What is Bursitis?

What is it?
Bursitis is a common condition that occurs when a bursa, a small fluid-filled sac that sits between muscles, tendons, and bones, becomes irritated and inflamed. These sacs play a crucial role in cushioning and reducing friction. Bursitis often develops secondary to another condition such as impingement or tendinopathy.


My scans showed bursitis – is this why my joint hurts?
Even if bursitis is identified on imaging tests such as ultrasounds, it may not always be the primary source of pain. In most cases, bursitis is secondary to an underlying cause, such as tendinopathy. It is also worth noting that thickened bursas are commonly found in non-painful hips and shoulders. A recent study found that 78% of non-painful shoulders had some degree of bursal thickening when imaged. This is because the thickening of a bursa can be an adaptive mechanism to deal with extra demands – like getting calluses on your hands.


Do I need a cortisone injection?
As a powerful anti-inflammatory, cortisone can provide short-term relief and make movement more comfortable. Cortisone can be helpful when the pain is especially intense and you are unable to perform physiotherapy exercise. However, it’s important to note that cortisone does not address the underlying cause of the pain, and symptoms often return once the medicine wears off.


Can physiotherapy help?
Physiotherapy plays a pivotal role in managing bursitis and addressing the root cause. The treatment approach will vary depending on the cause, but it typically includes a combination of manual therapy, strengthening exercises, and strategies to manage physical load. Physiotherapists also emphasise educating patients about their condition, enabling them to take an active role in their recovery and prevent future issues.


Do I still need physiotherapy if I have a cortisone shot?
Even if cortisone provides temporary relief, physiotherapy is essential for long-term recovery. Without physiotherapy to address the underlying cause of the bursitis, pain is very likely to return once the effects of cortisone fade. Combining both approaches ensures a comprehensive treatment plan that addresses both the symptoms and the root cause of bursitis.

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If you’re struggling with pain from bursitis and want to address the underlying cause of your pain, talking to a physiotherapist is an important first step. With our guidance and a personalised treatment plan, you can address the source of your pain, improve your mobility, and reduce the risk of recurrence.

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