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Conditions

Bursitis

Bursitis

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Bursitis occurs when the small fluid sac under the skin, known as the bursa, becomes inflamed between the joints, bones and tendons. Bursa cushions the bones, muscles and joints as they rub against each other during movement and also produce a lubricating liquid which helps to reduce friction in the body.

The cause of bursitis is usually a result of injury or repetitive movement, but it can be due to an infection, obesity or as a complication of gout or arthritis. Any bursa can become inflamed but the most common swellings occur in the shoulder, the elbow, the ankle, the knee (often nicknamed housemaid’s knee), the buttocks, the hip and the thigh. The risk of bursitis increases if you regularly do an activity repetitively. For instance, gardeners and carpet fitters can develop housemaid’s knee as a result of constant kneeling.

The symptoms of bursitis are usually quite mild and the condition often goes away on its own within a couple of weeks, but it has been suggested that 1 in every 200 visits to the GP is because of bursitis. When bursitis occurs the affected area normally feels warm to touch, appears swollen or be painful when moved. If a fever is a symptom in addition to the swelling, then it is important to see a doctor as this is usually a sign of an infection.

Treatment normally only requires a self-care approach known as PRICEM. This stands for protection (e.g. padding), rest, ice, compression (e.g. a bandage), elevation and medication (ibuprofen is recommended). If the case of bursitis is particularly severe then steroids or antibiotics can be prescribed. A doctor could also aspirate the bursa by inserting a needle into the affected area to draw out the excess fluid. Severe chronic bursitis can sometimes require surgery to remove the bursa but this is usually only as a last resort.

Bursitis can easily be prevented by protecting joints like using a knee pad, taking regular breaks from repetitive actions, warming up before exercise and strengthening the muscles using physiotherapy to give extra protection.

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What's happens when you burst a house maids knee as this has just happened to my wife after falling on her knee?





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Just after Christmas I was kneeling, moved then felt a sharp pain as if I had knelt on a pin or a sharp piece of lego. I have had no swelling, no problems with joint movement, popping or locking, just this sharp pain if I kneel on my knee a certain way - kind of on the top part of the knee cap. I recently went to the doctors and they diagnosed Housemaid's knee and suggested that I could look up some exercises to help, but that it should go away on it's own. However - every site I look at to find exercises/ treatments talk of Housemaid's knee involving swelling, certainly to start with (the swelling disappears as it becomes cronic aparently) so I am starting to wonder if this is the correct diagnosis? Anyone experienced something similar? Is is really Housemaid's knee? Thanks.





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I doubt it is Housemaid's knee. See a surgeon and get an MRI done. I had exactly the same problem with my knee a few years ago. Didn't do anything unusual but just felt one day I couldn't kneel on it as if felt like I was kneeling on a thumbtack. No swelling, Had surgery - torn meniscus. It's been excellent since and that was done 8 years ago. My specialist said, if you can't kneel on a knee then it time to get it medically sorted out.

I have had bursitis in both shoulders, both hips and both knees for some time now, going on 8 months. I'm just turned 40 and was previously thought to have Lupus but I don't have enough 'criteria' and my ANA is going from positive to negative and back to positive all the time. My inflammatory markers are high all the time yet all my other bloods are clear. I have a lot more symptoms going on and have been going back to Rheumatologists now for nearly 6 years and no one can diagnose me. My GPs had me on morphine based pain relief for 5 years but I have just finished weaning off them as they making my pain worse and adrenal insufficiency. No one can tell me what's wrong and why I have bursitis in multiple bilateral joints all the same time?! Fed up is an understatement. If anyone has had a similar thing or knows anyone who has please write back to me. Thank you x





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Sounds like fibromyalgia x

Bursitis is painful and I have had it for years on and off in my elbow, shoulders, ankles, heel and now in my knee. No injuries but I am overweight with a BMI of 36 but since I am athletic build no one believes I am actually in the Obese category. Hence I am plagued with bursitis on and off. It is excruciating and I don't know how they differentiate it from Fibromyalgia because it's the same symptoms and painful disease process. It bounces from one side of the body to another. I have been suffering for over 30 years with this pain and discomfort. I am convinced that our hormones are at the root of all this debilitating pain and I believe fibromyalgia is a female hormonal imbalance that wreaks havoc on our thyroid a which regulate hormones. This is why the disease begins to affect some women in puberty all the way through and beyond menopause. I am working with naturopathic doctors and DO's because medication isn't the answer - unless you are in excruciating pain daily and need cortisone injections to make it through the day and night. Thyroiditis which is what I have can not be controlled by medication but I do take supplements such as magnesium and selenium too both make me feel a lot better - which is more proof this is thyroid related as the thyroid uses selenium and magnesium to convert T4 into T3. Very complicated stuff. I am going to a blood detective medical doctor and I am also getting PT - physical therapy does work well for me. I am going to have my adrenals and pituitary glandular functionality tests done too. If necessary, I will do accupuncture, reiki and massage therapy - it all helps. I've got to lose the weight but since I can't move much with my knee pain it is a vicious cycle for me. I am trying to drink a ton of water and limit my salt intake as it literally puts me in awful pain after a high sodium meal. I do not drink, don't eaf any junk food and have to also give up all gluten - hypothyroid patients are particularly sensitive and unable to tolerate gluten. Sugar is also out of the question. I can't believe I can't eat or drink anything unless it's healthy yet I still can't lose any weight either!! My blood work is normal and I feel like garbage all day long - tired, weak and lot of pain and few answers. Not to mention ai have bad IBD too. How can I have normal blood work but be so ill and overweight? And in so much pain too!! Nobody gives me any definitive answers because science doesn't know what is happening with this epidemic of autoimmune illnesses we are dealing with today. Good luck to you all.....we need it!





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I've been suffering with bursitis & tendinitis in my right hip, & this last steroid injection at the hospital was so agonizing I crued for the doctor to stop. The injection site isn't infected and MRI just shows the inflammation. Now I have excruciating pain up into the buttocks and down my leg. Also having terrible cramping at night in both legs and feet, the spasms cause me to lose so much sleep. I'm getting so depressed.





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I have been told that for over 30 years that I have problems with my sacral iliac joints. In June I had my first MRI and have been told there is nothing wrong with my S I joints, I have iliopsoas bursitis. I have seen consultants, GP'S, the Pain Clinic, biomechanics and Physio's I've had cortisone injections in my hip, epidurals, exercises, traction, massage and acupuncture, shoe inserts etc and an assortment of medication. It has led to problems with my neck, spine and shoulders. All because a wrong diagnosis 30+ years ago I have been treated for something I didn't have.





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I have had bursitis in both hips for three years its getting worse injections no longer work tramadol.indemeticin.amytriptilin and codeine is not touching pain I also suffer with my back ...I am getting to thd poing I just dont want to live anymore ...its all startedsince my hysterectomy 10 yrs ago I am 38 now and feel I am too young to put up with this





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I have been suffering with bursitis in my left hip for over 2 years. I've been prescribed every narcotic available to man. Have had steroid injections and also given antibiotics. The pain being was so excruciating I would not allow myself to urinate until the last minute because sitting on the toilet was unbearable.......most of the time I simply stripped and got into the shower and relieved myself in there. I ended up in the emergency room due to developing a urinary track infection! Exercise was out of the question, I had to rely on my daughters and Grandkids to lotion my lower body. On last Friday the 24th of July I finally was admitted to the hospital for a bursectomy, All Glory to God I do feel a difference, I can sit slightly better on the toilet, now the pain feels like a large ache from my left buttock to my hip down my leg. My family still have to assist me with lotioning my body and cleaning my house. On last night after showering I discovered that I have these huge black spots on my thighs around the incisions, I will give the Doctor a call on this morning to ask if this is normal! I will try and keep you informed to the progress of my recovery.





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I have had ischial burstitis for 4 months now, through riding a horse & I think being sat in the saddle incorrectly. I've been prescribed naproxen, i'm in daily agony, I can't sit down for any length of time, have to be careful walking my dog & struggle to lie on my back to sleep. I have sports massage every 10 days to stretch my hamstrings & leg muscles. Any advice anyone - i'm desperate. Feel so sorry for all you people who have posted on this site, it's a truly awful condition





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I have been told I have bursitis in my thigh. The pain feels like my hip but was told by doctors it's the bursa in top of my thigh. It first started about 5 years ago in my left leg. I had cortisone injections, 3 in all which relieved it. It then returned about 3 years ago, again cortisone injections, relieved it slightly but it has never left me. I now have it in my right hip/thigh and recently started with awful pain in my shoulder. I've had physio, and currently having physio for my shoulder. I have dreadful nights as I can't sleep long on one side or the other, as this causes the pain to wake me. I can't sit long, but worst of all its the pain when I walk, which I love doing. Just walking daily it hurts. I try to keep myself fit but i'm struggling to find a keep fit regime that doesn't cause me pain. I can work through the pain at the time, but afterwards it's dreadful. I'm not overweight, 52 and have gone through the menopause in my 40's. Any advise would be appreciated.





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