Bursitis natural history, complications and prognosis: Difference between revisions
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==Overview== | ==Overview== | ||
Bursitis is often caused by recurrent micro-trauma and overuse. Symptoms of bursitis may develop rapidly within 2 to 3 days in an acute form. It usually presents with [[edema]], [[erythema]], and [[tenderness]] over the involved joint. In most cases after adjustment of activities, bursitis will gradually clear within few days to weeks without. If left untreated, acute bursitis may lead to chronic bursitis which may result in cicatricial adhesions, reduced mobility, and progressive pain. | |||
With treatment and activities adjustment, aseptic bursitis is associated with excellent prognosis. Although in rare cases your bursa may have to be removed surgically if other treatments are ineffective. | |||
==Natural History== | ==Natural History== | ||
Aseptic bursitis is often caused by recurrent micro-trauma and overuse. | Aseptic bursitis is often caused by recurrent micro-trauma and overuse. Symptoms of bursitis may develop rapidly within 2 to 3 days in an acute form. It usually presents with [[edema]], [[erythema]], [[tenderness]], and [[stiffness]] over the involved joint. In most cases after adjustment of activities, bursitis will gradually clear within few days to weeks without any long-term consequences. If left untreated, acute bursitis may lead to chronic bursitis which may result in cicatricial adhesions, reduced mobility, and progressive pain. | ||
Septic bursitis is often occur in a | Septic bursitis is often occur in a patient with underling medical conditions such as [[diabetes]], [[immunosuppression]] and [[alcoholism]], The symptoms of septic bursitis developed rapidly usually after an skin dehiscence or wound around the joints. Patients may present with [[fever]], [[warmth]], [[erythema]], [[edema,]] and tenderness to touch over the involved joint. If left untreated, septic bursitis may lead to [[osteomyelitis]] or [[cutaneous fistula]] formation. Additionally, bursitis may lead to recurrent infection in a [[immunocompromised]] patients. | ||
==Complication== | ==Complication== | ||
Common complications of bursitis include: | |||
*Cicatricial adhesions in the joint | *Cicatricial adhesions in the joint | ||
*Reduced range of motion or mobility | *Reduced range of motion or mobility | ||
*Progressive pain | *Progressive pain | ||
*Limited activity level | *Limited activity level | ||
==Prognosis== | ==Prognosis== | ||
With treatment and activities adjustment, bursitis is associated with excellent prognosis. | With treatment and activities adjustment, aseptic bursitis is associated with excellent prognosis. | ||
==References== | ==References== | ||
Revision as of 22:02, 27 August 2016
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sara Mehrsefat, M.D. [2]
Overview
Bursitis is often caused by recurrent micro-trauma and overuse. Symptoms of bursitis may develop rapidly within 2 to 3 days in an acute form. It usually presents with edema, erythema, and tenderness over the involved joint. In most cases after adjustment of activities, bursitis will gradually clear within few days to weeks without. If left untreated, acute bursitis may lead to chronic bursitis which may result in cicatricial adhesions, reduced mobility, and progressive pain. With treatment and activities adjustment, aseptic bursitis is associated with excellent prognosis. Although in rare cases your bursa may have to be removed surgically if other treatments are ineffective.
Natural History
Aseptic bursitis is often caused by recurrent micro-trauma and overuse. Symptoms of bursitis may develop rapidly within 2 to 3 days in an acute form. It usually presents with edema, erythema, tenderness, and stiffness over the involved joint. In most cases after adjustment of activities, bursitis will gradually clear within few days to weeks without any long-term consequences. If left untreated, acute bursitis may lead to chronic bursitis which may result in cicatricial adhesions, reduced mobility, and progressive pain.
Septic bursitis is often occur in a patient with underling medical conditions such as diabetes, immunosuppression and alcoholism, The symptoms of septic bursitis developed rapidly usually after an skin dehiscence or wound around the joints. Patients may present with fever, warmth, erythema, edema, and tenderness to touch over the involved joint. If left untreated, septic bursitis may lead to osteomyelitis or cutaneous fistula formation. Additionally, bursitis may lead to recurrent infection in a immunocompromised patients.
Complication
Common complications of bursitis include:
- Cicatricial adhesions in the joint
- Reduced range of motion or mobility
- Progressive pain
- Limited activity level
Prognosis
With treatment and activities adjustment, aseptic bursitis is associated with excellent prognosis.