Tendonitis is in the arthritis family, the “itis” indicating “inflammation”. Tendonitis is the inflammation of a tendon; tenosynovitis is tendonitis accompanied by an inflammation of the protective sheath around the tendon.
Bursitis is inflammation of the bursa, the sac-like membrane which contains fluid which lubricates the joints. Bursitis may be secondary to trauma, strain, infection or arthritic conditions. The most common locations are the shoulder, elbow, hip, seat and lower knee. Occasionally the bursa can develop calcified deposits and become a chronic problem.
How Tendinitis and Bursitis Differ
By and large, tendinitis is compelled by an acute injury or repetitive motion (such as hammering a nail, running, or playing cricket and tennis). Bursitis, meanwhile, can be compelled by the same things but may also be the consequence of an infection or disorders like gout or rheumatoid arthritis. (Tendon infection, by difference, is generally referred to as tenosynovitis and specifically impacts the membranes surrounding a tendon.)
While bursae are important to helping tendons glide over bones, not all tendons have a bursa. Bursa only forms where there are bony prominences, such as in the shoulder, the exterior of the hip, or the kneecap.
Treating Tendonitis or Bursitis
The treatment of tendinitis or bursitis relies largely on the site of the injury. It can be as uncomplicated as limiting activity until you heal or as complicated as surgery for more serve cases. Treatment of both situations typically includes:
Resting the affected spot is the first step to healing. It involves avoiding aggravating activity and may need a splint or support to ensure the area is fully immobilized. Pain is the first sign and symptom that you’re not giving the injured area enough chance to rest.
Applying an ice pack enables control of the inflammation and decreases swelling. By minimizing both of these things, the tendons and bursa can return to their normal condition.
Nonsteroidal anti-inflammatory medications further assist alleviate inflammation and pain. Advil (ibuprofen), Aleve (naproxen), and aspirin are popular options. The analgesic Tylenol (acetaminophen) delivers pain relief but doesn’t reduce inflammation.
Cortisone injections may be utilised if the sign & symptoms are persistent. Cortisone is a powerful anti-inflammatory medication that delivers short-term pain relief but manages to be less effective as a long-term therapy. While cortisone can lower the pain and inflammation associated with tendonitis, it can also deplete the tendon, making it prone to rupture. It is significant to speak to your healthcare provider about the pros and cons of cortisone injections
Physical therapy can support the surrounding muscles, alleviate stress on the affected spot, and prevent a recurrence.
In cases where bursitis is induced by infection, antibiotics may be prescribed. Treatment of bursitis may also be focused on treating any underlying disorder such as arthritis.
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