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Joints

Q
Which lab tests are performed in the diagnosis of bursitis?
A
AGE2B consultant
0
Routine laboratory blood work is generally not helpful in the diagnosis of noninfectious bursitis but is appropriate when septic bursitis or underlying autoimmune disease is suspected. Aspiration and analysis of bursal fluid should be done to rule out infectious or rheumatic causes, and may also be therapeutic. MRI is usually unnecessary but if needed is […] Read More

Routine laboratory blood work is generally not helpful in the diagnosis of noninfectious bursitis but is appropriate when septic bursitis or underlying autoimmune disease is suspected. Aspiration and analysis of bursal fluid should be done to rule out infectious or rheumatic causes, and may also be therapeutic.

MRI is usually unnecessary but if needed is very sensitive for identification of bursitis, and can rule out suspected solid tumors and define pathology for possible surgical excision. Ultrasonography is useful for further imaging of the bursa when the diagnosis is uncertain and can guide diagnostic aspiration or therapeutic injections.

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Q
What occupations are at risk?
A
AGE2B consultant
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Carpet and floor layers, painters, tile setters, and gardeners/landscapers that require kneeling are at risk for bursitis to the knees. Working with the arms above shoulder level can give rise to shoulder bursitis. Read More

Carpet and floor layers, painters, tile setters, and gardeners/landscapers that require kneeling are at risk for bursitis to the knees. Working with the arms above shoulder level can give rise to shoulder bursitis.

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Q
How is bursitis treated?
A
AGE2B consultant
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The treatment of bursitis includes anti-inflammatory medication. It is also important to avoid or reduce any work activities suspected of causing bursitis. Most patients respond to treatment, and they usually go back to work without any restriction. Read More

The treatment of bursitis includes anti-inflammatory medication. It is also important to avoid or reduce any work activities suspected of causing bursitis. Most patients respond to treatment, and they usually go back to work without any restriction.

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Q
How is bursitis diagnosed?
A
AGE2B consultant
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The diagnosis of bursitis is made by physical examination. To confirm the diagnosis, medical tests such as x-rays may be necessary. Read More

The diagnosis of bursitis is made by physical examination. To confirm the diagnosis, medical tests such as x-rays may be necessary.

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Q
What are the symptoms of bursitis?
A
AGE2B consultant
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The main symptom of bursitis is pain and swelling in or around the joint. In some cases, especially for shoulder bursitis, people may experience some restriction of movement and stiffness. Read More

The main symptom of bursitis is pain and swelling in or around the joint. In some cases, especially for shoulder bursitis, people may experience some restriction of movement and stiffness.

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Q
How can bursitis be prevented?
A
AGE2B consultant
0
While not all types of bursitis can be prevented, you can reduce the risk and the severity of flare-ups by changing the way you do certain tasks. Examples include: Using kneeling pads. Use some type of padding to reduce the pressure on your knees if your job or hobby requires a lot of kneeling. Lifting […] Read More

While not all types of bursitis can be prevented, you can reduce the risk and the severity of flare-ups by changing the way you do certain tasks. Examples include:

  • Using kneeling pads. Use some type of padding to reduce the pressure on your knees if your job or hobby requires a lot of kneeling.
  • Lifting properly. Bend your knees when you lift. Failing to do so puts extra stress on the bursae in your hips.
  • Wheeling heavy loads. Carrying heavy loads puts stress on the bursae in your shoulders. Use a dolly or a wheeled cart instead.
  • Taking frequent breaks. Alternate repetitive tasks with rest or other activities.
  • Maintaining a healthy weight. Being overweight places more stress on your joints.
  • Exercising. Strengthening your muscles can help protect your affected joint.
  • Warming up and stretching before strenuous activities to protect your joints from injury.
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Q
What are the risk factors of bursitis?
A
AGE2B consultant
0
Anyone can develop bursitis, but certain factors can increase the risk: Age. Bursitis becomes more common with aging. Occupations or hobbies. If your work or hobby requires repetitive motion or pressure on particular bursae, the risk of developing bursitis increases. Examples include carpet laying, tile setting, gardening, painting and playing a musical instrument. Other medical […] Read More

Anyone can develop bursitis, but certain factors can increase the risk:

  • Age. Bursitis becomes more common with aging.
  • Occupations or hobbies. If your work or hobby requires repetitive motion or pressure on particular bursae, the risk of developing bursitis increases. Examples include carpet laying, tile setting, gardening, painting and playing a musical instrument.
  • Other medical conditions. Certain systemic diseases and conditions — such as rheumatoid arthritis, gout and diabetes — increase the risk of developing bursitis. Being overweight can increase the risk of developing hip and knee bursitis.
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Q
How can I prevent bursitis?
A
AGE2B consultant
0
The prevention of bursitis should focus on the avoidance of kneeling that causes friction and mechanical trauma on the knees. If kneeling is necessary, knee pads and sitting/kneeling support should be used. Working for prolonged periods with arms above shoulder level causes friction on the bursa of the shoulder. To avoid bursitis in the shoulder, […] Read More

The prevention of bursitis should focus on the avoidance of kneeling that causes friction and mechanical trauma on the knees. If kneeling is necessary, knee pads and sitting/kneeling support should be used.

Working for prolonged periods with arms above shoulder level causes friction on the bursa of the shoulder. To avoid bursitis in the shoulder, it is necessary to raise the worker by using a platform or to lower the work object.

General prevention steps include:

  • Strengthen muscles around the joint, but begin new exercises or activities carefully.
  • Take breaks from repetitive tasks. Stop activities that cause pain.
  • Use foam for kneeling or elbow pads.
  • Increase the gripping surface of tools with gloves or padding. Apply grip tape or an oversized grip.
  • Use two hands to hold heavy tools.

If you have a history of bursitis or tendinitis, ask your doctor or therapist before beginning new exercises and activities.

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Q
What are conservative treatments for bursitis?
A
AGE2B consultant
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Conservative treatment to reduce inflammation is used for most patients with bursitis and includes the following: Rest; Cold and heat treatments; Elevation; Non-steroidal anti-inflammatory drugs (NSAIDs); Bursal aspiration; Intrabursal steroid injections (with or without local anesthetic agents). Patients with suspected septic bursitis should be treated with antibiotics while awaiting culture results. Surgical excision of bursae […] Read More

Conservative treatment to reduce inflammation is used for most patients with bursitis and includes the following:

  • Rest;
  • Cold and heat treatments;
  • Elevation;
  • Non-steroidal anti-inflammatory drugs (NSAIDs);
  • Bursal aspiration;
  • Intrabursal steroid injections (with or without local anesthetic agents).

Patients with suspected septic bursitis should be treated with antibiotics while awaiting culture results. Surgical excision of bursae may be required as a last resort for chronic or frequently recurrent bursitis.

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Q
When can an athlete return to sports following a dislocated shoulder?
A
AGE2B consultant
0
Most football players who dislocate their shoulder for the first time can usually return to play within six weeks after the injury once they reestablish full range of shoulder motion and strength. They must be able to perform all the actions necessitated by their position prior to returning to play. Those players who undergo surgery […] Read More

Most football players who dislocate their shoulder for the first time can usually return to play within six weeks after the injury once they reestablish full range of shoulder motion and strength. They must be able to perform all the actions necessitated by their position prior to returning to play. Those players who undergo surgery often require five to six months of rehabilitation before they are able to resume contact and collision sports.

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