Bursitis Treatment in Castle Rock

Bursitis is the inflammation of the bursa, small fluid-filled sacs that cushion and reduce friction between bones, tendons, and muscles. When a bursa becomes irritated or inflamed, it can cause pain, swelling, and limited movement.

The hip (trochanteric bursitis) and shoulder (subacromial bursitis) are two of the most common areas affected by bursitis. The condition often develops due to repetitive movements, prolonged pressure, injury, or underlying conditions like arthritis.

In some cases what you are told is bursitis is actually wear and tear of nearby tendons (tendinopathy or tendinitis). The symptoms of bursitis, tendinopathy, and tendinitis are identical, and can be happening at the same time.

Several factors can contribute to the development of bursitis, including:

• Repetitive Motion: Activities such as running, cycling, throwing, or lifting can irritate the bursa.

• Prolonged Pressure: Leaning on the elbow or sleeping on one side can contribute to bursitis in those areas.

• Injury or Trauma: A direct impact or fall can inflame the bursa.

• Muscle Weakness or Imbalance: Weak muscles around the joint can increase stress on the bursa, specially in the hip.

• Arthritis or Gout: Joint inflammation from arthritis or crystal deposits from gout can trigger bursitis.

• Poor Posture or Body Mechanics: Incorrect movement patterns can place excess stress on the bursa.

• Tendon Wear and Tear: Overuse or degeneration of nearby tendons can lead to secondary bursitis, particularly in the shoulder.

eek immediate medical attention if bursitis is accompanied by:

• Severe swelling, redness, or warmth around the joint

• Intense pain that does not improve with rest or medication

• Fever or chills, which could indicate an infection

• Sudden inability to move the affected joint

Dr. Carrera and his team begin with a thorough medical history and physical examination to assess pain, swelling, and joint movement.

In most cases, bursitis is diagnosed clinically, but if symptoms persist or an infection is suspected, imaging such as an X-ray, ultrasound, or MRI may be used to rule out other conditions. In cases where tendon involvement is suspected, an MRI may provide additional insight into any associated tendon damage or inflammation.

Bursitis is typically treated conservatively, as it often improves with proper management. A consistent home exercise program is key to preventing chronic pain and stiffness.

• Rest and Activity Modification: Avoiding repetitive movements or prolonged pressure on the affected joint is essential for healing.

• Ice Therapy: Applying ice packs for 15-20 minutes at a time can significantly reduce inflammation and pain.

• Physical Therapy: One of the most important treatments for bursitis, physical therapy strengthens and stretches the surrounding muscles to offload stress from the bursa and tendons. Proper body mechanics and postural training are also emphasized to prevent recurrence.

• Nonsteroidal Anti-Inflammatory Drugs (NSAIDs): Medications such as ibuprofen or naproxen help decrease swelling and discomfort.

• Corticosteroid Injections: If pain persists, an injection of anti-inflammatory medication into the bursa can provide relief.

• Platelet-Rich Plasma (PRP) Therapy: A treatment that uses a patient’s own platelets to promote healing and reduce inflammation in the affected joint. PRP is particularly beneficial for chronic bursitis or cases involving tendon degeneration.