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BURSITIS
SYMPTOMSSwelling, tenderness, and possible redness. A dull persistent ache that increases with
movement. Immense pain in the affected area, which frequently limits motion.
It most often occurs in shoulder joint and less often in the hip joint, in the elbows, or feet.
CAUSESBursitis is the inflammation of the liquid-filled sac, called a bursa, found within joints,
muscles, tendons, and bones. These sacs normally help muscular movement occur.
Overstimulation of the bursa causes the synovial membrane to produce excess fluid. This distends the
bursa, which causes the discomfort.
Injury to the area is a common cause, but chilling of the area during the day, especially at night can also
lead to it. Bursitis can also be caused by chronic overuse, calcium deposits in the bursa wall, reactions to
certain foods or airborne allergies. In some instances, suddenly working tight muscles can do it; it is
called a stretched muscle.
According to where it is centered, bursitis has many names: housemaid's knee, tennis elbow, policeman's
heel, frozen shoulder, or beat knee.
The lowly bunion (caused by friction in tight shoes) is also a form of bursitis. A bursa sac on the joint of
the big toe becomes inflamed.
Athletes and older people are most likely to get bursitis, but it can happen to anyone at any age.
What is the difference between bursitis and tendonitis (which see)? Both produce pain in the shoulder,
etc.
Bursitis generally exhibits a dull persistent ache that increases with movement. Tendonitis causes a
sharp pain during movement, and is most likely to be caused to over-reaching for something. But it can
also be caused by calcium deposits pressing against a tendon. There is no swelling and fluid
accumulation, as with bursitis. See "Tendonitis" for more on that problem.