Bursitis history and symptoms

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sara Mehrsefat, M.D. [2]

Overview

History and symptoms

Complete history will help determine the correct therapy. A detailed and thorough history from the patient is necessary.

History

Specific areas of focus when obtaining a history from the patient include:


Type of Bursitis History
Subacromial bursitis (Shoulder bursitis)
Olecranon bursitis (Elbow bursitis)
  • History of direct trauma to the posterior elbow
  • History microtrauma, such as rubbing constantly the elbow against a table during writing
  • History of certain occupations, such as plumbers and technicians
  • History of systematic inflammatory process, such as rheumatoid arthritis
  • History of crystal deposition disease, like gout and pseudogout
Trochanteric Bursitis (Hip bursitis)
Prepatellar bursitis (Knee bursitis)
Retrocalcaneal bursitis (Ankle bursitis)

Symptoms

The symptoms of bursitis differ based on the anatomic location. Localized pain with movement and decreased range of motion (ROM) are symptoms common to all forms of bursitis. Localized redness or warmth are variable and seen in superficial bursitis. Septic bursitis is associated with fever in addition to other symptoms.


Type of Bursitis Symptoms
Subacromial bursitis (Shoulder bursitis)
  • Mid shoulder pain early in the course of bursitis which gradually increase over time and eventually pain may be felt even at rest.
  • Pain that is worse after repetitive activity such as painting, throwing a ball, or playing tennis
Olecranon bursitis (Elbow bursitis)
  • Painful or painless focal swelling at the posterior elbow
Trochanteric Bursitis (Hip bursitis)
  • Pain in the lateral side of the hip with walking, running or stair-climbing
  • Lower extremities weakness
  • Pain with active and passive motion
Prepatellar bursitis (Knee bursitis)
  • Reduced range of motion at the knee
  • Focal swelling
  • Pain with movement
Retrocalcaneal bursitis' (Ankle bursitis)
  • Swelling at the back of heel
  • Pain at the back of the heel, especially when running uphill
  • Pain while standing on tiptoes

Elbow

  • Painful or painless focal swelling at the posterior elbow (goose egg over the olecranon process)

Shoulder

  • Mid shoulder pain early in the course of bursitis which gradually increase over time and eventually pain may be felt even at rest.
  • Pain that is worse after repetitive activity such as painting, throwing a ball, or playing tennis

Hip

  • Pain in the lateral side of the hip with walking, running or stair-climbing
  • Lower extremities weakness
  • Pain with active and passive motion

knee

  • Reduced range of motion at the knee
  • Focal swelling
  • Pain with movement

Ankle

  • Swelling at the back of heel
  • Pain at the back of the heel, especially when running uphill
  • Pain while standing on tiptoes

References


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