Bursitis is inflammation of the bursa is accompanied by pain. Bursa is a flat bag containing synovial fluid, which facilitates normal movement of several joints in the muscles and reduce friction. Bursa is located on the side friction, especially in places where tendons or muscles pass through the bone.
Under normal circumstances, a stock contains very little fluid. But if the injured, the bursa become inflamed and filled with fluid.
CAUSE
The cause is often unknown, but the bursitis can be caused by:
- Excessive use of over the years
- Injury
- Gout
- Pseudogout
- Rheumatoid Arthritis
- Infections.
The most susceptible to bursitis are the shoulders, other body parts that may be affected are the elbow bursitis, hip, pelvis, knees, toes and heels.
SYMPTOMS
Bursitis causes pain and tend to restrict movement, but the specific symptoms depend on the location of the inflamed bursa. If the inflamed bursa in the shoulder, then if the patient raised his arm to wear clothes will have trouble and pain.
Acute bursitis occurs suddenly. If touched or moved, there will be pain in the inflamed area. Skin over the bursa may redden and swell. Acute bursitis is caused by an infection or gout causes tremendous pain and the affected area looks red and warm.
Chronic bursitis is a result of previous attacks of acute bursitis or repeated injuries. In the end, the wall will thicken the stock and in it accumulated solid calcium deposits that resemble limestone. Exchanges that have been damaged very sensitive to additional inflammation. Chronic pain and swelling can restrict movement, thereby experiencing muscle shrinkage (atrophy) and become weak.
Chronic bursitis attacks lasted for several days to several weeks and often recur.
Diagnosis
Diagnosis based on symptoms and physical examination. The area around the bursa painful when touched, and the movement of certain joints causes pain. If the stock looks swollen, fluid samples can be taken from the stock exchange and examination of the fluid to determine the cause of inflammation.
TREATMENT
The infected bursa must be drained and antibiotics administered. Acute non-infectious bursitis is usually treated with rest, which temporarily affected joints are not moved and was given a non-steroidal inflammatory drugs (eg indomethacin, ibuprofen or naproxen)
Sometimes given pain medication. Besides it can be injected a mixture of local anesthetics and corticosteroids directly into the bursa. These injections may need to be more than 1 time.
In severe bursitis given corticosteroids (eg prednisone) by mouth (swallowed) for several days. After the pain subsided, it is recommended to perform specific exercises to improve joint coverage.
Chronic bursitis is treated the same way. Sometimes a large calcium deposits in the shoulder can be removed through a needle or through surgery. Corticosteroids can be injected directly into the joint. Physical therapy is performed to restore joint function. Exercise can help restore muscle strength and joint coverage. Bursitis often recur if the cause (eg gout, rheumatoid arthritis or overuse) is not resolved.
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