their guide. […] NSAIDs are used to reduce inflammation and relieve pain. […] Corticosteroid injections can be helpful if the patient does not respond to other treatment within 7-14 days. […] Intrabursal steroid injections (with or without local anesthetics) should not be performed if infection is suspected. […] In a randomized study of 42 patients with olecranon bursitis who were assigned after bursal aspiration to 1 of 4 treatment groups (intrabursal methylprednisolone 20 mg plus naproxen 1 g/day for 10 days, intrabursal methylprednisolone without naproxen, naproxen only, or placebo), steroid injection was more successful in decreasing edema and preventing recurrence than naproxen or placebo was.
  • #36 Hip Bursitis Treatment
    https://www.arthritis-health.com/types/bursitis/hip-bursitis-treatment
    Topical anti-inflammatory medications. Many topical pain relievers are sold over-the-counter and contain salicylates, which have a mild anti-inflammatory effect. […] Aspiration to drain the hip bursa. If the hip bursa is significantly swollen, the physician may recommend aspirating, or draining, the bursa using a needle. […] Corticosteroid injection. If symptoms are not successfully treated with rest, NSAIDs, and/or physical therapy, a corticosteroid injection may be recommended. […] Physical therapy. A doctor may prescribe physical therapy to help treat the current bursitis and prevent future flare-ups. […] Weight loss. If excess weight is a possible underlying cause of hip bursitis, then losing weight can be part of a successful treatment plan. […] Antibiotics. Septic trochanteric bursitis requires treatment with antibiotics. The choice of antibiotic may be influenced by what microorganism is causing the infection.
  • #37 Bursitis: Symptoms, Causes, and Treatment
    https://www.webmd.com/pain-management/arthritis-bursitis
    If your doctor thinks an infection could be causing your bursitis, they might take some fluid out using a small needle, and then test the fluid for bacteria. Your doctor will give you antibiotics to take at home if you have an infection. Its rare, but you might need to stay in the hospital and get antibiotics through an IV, especially if you have immune system problems or if the infection is very bad. […] Your doctor might give you steroids, a medicine that works quickly to lower inflammation and pain. They might prescribe steroid pills to take at home or use a small needle to inject steroids or pain medicine into the irritated area. Doctors disagree about whether steroid shots are helpful. […] Depending on where your bursitis is, your doctor might tell you to use a cane, crutches or a brace, elastic bandage, or split.
  • #38 Trochanteric Bursitis Treatment & Management: Approach Considerations, Surgical Intervention, Activity
    https://emedicine.medscape.com/article/309286-treatment
    Treatment of trochanteric bursitis (greater trochanteric pain syndrome [GTPS]) may include relative rest, application of ice, injection of corticosteroids and local anesthetics, administration of nonsteroidal anti-inflammatory drugs (NSAIDs), and application of topical, sustained-release local anesthetic patches. […] Extracorporeal shock wave therapy (ESWT) is a good alternative to traditional nonoperative therapy, and surgical interventions can be useful in refractory cases. […] Although only a limited number of controlled studies have supported the usefulness of physical therapy for treating GTPS, a specific and goal-directed physical therapy program often seems a reasonable option. […] Many authors and clinicians consider corticosteroid injections to be an important option within the comprehensive treatment plan for GTPS.
  • #39 Trochanteric Bursitis Treatment & Management: Approach Considerations, Surgical Intervention, Activity
    https://emedicine.medscape.com/article/309286-treatment
    A randomized, controlled clinical trial found corticosteroid and lidocaine injection for trochanteric bursitis to be an effective therapy that provided a prolonged benefit. […] Studies by Furia et al and Vannet et al demonstrated that low-energy extracorporeal shock wave therapy (ESWT) is an effective treatment for GTPS, especially for those who have high signals on MRI. […] A study by Rompe et al showed that ESWT yielded significantly better results than home exercises or corticosteroid injections.
  • #40 Trochanteric Bursitis Treatment & Management: Approach Considerations, Surgical Intervention, Activity
    https://emedicine.medscape.com/article/309286-treatment
    A randomized, controlled clinical trial found corticosteroid and lidocaine injection for trochanteric bursitis to be an effective therapy that provided a prolonged benefit. […] Studies by Furia et al and Vannet et al demonstrated that low-energy extracorporeal shock wave therapy (ESWT) is an effective treatment for GTPS, especially for those who have high signals on MRI. […] A study by Rompe et al showed that ESWT yielded significantly better results than home exercises or corticosteroid injections.
  • #41 Bursitis – Bone, Joint, and Muscle Disorders – Merck Manual Consumer Version
    https://www.merckmanuals.com/home/bone-joint-and-muscle-disorders/muscle-bursa-and-tendon-disorders/bursitis
    Chronic bursitis, if not caused by an infection, is treated in a similar way, although rest and immobilization are less likely to help. Rarely, surgery is done to remove the bursa. […] Often, physical therapy can help restore function. Exercises can help strengthen weakened muscles and reestablish the joints full range of motion. […] Infected bursae must be drained, and appropriate antibiotics, often against Staphylococcus aureus, are given. […] Bursitis often recurs if the cause, such as gout, rheumatoid arthritis, or chronic overuse, is not treated or corrected.
  • #42 Bursitis Treatment & Management: Approach Considerations, Conservative Treatment, Antibiotic Therapy
    https://emedicine.medscape.com/article/2145588-treatment
    In general, bursitis is not treated surgically. However, there are some cases in which surgical interventions such as incision and drainage, excision of chronically inflamed bursae, and removal of underlying bony prominences are appropriate. […] Surgical intervention is reserved for the following situations: Failure of needle aspiration to drain the bursa adequately, Bursa site inaccessible to repeated needle aspirations, Abscess, necrosis, or sinus formation, Need for exploration to assess the extent of infection of adjacent structures, Recurrent or refractory disease after conservative treatment.
  • #43 Bursitis Treatment & Management: Approach Considerations, Conservative Treatment, Antibiotic Therapy
    https://emedicine.medscape.com/article/2145588-treatment
    In general, bursitis is not treated surgically. However, there are some cases in which surgical interventions such as incision and drainage, excision of chronically inflamed bursae, and removal of underlying bony prominences are appropriate. […] Surgical intervention is reserved for the following situations: Failure of needle aspiration to drain the bursa adequately, Bursa site inaccessible to repeated needle aspirations, Abscess, necrosis, or sinus formation, Need for exploration to assess the extent of infection of adjacent structures, Recurrent or refractory disease after conservative treatment.
  • #44 Hip Bursitis – OrthoInfo – AAOS
    https://orthoinfo.aaos.org/en/diseases–conditions/hip-bursitis/
    Hip bursitis most often involves the bursa that covers the greater trochanter of the femur, although the iliopsoas bursa can also become inflamed. […] The initial treatment for hip bursitis does not involve surgery. Many people with hip bursitis can experience relief with simple lifestyle changes, including: […] Nonsteroidal anti-inflammatory drugs (NSAIDs). Ibuprofen, naproxen, piroxicam, celecoxib, and others, may relieve pain and control inflammation. […] Your doctor may prescribe exercises to stretch out the IT band and/or increase hip strength and flexibility. […] Injection of a corticosteroid along with a local anesthetic may also help to relieve symptoms of hip bursitis. […] Surgery is rarely needed for hip bursitis. If the bursa remains inflamed and painful after you have tried all nonsurgical treatments, your doctor may recommend surgical removal of the bursa. […] A newer technique that is gaining popularity is arthroscopic removal of the bursa. […] Both types of surgeries are done on an outpatient (same-day) basis, so an overnight stay in the hospital is not usually necessary.
  • #45 Hip Bursitis – OrthoInfo – AAOS
    https://orthoinfo.aaos.org/en/diseases–conditions/hip-bursitis/
    Hip bursitis most often involves the bursa that covers the greater trochanter of the femur, although the iliopsoas bursa can also become inflamed. […] The initial treatment for hip bursitis does not involve surgery. Many people with hip bursitis can experience relief with simple lifestyle changes, including: […] Nonsteroidal anti-inflammatory drugs (NSAIDs). Ibuprofen, naproxen, piroxicam, celecoxib, and others, may relieve pain and control inflammation. […] Your doctor may prescribe exercises to stretch out the IT band and/or increase hip strength and flexibility. […] Injection of a corticosteroid along with a local anesthetic may also help to relieve symptoms of hip bursitis. […] Surgery is rarely needed for hip bursitis. If the bursa remains inflamed and painful after you have tried all nonsurgical treatments, your doctor may recommend surgical removal of the bursa. […] A newer technique that is gaining popularity is arthroscopic removal of the bursa. […] Both types of surgeries are done on an outpatient (same-day) basis, so an overnight stay in the hospital is not usually necessary.
  • #46 Bursitis of the knee: diagnosis and therapy – Priv.-Doz. DDr. Christian Albrecht, Knee and cartilage specialist
    https://www.knieschmerzen-wien.at/bursitis-en.html
    The affected area is less protected without the bursa, but just as mobile as before. After a bursa removal, you can expect to be off work for two to four weeks. However, you should continue to rest the knee for a few weeks afterwards and possibly wear a splint to relieve the strain on the knee. Physiotherapy can also help.
  • #47 How Elbow Bursitis Is Treated | Center for Orthopaedic Surgery & Sports Medicine
    https://www.centerfororthosurgery.com/how-elbow-bursitis-is-treated/
    Surgery for elbow bursitis usually entails the removal of the bursa. After it is removed, another (noninflamed) bursa will grow back in its place, usually within a few months. […] After the procedure, your doctor will splint your arm to protect it from reinjury and infection and recommend a physical rehabilitation program to begin a few days after surgery to strengthen your muscles and improve your range of motion. […] Our team of board-certified physicians at the Center for Orthopaedic Surgery and Sports Medicine provides specialized care to our patients. Using the latest orthopedic techniques and technologies, we can alleviate your bursitis pain and help restore maximum function of your elbow.
  • #48 Bursitis of the knee: diagnosis and therapy – Priv.-Doz. DDr. Christian Albrecht, Knee and cartilage specialist
    https://www.knieschmerzen-wien.at/bursitis-en.html
    The affected area is less protected without the bursa, but just as mobile as before. After a bursa removal, you can expect to be off work for two to four weeks. However, you should continue to rest the knee for a few weeks afterwards and possibly wear a splint to relieve the strain on the knee. Physiotherapy can also help.
  • #49 Bursitis: Symptoms, Types, Treatment & More
    https://www.healthline.com/health/bursitis
    How is bursitis treated? […] Rest, pain medication, and icing your joint may relieve your bursitis. However, other treatments may be necessary: […] Antibiotics are necessary in cases in which the bursa is infected. […] Corticosteroids can be used to relieve pain, inflammation, and swelling as long as there’s no evidence of any infection in or around the bursa. […] At-home exercises may help relieve pain and other symptoms. In rare cases, physical therapy is needed. […] In chronic or severe cases where treatment does not help, surgery might be necessary to remove the affected bursa. […] […] […] Bursitis can also be classified by what causes the inflammation: […] Septic (infectious) bursitis is caused by an infection. This often occurs when the skin around the bursa is punctured, allowing the infection to enter. Septic bursitis causes the bursa to become red, hot, or swollen. It also results in chills, fever, and other symptoms of infection.
  • #50 Bursitis: Symptoms, Types, Treatment & More
    https://www.healthline.com/health/bursitis
    How is bursitis treated? […] Rest, pain medication, and icing your joint may relieve your bursitis. However, other treatments may be necessary: […] Antibiotics are necessary in cases in which the bursa is infected. […] Corticosteroids can be used to relieve pain, inflammation, and swelling as long as there’s no evidence of any infection in or around the bursa. […] At-home exercises may help relieve pain and other symptoms. In rare cases, physical therapy is needed. […] In chronic or severe cases where treatment does not help, surgery might be necessary to remove the affected bursa. […] […] […] Bursitis can also be classified by what causes the inflammation: […] Septic (infectious) bursitis is caused by an infection. This often occurs when the skin around the bursa is punctured, allowing the infection to enter. Septic bursitis causes the bursa to become red, hot, or swollen. It also results in chills, fever, and other symptoms of infection.
  • #51 Bursitis – Symptoms, diagnosis and treatment | BMJ Best Practice US
    https://bestpractice.bmj.com/topics/en-us/523
    Bursitis is acute or chronic inflammation of a bursa. […] Treatment for nonseptic bursitis involves modified physical activity, rest, and analgesia. Corticosteroid injections are reserved for those cases that do not respond to conservative management. Bursal excision is a last resort. […] The first-line treatment for septic bursitis is aspiration and antibiotic therapy. Surgical debridement and lavage may be required.
  • #52 Bursitis – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK513340/
    In bursitis caused by systemic inflammatory conditions, it is important that the physician treats the underlying condition. For septic bursitis, systemic antibiotics with activity against gram-positive organisms are the first-line therapy. […] Surgery is the last resort and is only recommended for cases that fail conservative treatment.
  • #53 Bursitis Treatment & Management: Approach Considerations, Conservative Treatment, Antibiotic Therapy
    https://emedicine.medscape.com/article/2145588-treatment
    Most patients with bursitis are treated conservatively to reduce inflammation. Conservative treatment includes the following: Rest, Cold and heat treatments, Elevation, Nonsteroidal anti-inflammatory drugs (NSAIDs), Bursal aspiration, Intrabursal steroid injections (with or without local anesthetic agents). […] Patients with suspected septic bursitis should be treated with antibiotics while awaiting culture results. Superficial septic bursitis can be treated with oral outpatient therapy. Those with systemic symptoms or who are immunocompromised may require admission for intravenous (IV) antibiotic therapy. […] Surgical excision of bursae may be required for chronic or frequently recurrent bursitis. Surgery is reserved as a last resort for patients in whom conservative treatment fails. The operation varies according to site.
  • #54 Bursitis Treatment & Management: Approach Considerations, Conservative Treatment, Antibiotic Therapy
    https://emedicine.medscape.com/article/2145588-treatment
    In general, bursitis is not treated surgically. However, there are some cases in which surgical interventions such as incision and drainage, excision of chronically inflamed bursae, and removal of underlying bony prominences are appropriate. […] Surgical intervention is reserved for the following situations: Failure of needle aspiration to drain the bursa adequately, Bursa site inaccessible to repeated needle aspirations, Abscess, necrosis, or sinus formation, Need for exploration to assess the extent of infection of adjacent structures, Recurrent or refractory disease after conservative treatment.
  • #55 Trochanteric Bursitis Treatment & Management: Approach Considerations, Surgical Intervention, Activity
    https://emedicine.medscape.com/article/309286-treatment
    Treatment of trochanteric bursitis (greater trochanteric pain syndrome [GTPS]) may include relative rest, application of ice, injection of corticosteroids and local anesthetics, administration of nonsteroidal anti-inflammatory drugs (NSAIDs), and application of topical, sustained-release local anesthetic patches. […] Extracorporeal shock wave therapy (ESWT) is a good alternative to traditional nonoperative therapy, and surgical interventions can be useful in refractory cases. […] Although only a limited number of controlled studies have supported the usefulness of physical therapy for treating GTPS, a specific and goal-directed physical therapy program often seems a reasonable option. […] Many authors and clinicians consider corticosteroid injections to be an important option within the comprehensive treatment plan for GTPS.
  • #56 3 Effective Treatments for Bursitis: Manhattan Orthopedics: Orthopedic Surgeons
    https://www.manhattanorthopedic.com/index.php/blog/3-effective-treatments-for-bursitis
    Are you dealing with pain and swelling in your shoulder, elbow, hip, or knee? It could be bursitis: an uncomfortable condition that develops when the small, fluid-filled sacs that provide cushioning in your joints become inflamed. […] Edmond Cleeman, MD, and our team at Manhattan Orthopedics specialize in bursitis treatment, and we know just how frustrating it can be to deal with this painful condition. Heres more information about three effective treatments for bursitis that can help alleviate your discomfort and get you back to your life. […] Corticosteroid injections reduce inflammation and alleviate pain associated with bursitis. We injected the medication directly into the inflamed bursa, providing targeted relief and promoting healing. […] Platelet-rich plasma (PRP) therapy is another promising treatment option. PRP therapy involves extracting a small amount of your blood, processing it to concentrate the platelets, and then injecting the platelet-rich plasma into your painful joint.
  • #57 6 Ways to Relieve Bursitis Symptoms: Pain Medicine Group: Interventional Pain Medicine
    https://www.painmedicinegroup.com/blog/6-ways-to-relieve-bursitis-symptoms
    Dealing with bursitis can be a painful and frustrating experience. This condition occurs when the fluid-filled sacs called bursae, which act as cushions between your bones, tendons, and muscles, become inflamed. […] If you’re suffering from bursitis, our team at Pain Medicine Group can offer you a range of effective solutions. […] One of the primary approaches to managing bursitis symptoms is through the use of medications. […] Nonsteroidal anti-inflammatory drugs (NSAIDs) can effectively reduce pain and inflammation associated with bursitis. We may also recommend corticosteroid injections to directly target the inflamed bursa and provide immediate relief. […] Platelet-rich plasma (PRP) therapy is a cutting-edge treatment for bursitis. […] We offer PRP therapy as a natural and effective option to alleviate your bursitis symptoms and promote tissue regeneration.
  • #58 Bursitis Treatment and Prevention
    https://www.arthritis-health.com/types/bursitis/bursitis-treatment-and-prevention
    If bursitis is chronic and difficult to treat, a doctor may suggest a surgery called a bursectomy. During this surgery, the inflamed bursa is removed. […] A newer and less proven approach to eliminating the troublesome bursa is sclerotherapy. This treatment involves shrinking and killing the bursal tissue. […] People who have a history of bursitis may want to take steps to lower the risk of recurrence. One or more of the following prevention strategies may be recommended: Take regular breaks from repetitive motions that might irritate bursae, Avoid certain positions that irritate the affected bursa, such as kneeling or leaning on the elbows, Wear cushioned knee or elbow pads to help protect a bursa when kneeling or leaning on the elbows is unavoidable, Support good body mechanics by wearing comfortable, supportive, low-heeled shoes and/or an orthotic, such as a shoe insert or knee brace, Exercise to strengthen and stretch the tissues around the affected joint, Treat underlying medical conditions, such as rheumatoid arthritis, that may be associated with bursitis.
  • #59 Can SoftWave Therapy Help Treat Bursitis? – SoftWave
    https://softwaveclinics.com/blog/can-softwave-therapy-help-treat-bursitis/
    Bursitis is a painful and often debilitating condition that can impact a person’s quality of life. While there are several treatment options available, SoftWave therapy presents a non-invasive treatment option that promotes tissue regeneration and can provide long-lasting relief for individuals with bursitis. […] SoftWave therapy is a treatment option that uses low-intensity shockwaves to stimulate the body’s natural healing process and promote tissue regeneration. SoftWave therapy has been shown to effectively treat a variety of conditions, including musculoskeletal pain, chronic pain, and chronic wounds. […] SoftWave therapy works to treat bursitis by promoting the body’s natural healing processes in the affected area. The broad-focused shockwaves used in SoftWave therapy stimulate the tissues in the affected area, promoting increased blood flow and the release of growth factors.
  • #60 Can SoftWave Therapy Help Treat Bursitis? – SoftWave
    https://softwaveclinics.com/blog/can-softwave-therapy-help-treat-bursitis/
    Bursitis is a painful and often debilitating condition that can impact a person’s quality of life. While there are several treatment options available, SoftWave therapy presents a non-invasive treatment option that promotes tissue regeneration and can provide long-lasting relief for individuals with bursitis. […] SoftWave therapy is a treatment option that uses low-intensity shockwaves to stimulate the body’s natural healing process and promote tissue regeneration. SoftWave therapy has been shown to effectively treat a variety of conditions, including musculoskeletal pain, chronic pain, and chronic wounds. […] SoftWave therapy works to treat bursitis by promoting the body’s natural healing processes in the affected area. The broad-focused shockwaves used in SoftWave therapy stimulate the tissues in the affected area, promoting increased blood flow and the release of growth factors.
  • #61 Can SoftWave Therapy Help Treat Bursitis? – SoftWave
    https://softwaveclinics.com/blog/can-softwave-therapy-help-treat-bursitis/
    SoftWave therapy offers several potential benefits for individuals with bursitis. These benefits include: Non-invasive: SoftWave therapy is a non-invasive treatment option that does not require surgery or injections. No downtime: Unlike some other treatments, such as surgery, SoftWave therapy does not require any downtime or recovery period. Long-lasting results: SoftWave therapy has been shown to provide long-lasting results, with many individuals experiencing significant pain relief and improved mobility for up to a year or more after treatment. Fewer side effects: SoftWave therapy has few reported side effects, making it a safe and effective treatment option for many individuals. […] Overall, SoftWave therapy is a safe and effective treatment option for bursitis that offers numerous benefits over other treatment options.
  • #62 Patient education: Bursitis (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/bursitis-beyond-the-basics/print
    Physical therapy for mechanical causes of bursitis – When bursitis is associated with tendon dysfunction, people may benefit from evaluation by a physical therapist (exercise expert). The therapist can assess how your body is moving and teach you strengthening and stretching exercises and other strategies to help avoid stress on the affected bursa. […] Treatment of gout or rheumatoid arthritis – People with bursitis due to an underlying condition (eg, gout, rheumatoid arthritis) require targeted therapy for their related condition. […] PREVENTING RECURRENT BURSITIS […] Most people with bursitis will get better over the course of days to weeks. Less commonly, people may develop chronic (ongoing) bursitis or intermittent flares of recurrent bursitis. To try to reduce the risk of developing another episode of bursitis, you can try the following measures:
  • #63 Patient education: Bursitis (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/bursitis-beyond-the-basics/print
    Take breaks when doing repetitive movements. […] Use a cushion for areas that are prone to constant or repetitive pressure. As an example, people who have knee bursitis may benefit from wearing knee pads when kneeling on the floor. […] Work with a physical therapist to identify repetitive movements and weak muscles that might be contributing to your bursitis and to develop a plan with strengthening, stretching, and activity modification to address these. […] Practice good posture. This includes improving ergonomics and positioning at home or at work, or even when you do recreational activities. […] Wear proper, supportive footwear and consider seeing a podiatrist for orthotics.
  • #64 Patient education: Bursitis (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/bursitis-beyond-the-basics/print
    Take breaks when doing repetitive movements. […] Use a cushion for areas that are prone to constant or repetitive pressure. As an example, people who have knee bursitis may benefit from wearing knee pads when kneeling on the floor. […] Work with a physical therapist to identify repetitive movements and weak muscles that might be contributing to your bursitis and to develop a plan with strengthening, stretching, and activity modification to address these. […] Practice good posture. This includes improving ergonomics and positioning at home or at work, or even when you do recreational activities. […] Wear proper, supportive footwear and consider seeing a podiatrist for orthotics.
  • #65 Patient education: Bursitis (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/bursitis-beyond-the-basics/print
    Take breaks when doing repetitive movements. […] Use a cushion for areas that are prone to constant or repetitive pressure. As an example, people who have knee bursitis may benefit from wearing knee pads when kneeling on the floor. […] Work with a physical therapist to identify repetitive movements and weak muscles that might be contributing to your bursitis and to develop a plan with strengthening, stretching, and activity modification to address these. […] Practice good posture. This includes improving ergonomics and positioning at home or at work, or even when you do recreational activities. […] Wear proper, supportive footwear and consider seeing a podiatrist for orthotics.
  • #66 Patient education: Bursitis (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/bursitis-beyond-the-basics/print
    Take breaks when doing repetitive movements. […] Use a cushion for areas that are prone to constant or repetitive pressure. As an example, people who have knee bursitis may benefit from wearing knee pads when kneeling on the floor. […] Work with a physical therapist to identify repetitive movements and weak muscles that might be contributing to your bursitis and to develop a plan with strengthening, stretching, and activity modification to address these. […] Practice good posture. This includes improving ergonomics and positioning at home or at work, or even when you do recreational activities. […] Wear proper, supportive footwear and consider seeing a podiatrist for orthotics.
  • #67 Patient education: Bursitis (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/bursitis-beyond-the-basics/print
    Take breaks when doing repetitive movements. […] Use a cushion for areas that are prone to constant or repetitive pressure. As an example, people who have knee bursitis may benefit from wearing knee pads when kneeling on the floor. […] Work with a physical therapist to identify repetitive movements and weak muscles that might be contributing to your bursitis and to develop a plan with strengthening, stretching, and activity modification to address these. […] Practice good posture. This includes improving ergonomics and positioning at home or at work, or even when you do recreational activities. […] Wear proper, supportive footwear and consider seeing a podiatrist for orthotics.
  • #68 Bursitis Treatment and Prevention
    https://www.arthritis-health.com/types/bursitis/bursitis-treatment-and-prevention
    If bursitis is chronic and difficult to treat, a doctor may suggest a surgery called a bursectomy. During this surgery, the inflamed bursa is removed. […] A newer and less proven approach to eliminating the troublesome bursa is sclerotherapy. This treatment involves shrinking and killing the bursal tissue. […] People who have a history of bursitis may want to take steps to lower the risk of recurrence. One or more of the following prevention strategies may be recommended: Take regular breaks from repetitive motions that might irritate bursae, Avoid certain positions that irritate the affected bursa, such as kneeling or leaning on the elbows, Wear cushioned knee or elbow pads to help protect a bursa when kneeling or leaning on the elbows is unavoidable, Support good body mechanics by wearing comfortable, supportive, low-heeled shoes and/or an orthotic, such as a shoe insert or knee brace, Exercise to strengthen and stretch the tissues around the affected joint, Treat underlying medical conditions, such as rheumatoid arthritis, that may be associated with bursitis.
  • #69 Patient education: Bursitis (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/bursitis-beyond-the-basics
    Treatment of gout or rheumatoid arthritis – People with bursitis due to an underlying condition (eg, gout, rheumatoid arthritis) require targeted therapy for their related condition. […] Most people with bursitis will get better over the course of days to weeks. […] To try to reduce the risk of developing another episode of bursitis, you can try the following measures: Take breaks when doing repetitive movements. […] Call your health care provider if you have any of the following: Pain that does not go away despite treatment.
  • #70 Bursitis: MedlinePlus Medical EncyclopediaLock
    https://medlineplus.gov/ency/article/000419.htm
    Most people do well with treatment. When the cause cannot be corrected, you may have long-term pain. […] If the bursa is infected, it becomes more inflamed and painful. This often requires antibiotics or surgery. […] Contact your provider if symptoms recur or do not improve after 3 to 4 weeks of treatment, or if the pain is getting worse. […] When possible, avoid activities that include repetitive movements of any body parts. Be aware of your posture when doing the activities. Strengthening your muscles and working on your balance may help decrease the risk of bursitis.
  • #71 Bursitis: Symptoms, Causes, and Treatment
    https://www.webmd.com/pain-management/arthritis-bursitis
    Bursitis Treatment […] Bursitis usually gets better on its own after a few weeks of resting the affected area. Try not to put pressure on it, and avoid activities that make the pain worse. […] You can take medicine such as ibuprofen or naproxen sodium to lower the swelling and help with pain. Your doctor might give you this medicine in cream or lotion form. […] See your doctor if you dont feel better after resting the affected area. Call your doctor right away if you cant move the joint at all or the area around it is very swollen or red. If you have a fever or theres a rash or bruise on the area, you should see a doctorthese are signs that your bursitis might be caused by an infection. […] Your doctor will do an exam to make sure its bursitis and not something else. They might have you bend or move the affected joint, or ask you to move around or walk. This helps them figure out which bursa is inflamed, and suggest exercises to help you heal. They might also do blood tests or imaging, such as an ultrasound or MRI, to get more information.
  • #72
    https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=uh3444
    Bursitis is inflammation of the bursa. A bursa is a small sac of fluid that cushions a joint and helps it move easily. […] Bursitis usually gets better if you avoid the activity that caused it. If pain lasts or gets worse despite home treatment, your doctor may draw fluid from the bursa through a needle. This may relieve your pain and help your doctor know if you have an infection. If so, your doctor will prescribe antibiotics. If you have inflammation only, you may get a corticosteroid shot to reduce swelling and pain. Sometimes surgery is needed to drain or remove the bursa. […] Follow-up care is a key part of your treatment and safety. […] To prevent stiffness, gently move the hip joint as much as you can without pain every day. As the pain gets better, keep doing range-of-motion exercises. Ask your doctor for exercises that will make the muscles around the hip joint stronger. Do these as directed. […] Call your doctor or nurse advice line now or seek immediate medical care if: You have a fever. You have increased swelling or redness in your hip. You cannot use your hip, or the pain in your hip gets worse. […] You have pain for 2 weeks or longer despite home treatment.
  • #73
    https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=uh3444
    Bursitis is inflammation of the bursa. A bursa is a small sac of fluid that cushions a joint and helps it move easily. […] Bursitis usually gets better if you avoid the activity that caused it. If pain lasts or gets worse despite home treatment, your doctor may draw fluid from the bursa through a needle. This may relieve your pain and help your doctor know if you have an infection. If so, your doctor will prescribe antibiotics. If you have inflammation only, you may get a corticosteroid shot to reduce swelling and pain. Sometimes surgery is needed to drain or remove the bursa. […] Follow-up care is a key part of your treatment and safety. […] To prevent stiffness, gently move the hip joint as much as you can without pain every day. As the pain gets better, keep doing range-of-motion exercises. Ask your doctor for exercises that will make the muscles around the hip joint stronger. Do these as directed. […] Call your doctor or nurse advice line now or seek immediate medical care if: You have a fever. You have increased swelling or redness in your hip. You cannot use your hip, or the pain in your hip gets worse. […] You have pain for 2 weeks or longer despite home treatment.
  • #74 Bursitis of the knee: diagnosis and therapy – Priv.-Doz. DDr. Christian Albrecht, Knee and cartilage specialist
    https://www.knieschmerzen-wien.at/bursitis-en.html
    Physical therapy such as shock wave treatment and physiotherapy is also supportive. Through targeted training and regular stretching, the strain on the bursa is reduced. As strong muscles protect the joints, they can prevent inflammation in the future. […] Surgical therapy of bursitis of the knee […] It can happen that the conservative therapy described above does not have a lasting effect and help. If the bursa repeatedly becomes inflamed or the symptoms have persisted for weeks, this is called chronic bursitis. In this case, the bursa can be removed during an operation (bursectomy). In the case of bursitis caused by bacteria, it may also be necessary to remove the bursa surgically: antibiotics are also used here to prevent the bacteria from spreading into the bloodstream. […] Aftercare for a bursa removal (bursectomy)
  • #75 Bursitis Treatment & Management: Approach Considerations, Conservative Treatment, Antibiotic Therapy
    https://emedicine.medscape.com/article/2145588-treatment
    Most patients respond well to conservative management. Patients who do not respond to nonoperative treatment or who have signs of tendinous or ligamentous injury require further evaluation. Consultation with a general or orthopedic surgeon or a rheumatologist may be helpful. […] With regard to resumption of activities, patients should let pain be their guide. […] NSAIDs are used to reduce inflammation and relieve pain. […] Corticosteroid injections can be helpful if the patient does not respond to other treatment within 7-14 days. […] Intrabursal steroid injections (with or without local anesthetics) should not be performed if infection is suspected. […] In a randomized study of 42 patients with olecranon bursitis who were assigned after bursal aspiration to 1 of 4 treatment groups (intrabursal methylprednisolone 20 mg plus naproxen 1 g/day for 10 days, intrabursal methylprednisolone without naproxen, naproxen only, or placebo), steroid injection was more successful in decreasing edema and preventing recurrence than naproxen or placebo was.
  • #76 Hip Bursitis Treatment
    https://www.arthritis-health.com/types/bursitis/hip-bursitis-treatment
    It is important to wait until all hip bursitis symptoms are gone before resuming regular activities. Returning to activities that cause friction or stress on the bursa before it is healed will likely cause hip bursitis symptoms to flare up again. […] Particularly challenging cases of chronic hip bursitis may warrant surgery, such as: Bursectomy. In a traditional bursectomy an incision is made at the hip and the affected bursa is removed. […] Tendon repair and iliotibial (IT) band release. When the IT band is too tight or a tendon is injured it can result in friction and irritation of the trochanteric bursa. […] Osteotomy of the greater trochanter. Osteotomy is defined as the surgical cutting of bone. During this osteotomy procedure, a surgeon will shave off a small portion of the protruding greater trochanter bone.
  • #77 Bursitis
    https://www.nhs.uk/conditions/bursitis/
    Bursitis can usually be treated at home and should go away in a few weeks. […] If you have bursitis, to help bring down swelling and pain you can: rest try not to move the joint too much and avoid activities that put pressure on it, use ice gently hold an ice pack (or a bag of frozen peas) wrapped in a tea towel on the area for around 10 minutes at a time and repeat every few hours during the day, take painkillers, such as paracetamol or ibuprofen, to ease any pain. […] Treatments you may have for bursitis include: antibiotics usually taken for at least 7 days if bursitis is caused by an infection, a steroid injection given into the affected joint to reduce the swelling this will not be done if bursitis is caused by an infection, taking fluid from the joint using a needle (aspiration) to ease symptoms. […] If bursitis is severe or keeps coming back, the inflamed bursa may need to be surgically drained or even removed (but this is rare).
  • #78 Treatment for Bursitis | Stanford Health Care
    https://stanfordhealthcare.org/medical-conditions/bones-joints-and-muscles/bursitis/treatments.html
    Home treatment is often enough to reduce pain and let the bursa heal. Your doctor may suggest physical therapy to strengthen the muscles around your joints. […] If you have severe bursitis, your doctor may use a needle to remove extra fluid from the bursa. You might wear a pressure bandage on the area. Your doctor may also give you a shot of medicine to reduce swelling. Some people need surgery to drain or remove the bursa. […] Sometimes the fluid in the bursa can get infected. If this happens, you may need antibiotics. […] Bursitis is likely to improve in a few days or weeks if you rest and treat the affected area. But it may return if you don’t stretch and strengthen the muscles around the joint and change the way you do some activities.