Bursitis natural history, complications and prognosis
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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
The outlook is generally very good for bursitis, 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. The symptoms of bursitis may be develop rapidly within 2 to 3 days in an acute form. The patients 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 patients 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
- Cicatricial adhesions in the joint
- Reduced range of motion or mobility
- Progressive pain
- Limited activity level
- Limping
Prognosis
With treatment and activities adjustment, bursitis is associated with excellent prognosis.