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Bursitis


A bursa is a thin, fluid-filled sack located near the joints that assists in lubricating and cushioning the joints against any pressure. The fluid that is inside of a bursa is called synovial fluid and it is rich in collagen and protein. Its function is to prevent the tendons, ligaments, skin, muscles and bones from rubbing against each other and to facilitate easy, painless joint movements. Bursitis is one of the most common orthopedics problems and it causes inflammation and pain around joints, tendons, and ligaments.

Although there are over 150 bursae throughout the body, bursitis only affects the joints that are used most frequently. Shoulders, elbows, hips and knees are the most common targets of bursitis, but it may also affect heels and the base of the foot surrounding the big toe. It typically affects people who are over 40 years of age and bursitis can be cured in approximately one week, but its recurrence can be irritating and may disrupt a person’s lifestyle.

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Causes and Risk Factors

Inflammation of the bursa can be caused by several factors. Here are a few major causes of bursitis:

Repetition and Overuse: Repeating similar movements, especially with the elbow and knee joints, over a long period of time can lead to bursitis. For instance, because of this risk, gardeners are likely to develop bursitis in the knee because they must squat or kneel for long durations. Consistent poor posture can also result in bursitis in the shoulder.
Injury: Bursitis can develop as the result of trauma to a specific joint. Therefore a severe injury in the knee can cause bursitis in the knee. However, bursitis is not only caused by traumatic injury. An action as insignificant as transferring groceries from a shopping cart to the trunk of a car may result in bursitis in the shoulder.
Stress on the joints: Increased stress or weight on a joint can also lead to bursitis. For this reason, overweight people have a higher risk of developing this condition. Additionally, stress on the foot due to ill-fitting footwear can cause bursitis in the ankle.
Age and Other factors: The bursae become more vulnerable to deterioration as age increases. Disorders like arthritis and gout that cause inflammation in the joints can also lead to bursitis and arthritis is often associated with bursitis in the hip bone. In rare cases, some bacterial infections and tuberculosis may also lead to bursitis.

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