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Treatments I > Bursitis > Flashcards

Bursitis Flashcards

1
Q

What are small sacs made of connective tissue; lined with synovial membrane and filled with synovial fluid?

A

Bursae

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2
Q

What is the inflammation of bursae?

A

Bursitis

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3
Q

What is the etiology?

A
  1. Overuse (constant friction), most common in physically active individuals
  2. Usually secondary to other conditions such as tendinopathy
  3. Less commonly due to acute trauma, infections
  4. Muscle imbalances / postural dysfunction
  5. Altered biomechanics
  6. Hypo / Hypermobility
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4
Q

What are the common locations?

A
  1. Olecranon - “Student’s Elbow”
  2. Prepatellar - “Housemaid’s knee”
  3. Subacromial
  4. Trochanteric
  5. Ischial - “Bench warmer’s bursitis”
  6. Popliteal - “Baker’s Cyst”
  7. Retrocalcaneal - “Achilles Bursitis”
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5
Q

What is the MOI of olecranon bursitis / “students elbow”?`

A
  1. Repeated pressure on the elbow
  2. Trauma
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6
Q

What is the MOI of prepatellar bursitis / “housemaid’s knee”?

A
  1. Repeated pressure on the knee
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7
Q

What is the MOI of subacromial?

A
  1. Tendinopathy (often calcific)
  2. Impingement
  3. FOOSH
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8
Q

What is the MOI of trochanteric bursitis?

A
  1. Repetitive actions
  2. Altered biomechanics
  3. ITB contracture
  4. Osteoarthritis
  5. Surgery
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9
Q

What is the MOI of ischial bursitis / “Bench Warmer’s Bursitis or Weaver’s Bottom”

A
  1. Sitting on hard surfaces for long periods
  2. Fall on the ischial tuberosity
  3. Excessive sprinting
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10
Q

What is the MOI of popliteal / “Baker’s Cyst”?

A
  1. Knee problems
  2. Arthritis, meniscus tear
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11
Q

What is the MOI of retrocalcaneal bursitis / “Achilles Bursitis”?

A
  1. Overuse
  2. Hypertonic, triceps surae
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12
Q

What are signs & symptoms of acute bursitis?

A
  1. Pain at rest & during activity
    - Pain is constant pain
    - Deep burning
  2. Inflammation, especially apparent if the bursa is superficial
    - The deeper the bursa, the harder it is to see
  3. Limited ROM due to pain & protective spasm
    - Ex. subacromial - anything past 90 degrees of abduction, flexion & external rotation
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13
Q

What are the signs & symptoms of chronic bursitis?

A
  1. Pain during activity or with compression
    - more localized than in acute
  2. Chronic inflammation
  3. Fibrosis & adhesions
  4. Limited ROM, less so than in acute
  5. Flare ups may occur
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14
Q

What are contraindications & precautions?

A
  1. In acute, do not compress the bursa or place drag nearby tissue
    - Ex. myofascial release, put direction TOWARDS bursa
  2. No local treatment in acute
  3. If infection is suspected, refer for medial attention
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15
Q

What are contraindications & precautions?

A
  1. In acute, do not compress the bursa or place drag on nearby tissue (MFR away from bursa)
  2. No local treatment in acute
  3. If infective, refer for medical attention
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16
Q

What are assessments in acute?

A
  1. Visible swelling and redness
  2. Antalgic gait and/or posture
  3. Heat local to bursa
  4. Spasm, HT & TPs in muscles that cross the bursa
  5. Possible pained facial expression
  6. AROM limited in most directions due to pain
  7. PROM marked limitation and empty end feels due to pain
  8. RROM painful; pain is constant when bursa is compressed
  9. Potential impact on ADLs
  10. Special tests : pain in any test that compresses the bursa
17
Q

What are assessments in chronic?

A
  1. Postural assessment for muscle imbalances
  2. Palpation : adhesions, HT, TPs; possible bogginess from chronic inflammation or adh
  3. AROM pain typically experienced in a single movement at end range (ones that compress the bursa the most)
  4. PROM & RROM pain in movements(s) that compress the bursa
  5. Same as acutr
18
Q

What are goals in acute?

A
  1. Reduce edema and pain (MLD won’t work for swelling in bursa)
  2. Prevent excess adhesion formation & reduce those that form
  3. Maintain function & mobility
  4. Normalize muscle tone to reduce stress on the bursa
19
Q

What are goals in chronic?

A
  1. Reduce TPs
  2. Restore painless ROM
  3. Restore strength
20
Q

What are techniques?

A
  1. Edema reduced via elevation, cold application or lymphatic drainage
  2. Positioning during treatment should never compress the bursa
  3. Kneading, Stripping
  4. Cross fibre kneading
    5.
21
Q

What are homecares?

A
  1. RICE in acute & in flare ups
  2. Pain free gentle isometrics as soon as tolerated in acute or subacute/post acute
  3. Breathing exercises for pain reduction in acute
  4. Stretching
  5. Strengthening progress to isotonic
  6. Self massage or foam rolling
  7. Heat or contrast applications

Treatments I (12 decks)

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