Cause: In case of repeated loads or blows, the bursa can produce additional fluid, swell and become inflamed and painful.
Symptoms: Pain when applying pressure on the bursa, which sometimes (but far from always) can feel swollen. Pain is aggravated upon activation of the muscle closest to the bursa.
Acute treatment: Click here.
Examination: In light cases with only minimal tenderness, medical examination is not necessarily required. In case of more pronounced pain or lack of progress, a medical examination should be carried out to ensure the correctness of the diagnosis and the commencement of any treatment. The diagnosis is most easily and quickly made with ultrasound (which allows simultaneous treatment).
Treatment: The treatment primarily comprises relief. If the direct cause of the complaint is known, it should of course be removed. The treatment can be supplemented by rheumatic medicine (NSAID) or injection of corticosteroid in the bursa, preceded by draining of this, which can advantageously be performed under ultrasound guidance.
Rehabilitation: The treatment is dependant upon which bursa is inflamed, but sports activity can usually be cautiously resumed when pain has diminished, especially if the provoking factor has been identified and removed.
Complications: If progress is not smooth, the correctness of the diagnosis or whether complications have arisen should be considered:
Special: Shock absorbing shoes or inlays will reduce the load.