Bursitis Flashcards
What is the definition of bursitis?
It is an inflammation of the Bursae.
What is the cause of Bursitis?
It is the overuse of surrounding structures leading to excessive friction and inflammation of the bursal walls.
It is usually a secondary condition to others pathologies such as Tendonitis.
What are contributing factors to Bursitis?
Things that can contribute to this condition are:
Muscle imbalance, poor biomechanics, postural dysfunction such as Scoliosis or hyperkyphosis.
What are common Bursitis Locations on the body?
Shoulder bursae, Olecranon bursae, Trochanteric, bursae, Iliopectineal bursae, Ischial bursae, Knee bursae, Retrocalcaneal bursae.
What are the less common contributing factors of bursitis?
Less commonly it can be caused by acute trauma, infection and pathologies.
What are the symptoms of a Acute Bursitis condition like?
The bursae is compressed and irritated by surrounding structures.
Inflammation, heat and swelling are present.
pain is deep and burning.
Pain may disturb sleep, especially if the bursae is compressed.
ROM of affected joint is restricted, joint distal or proximal to the affected joint that have overlaying muscle may be affected as well.
What are the symptoms of a Chronic Bursitis condition like?
Pain or achiness is felt with activity or upon direct compression. Pain is more localized to the bursae.
Chronic inflammation, fibrosis and adhesions are present.
ROM of affected joint is less restricted than in the acute stage.
What are Ci’s of Bursitis?
With Acute bursitis: the MT should avoid compressing the bursae or applying work that places drag on the surrounding tissues.
On site work is CI’d with Acute bursitis.
If bursitis is suspected, the client is referred for medical attention.
What is observation and Palpation during the Acute stage of bursitis like?
Swelling and redness is noticed over the bursae that are more superficial.
Antalgic posture and gait is present.
Heat is palpated locally and is painful on direct compression.
Spasms, hypertonicity and TP’s are present in muscles associated with the affected joint.
What are the Observations and Palpations in the chronic stage of Bursitis?
A postural assessment may be performed to determine the source of the muscle imbalance.
Adhesions are palpated and slight bogginess may be noted.
Hypertonicity and Tp’s are present in the associated muscles.
What is testing in the Acute stage of Bursitis like?
AF ROM of the affected joint is reduced in most directions due to pain, more in the acute stage.
PR ROM gives an empty end feel due to pain and a reduced rom like af rom.
AR iso testing is painful for bursae that are not as protected by other structures. The pain is consistant as the bursae is compressed this is referred to as the Bursitis definition.
What is testing in the chronic Stage of bursitis like?
AF ROM is reduced but pain is only felt in a single position in the chronic stage.
PR ROM gives an empty end feel from pain and slight reduced rom but not as pronounced as the Acute stage.
AR iso testing is the same as Acute stage, the bursae is in pain as long as it is compressed.
What is massage at the Acute stage like?
The positioning for the client is comfortable and no compression on the Affected bursae.
GSM is applied to the Trunk and proximal limb to treat the compensating structures.
Golgi tendon organ release should only be applied to the attachments that are not local to the Bursae.
Check Ratrray for more info…
What is massage like at the Chronic stage?
The positioning is comfortable for the client and make sure there is no compression on the Bursae.
GSM are used on Agonist & antagonist. TP’s in these muscles are treated with stripping.
Frictions are used to adhered structures surrounding the bursae may be used.
PF ROM can be used with massage.
Check Ratrray for more info…
What is self care you can give to the client with an Acute bursitis?
The client is instructed to RICE & PF ROM activity.
