SlideShare a Scribd company logo
1 of 17
Download to read offline
Bursitis
PREAPARED BY:
ASST. PROFFESOR LEEJALA SHRESTHA
• Bursitis is inflammation or irritation of a
bursa sac. Bursae are small fluid-
filled sacs that reduce friction between
moving parts in the body's joints.
The inflammation of one or more bursae
(small sacs) of synovial fluid in the body is
called bursitis.
They are lined with a synovial
membrane that secretes a lubricating
synovial fluid. The bursae rest at the points
where internal functionaries, such
as muscles and tendons, slide across bone.
• Healthy bursae create a smooth, almost
frictionless functional gliding surface
making normal movement painless. When
bursitis occurs, however, movement
relying on the inflamed bursa becomes
difficult and painful.
• Moreover, movement of tendons and
muscles over the inflamed bursa
aggravates its inflammation, perpetuating
the problem. Muscle can also be stiffened.
Types of bursitis
Although bursitis can occur anywhere in the body
where bursae are located, there are several
specific types of bursitis, including the following:
• Posterior Achilles tendon bursitis
• Anterior Achilles tendon bursitis
• Hip bursitis.
• Elbow bursitis.
• Knee bursitis.
Causes
• Trauma, auto-immune disorders, infection and
iatrogenic (medicine-related) factors can all cause
bursitis.
• Bursitis is commonly caused by repetitive
movement and excessive pressure. Shoulders,
elbows and knees are the most commonly
affected.
• Inflammation of the bursae may also be caused by
other inflammatory conditions such as rheumatoid
arthritis, scleroderma, systemic lupus
erythematosus (autoimmune disease) and gout.
• Immune deficiencies, including HIV and
diabetes, can also cause bursitis.
Infrequently, scoliosis (curve of spine) can
cause bursitis of the shoulders; however,
shoulder bursitis is more commonly
caused by overuse of the shoulder joint
and related muscles
• Traumatic injury is another cause of
bursitis. The inflammation irritates
because the bursa no longer fits in the
original small area between the bone and
the functionary muscle or tendon. When
the bone increases pressure upon the
bursa, bursitis results. Sometimes the
reason is unknown. It can also be
associated with various other chronic
systemic disease
Clinical Manifestations
• Pain around a joints commonly the knee,
elbow, shoulder, and hip.
• Varying degrees of redness, warmth, and
swelling may be visible.
• There is point tenderness and limited
ROM on examination.
Treatment
• It is important to differentiate between
infected and non-infected bursitis. People
may have surrounding cellulitis and systemic
symptoms include a fever. The bursa should
be aspirated to rule out an infectious process.
• Bursae that are not infected can be treated
symptomatically with rest, ice,
elevation, physiotherapy, anti-
inflammatory and pain medication.
Since bursitis is caused by increased friction
from the adjacent structures, a compression
bandage is not suggested because
compression would create more friction
around the joint. Chronic bursitis may need
bursectomy and aspiration.
• Bursae that are infected require further
investigation and antibiotic therapy
• Steroid therapy may also be considered.
In cases when all conservative treatment
fails, surgical therapy may be necessary.
• In a bursectomy the bursa is cut out
either endoscopically or with open surgery.
The bursa grows back in place after a
couple of weeks but without any
inflammatory component.
Management and Nursing
Interventions
• Rest and immobilization of affected joint
• Ice for the first 48 hours; moist heat every
4 hours thereafter
• Nonopioid analgesics such as NSAIDs
• ROM exercises
• Intra-articular corticosteroid injection
• Surgery indicated when calcified deposits
or adhesions have diminished function

More Related Content

Similar to Bursitis is inflammation or irritation of a bursa sac. Bursae are small fluid-filled sacs that reduce friction between moving parts in the body's joints. The inflammation of one or more bursae (small sacs) of synovial fluid in the body is called bursitis.

Similar to Bursitis is inflammation or irritation of a bursa sac. Bursae are small fluid-filled sacs that reduce friction between moving parts in the body's joints. The inflammation of one or more bursae (small sacs) of synovial fluid in the body is called bursitis. (20)

ARTHRITIS.pdf
ARTHRITIS.pdfARTHRITIS.pdf
ARTHRITIS.pdf
 
Hip injury getting in your way
Hip injury getting in your wayHip injury getting in your way
Hip injury getting in your way
 
Lecture 11-Soft tissue injuries-1.pptx
Lecture 11-Soft tissue injuries-1.pptxLecture 11-Soft tissue injuries-1.pptx
Lecture 11-Soft tissue injuries-1.pptx
 
Movement module.ppt
Movement module.pptMovement module.ppt
Movement module.ppt
 
common shoulder complex disorders.pptx
common shoulder complex disorders.pptxcommon shoulder complex disorders.pptx
common shoulder complex disorders.pptx
 
Osteoarthritis
OsteoarthritisOsteoarthritis
Osteoarthritis
 
type of joint disorders.pptx
type of joint disorders.pptxtype of joint disorders.pptx
type of joint disorders.pptx
 
Bursitis
BursitisBursitis
Bursitis
 
Osteoarthritis ppt
Osteoarthritis pptOsteoarthritis ppt
Osteoarthritis ppt
 
what Knee Pain Treatment?
what Knee Pain Treatment?what Knee Pain Treatment?
what Knee Pain Treatment?
 
Liver abcess
Liver abcessLiver abcess
Liver abcess
 
Fracture
FractureFracture
Fracture
 
client care for arthritis.pptx
client care for arthritis.pptxclient care for arthritis.pptx
client care for arthritis.pptx
 
Spondylitis ppt.pptx
Spondylitis ppt.pptxSpondylitis ppt.pptx
Spondylitis ppt.pptx
 
Periarticular Disorders of the Extremities
Periarticular Disorders of the ExtremitiesPeriarticular Disorders of the Extremities
Periarticular Disorders of the Extremities
 
Tendon and ligament injuries - Basics.pptx
Tendon and ligament injuries - Basics.pptxTendon and ligament injuries - Basics.pptx
Tendon and ligament injuries - Basics.pptx
 
Osteoarthritis
OsteoarthritisOsteoarthritis
Osteoarthritis
 
Joints & movements.pptx
Joints & movements.pptxJoints & movements.pptx
Joints & movements.pptx
 
Pott's spine
Pott's spinePott's spine
Pott's spine
 
Tendon and ligament injureies
Tendon and ligament injureiesTendon and ligament injureies
Tendon and ligament injureies
 

Recently uploaded

Presentation on Non Steroidal Anti-inflammatory Agents
Presentation on Non Steroidal Anti-inflammatory AgentsPresentation on Non Steroidal Anti-inflammatory Agents
Presentation on Non Steroidal Anti-inflammatory AgentsPrerana Jadhav
 
L1.INTRODUCTION to ENDOCRINOLOGY MEDICINE.pptx
L1.INTRODUCTION to ENDOCRINOLOGY MEDICINE.pptxL1.INTRODUCTION to ENDOCRINOLOGY MEDICINE.pptx
L1.INTRODUCTION to ENDOCRINOLOGY MEDICINE.pptxDr Bilal Natiq
 
Exploring the Variety of Private Blood Tests in the UK
Exploring the Variety of Private Blood Tests in the UKExploring the Variety of Private Blood Tests in the UK
Exploring the Variety of Private Blood Tests in the UKPrivate GP London
 
World-Health-Day-2024-My-Health-My-Right.pptx
World-Health-Day-2024-My-Health-My-Right.pptxWorld-Health-Day-2024-My-Health-My-Right.pptx
World-Health-Day-2024-My-Health-My-Right.pptxEx WHO/USAID
 
PHYSIOTHERAPY IN HEART TRANSPLANTATION..
PHYSIOTHERAPY IN HEART TRANSPLANTATION..PHYSIOTHERAPY IN HEART TRANSPLANTATION..
PHYSIOTHERAPY IN HEART TRANSPLANTATION..AneriPatwari
 
SGK HÓA SINH NĂNG LƯỢNG SINH HỌC 2006.pdf
SGK HÓA SINH NĂNG LƯỢNG SINH HỌC 2006.pdfSGK HÓA SINH NĂNG LƯỢNG SINH HỌC 2006.pdf
SGK HÓA SINH NĂNG LƯỢNG SINH HỌC 2006.pdfHongBiThi1
 
Nutrition of OCD for my Nutritional Neuroscience Class
Nutrition of OCD for my Nutritional Neuroscience ClassNutrition of OCD for my Nutritional Neuroscience Class
Nutrition of OCD for my Nutritional Neuroscience Classmanuelazg2001
 
METHODS OF ACQUIRING KNOWLEDGE IN NURSING.pptx by navdeep kaur
METHODS OF ACQUIRING KNOWLEDGE IN NURSING.pptx by navdeep kaurMETHODS OF ACQUIRING KNOWLEDGE IN NURSING.pptx by navdeep kaur
METHODS OF ACQUIRING KNOWLEDGE IN NURSING.pptx by navdeep kaurNavdeep Kaur
 
VarSeq 2.6.0: Advancing Pharmacogenomics and Genomic Analysis
VarSeq 2.6.0: Advancing Pharmacogenomics and Genomic AnalysisVarSeq 2.6.0: Advancing Pharmacogenomics and Genomic Analysis
VarSeq 2.6.0: Advancing Pharmacogenomics and Genomic AnalysisGolden Helix
 
Presentation for Bella Mahl 2024-03-28-24-MW-Overview-Bella.pptx
Presentation for Bella Mahl 2024-03-28-24-MW-Overview-Bella.pptxPresentation for Bella Mahl 2024-03-28-24-MW-Overview-Bella.pptx
Presentation for Bella Mahl 2024-03-28-24-MW-Overview-Bella.pptxpdamico1
 
The next social challenge to public health: the information environment.pptx
The next social challenge to public health:  the information environment.pptxThe next social challenge to public health:  the information environment.pptx
The next social challenge to public health: the information environment.pptxTina Purnat
 
Prince Paulraj W HERBAL DRUG TECHNO.pptx
Prince Paulraj W HERBAL DRUG TECHNO.pptxPrince Paulraj W HERBAL DRUG TECHNO.pptx
Prince Paulraj W HERBAL DRUG TECHNO.pptxprincebieber28
 
CCSC6142 Week 3 Research ethics - Long Hoang.pdf
CCSC6142 Week 3 Research ethics - Long Hoang.pdfCCSC6142 Week 3 Research ethics - Long Hoang.pdf
CCSC6142 Week 3 Research ethics - Long Hoang.pdfMyThaoAiDoan
 
History and Development of Pharmacovigilence.pdf
History and Development of Pharmacovigilence.pdfHistory and Development of Pharmacovigilence.pdf
History and Development of Pharmacovigilence.pdfSasikiranMarri
 
23470206-Esophageal-Cancer.ppt for medical surgical nursing
23470206-Esophageal-Cancer.ppt for medical surgical nursing23470206-Esophageal-Cancer.ppt for medical surgical nursing
23470206-Esophageal-Cancer.ppt for medical surgical nursingakoeljames8543
 
Culture and Health Disorders Social change.pptx
Culture and Health Disorders Social change.pptxCulture and Health Disorders Social change.pptx
Culture and Health Disorders Social change.pptxDr. Dheeraj Kumar
 
NEWER OHAs AND NEWER INSULIN.pptx
NEWER OHAs        AND NEWER INSULIN.pptxNEWER OHAs        AND NEWER INSULIN.pptx
NEWER OHAs AND NEWER INSULIN.pptxtarakeeshbai1802
 
SCHOOL HEALTH SERVICES.pptx made by Sapna Thakur
SCHOOL HEALTH SERVICES.pptx made by Sapna ThakurSCHOOL HEALTH SERVICES.pptx made by Sapna Thakur
SCHOOL HEALTH SERVICES.pptx made by Sapna ThakurSapna Thakur
 
Tans femoral Amputee : Prosthetics Knee Joints.pptx
Tans femoral Amputee : Prosthetics Knee Joints.pptxTans femoral Amputee : Prosthetics Knee Joints.pptx
Tans femoral Amputee : Prosthetics Knee Joints.pptxKezaiah S
 

Recently uploaded (20)

Presentation on Non Steroidal Anti-inflammatory Agents
Presentation on Non Steroidal Anti-inflammatory AgentsPresentation on Non Steroidal Anti-inflammatory Agents
Presentation on Non Steroidal Anti-inflammatory Agents
 
L1.INTRODUCTION to ENDOCRINOLOGY MEDICINE.pptx
L1.INTRODUCTION to ENDOCRINOLOGY MEDICINE.pptxL1.INTRODUCTION to ENDOCRINOLOGY MEDICINE.pptx
L1.INTRODUCTION to ENDOCRINOLOGY MEDICINE.pptx
 
Exploring the Variety of Private Blood Tests in the UK
Exploring the Variety of Private Blood Tests in the UKExploring the Variety of Private Blood Tests in the UK
Exploring the Variety of Private Blood Tests in the UK
 
World-Health-Day-2024-My-Health-My-Right.pptx
World-Health-Day-2024-My-Health-My-Right.pptxWorld-Health-Day-2024-My-Health-My-Right.pptx
World-Health-Day-2024-My-Health-My-Right.pptx
 
PHYSIOTHERAPY IN HEART TRANSPLANTATION..
PHYSIOTHERAPY IN HEART TRANSPLANTATION..PHYSIOTHERAPY IN HEART TRANSPLANTATION..
PHYSIOTHERAPY IN HEART TRANSPLANTATION..
 
SGK HÓA SINH NĂNG LƯỢNG SINH HỌC 2006.pdf
SGK HÓA SINH NĂNG LƯỢNG SINH HỌC 2006.pdfSGK HÓA SINH NĂNG LƯỢNG SINH HỌC 2006.pdf
SGK HÓA SINH NĂNG LƯỢNG SINH HỌC 2006.pdf
 
Nutrition of OCD for my Nutritional Neuroscience Class
Nutrition of OCD for my Nutritional Neuroscience ClassNutrition of OCD for my Nutritional Neuroscience Class
Nutrition of OCD for my Nutritional Neuroscience Class
 
METHODS OF ACQUIRING KNOWLEDGE IN NURSING.pptx by navdeep kaur
METHODS OF ACQUIRING KNOWLEDGE IN NURSING.pptx by navdeep kaurMETHODS OF ACQUIRING KNOWLEDGE IN NURSING.pptx by navdeep kaur
METHODS OF ACQUIRING KNOWLEDGE IN NURSING.pptx by navdeep kaur
 
VarSeq 2.6.0: Advancing Pharmacogenomics and Genomic Analysis
VarSeq 2.6.0: Advancing Pharmacogenomics and Genomic AnalysisVarSeq 2.6.0: Advancing Pharmacogenomics and Genomic Analysis
VarSeq 2.6.0: Advancing Pharmacogenomics and Genomic Analysis
 
Presentation for Bella Mahl 2024-03-28-24-MW-Overview-Bella.pptx
Presentation for Bella Mahl 2024-03-28-24-MW-Overview-Bella.pptxPresentation for Bella Mahl 2024-03-28-24-MW-Overview-Bella.pptx
Presentation for Bella Mahl 2024-03-28-24-MW-Overview-Bella.pptx
 
JANGAMA VISHA .pptx-
JANGAMA VISHA .pptx-JANGAMA VISHA .pptx-
JANGAMA VISHA .pptx-
 
The next social challenge to public health: the information environment.pptx
The next social challenge to public health:  the information environment.pptxThe next social challenge to public health:  the information environment.pptx
The next social challenge to public health: the information environment.pptx
 
Prince Paulraj W HERBAL DRUG TECHNO.pptx
Prince Paulraj W HERBAL DRUG TECHNO.pptxPrince Paulraj W HERBAL DRUG TECHNO.pptx
Prince Paulraj W HERBAL DRUG TECHNO.pptx
 
CCSC6142 Week 3 Research ethics - Long Hoang.pdf
CCSC6142 Week 3 Research ethics - Long Hoang.pdfCCSC6142 Week 3 Research ethics - Long Hoang.pdf
CCSC6142 Week 3 Research ethics - Long Hoang.pdf
 
History and Development of Pharmacovigilence.pdf
History and Development of Pharmacovigilence.pdfHistory and Development of Pharmacovigilence.pdf
History and Development of Pharmacovigilence.pdf
 
23470206-Esophageal-Cancer.ppt for medical surgical nursing
23470206-Esophageal-Cancer.ppt for medical surgical nursing23470206-Esophageal-Cancer.ppt for medical surgical nursing
23470206-Esophageal-Cancer.ppt for medical surgical nursing
 
Culture and Health Disorders Social change.pptx
Culture and Health Disorders Social change.pptxCulture and Health Disorders Social change.pptx
Culture and Health Disorders Social change.pptx
 
NEWER OHAs AND NEWER INSULIN.pptx
NEWER OHAs        AND NEWER INSULIN.pptxNEWER OHAs        AND NEWER INSULIN.pptx
NEWER OHAs AND NEWER INSULIN.pptx
 
SCHOOL HEALTH SERVICES.pptx made by Sapna Thakur
SCHOOL HEALTH SERVICES.pptx made by Sapna ThakurSCHOOL HEALTH SERVICES.pptx made by Sapna Thakur
SCHOOL HEALTH SERVICES.pptx made by Sapna Thakur
 
Tans femoral Amputee : Prosthetics Knee Joints.pptx
Tans femoral Amputee : Prosthetics Knee Joints.pptxTans femoral Amputee : Prosthetics Knee Joints.pptx
Tans femoral Amputee : Prosthetics Knee Joints.pptx
 

Bursitis is inflammation or irritation of a bursa sac. Bursae are small fluid-filled sacs that reduce friction between moving parts in the body's joints. The inflammation of one or more bursae (small sacs) of synovial fluid in the body is called bursitis.

  • 2.
  • 3. • Bursitis is inflammation or irritation of a bursa sac. Bursae are small fluid- filled sacs that reduce friction between moving parts in the body's joints. The inflammation of one or more bursae (small sacs) of synovial fluid in the body is called bursitis.
  • 4. They are lined with a synovial membrane that secretes a lubricating synovial fluid. The bursae rest at the points where internal functionaries, such as muscles and tendons, slide across bone.
  • 5. • Healthy bursae create a smooth, almost frictionless functional gliding surface making normal movement painless. When bursitis occurs, however, movement relying on the inflamed bursa becomes difficult and painful.
  • 6. • Moreover, movement of tendons and muscles over the inflamed bursa aggravates its inflammation, perpetuating the problem. Muscle can also be stiffened.
  • 7.
  • 8.
  • 9. Types of bursitis Although bursitis can occur anywhere in the body where bursae are located, there are several specific types of bursitis, including the following: • Posterior Achilles tendon bursitis • Anterior Achilles tendon bursitis • Hip bursitis. • Elbow bursitis. • Knee bursitis.
  • 10. Causes • Trauma, auto-immune disorders, infection and iatrogenic (medicine-related) factors can all cause bursitis. • Bursitis is commonly caused by repetitive movement and excessive pressure. Shoulders, elbows and knees are the most commonly affected. • Inflammation of the bursae may also be caused by other inflammatory conditions such as rheumatoid arthritis, scleroderma, systemic lupus erythematosus (autoimmune disease) and gout.
  • 11. • Immune deficiencies, including HIV and diabetes, can also cause bursitis. Infrequently, scoliosis (curve of spine) can cause bursitis of the shoulders; however, shoulder bursitis is more commonly caused by overuse of the shoulder joint and related muscles
  • 12. • Traumatic injury is another cause of bursitis. The inflammation irritates because the bursa no longer fits in the original small area between the bone and the functionary muscle or tendon. When the bone increases pressure upon the bursa, bursitis results. Sometimes the reason is unknown. It can also be associated with various other chronic systemic disease
  • 13. Clinical Manifestations • Pain around a joints commonly the knee, elbow, shoulder, and hip. • Varying degrees of redness, warmth, and swelling may be visible. • There is point tenderness and limited ROM on examination.
  • 14. Treatment • It is important to differentiate between infected and non-infected bursitis. People may have surrounding cellulitis and systemic symptoms include a fever. The bursa should be aspirated to rule out an infectious process. • Bursae that are not infected can be treated symptomatically with rest, ice, elevation, physiotherapy, anti- inflammatory and pain medication.
  • 15. Since bursitis is caused by increased friction from the adjacent structures, a compression bandage is not suggested because compression would create more friction around the joint. Chronic bursitis may need bursectomy and aspiration.
  • 16. • Bursae that are infected require further investigation and antibiotic therapy • Steroid therapy may also be considered. In cases when all conservative treatment fails, surgical therapy may be necessary. • In a bursectomy the bursa is cut out either endoscopically or with open surgery. The bursa grows back in place after a couple of weeks but without any inflammatory component.
  • 17. Management and Nursing Interventions • Rest and immobilization of affected joint • Ice for the first 48 hours; moist heat every 4 hours thereafter • Nonopioid analgesics such as NSAIDs • ROM exercises • Intra-articular corticosteroid injection • Surgery indicated when calcified deposits or adhesions have diminished function