Bursitis medical therapy
|
Bursitis Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Bursitis medical therapy On the Web |
|
American Roentgen Ray Society Images of Bursitis medical therapy |
|
Risk calculators and risk factors for Bursitis medical therapy |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Medical Therapy
Treatment focuses on healing the injured bursa. The first step is to reduce pain and inflammation with rest, compression, elevation, and anti-inflammatory medicines such as aspirin, naproxen, or ibuprofen. Ice may also be used in acute injuries, but many cases of bursitis are considered chronic, and ice is not helpful. When ice is needed, an ice pack can be applied to the affected area for 15–20 minutes every 4–6 hours for 3–5 days. Longer use of ice and a stretching program may be recommended by a health care provider.
Activity involving the affected joint is also restricted to encourage healing and prevent further injury.
The doctor or physical therapist may use ultrasound (gentle sound-wave vibrations) to warm deep tissues and improve blood flow. Iontophoresis may also be used. This involves using an electrical current to push a corticosteroid medication through the skin directly over the inflamed bursa. Gentle stretching and strengthening exercises are added gradually. Massage of the soft tissue may be helpful. These may be preceded or followed by use of an ice pack. The type of exercises recommended may vary depending on the location of the affected bursa.
If there is no improvement, the doctor may inject a corticosteroid medicine into the area surrounding the inflamed bursa. While corticosteroid injections are a common treatment, they must be used with caution because they may lead to weakening or rupture of the tendon (especially weight-bearing tendons such as the Achilles [ankle], posterior tibial [arch of the foot], and patellar [knee] tendons). If there is still no improvement after 6-12 months, the doctor may perform either arthroscopic or open surgery to relieve pressure on the bursae, although this is rare.
If the bursitis is caused by an infection, the doctor will prescribe antibiotics.