Soothing the Pain of Bursitis and Tendinopathy
Whether you work out on a regular basis, are a weekend warrior, or have just gone a little too far with activities, you know that overdoing it can lead to unhappiness. Activities that are repetitive or too intense can cause minor tears, strains, and inflammation which cause pain that can slow you down. Sometimes this can lead to tendinitis or bursitis. If it does, then how do you get rid of it?
Birth of Bursitis and TendinitisTendons and bursae help support movement at your joints. Bursa are fluid filled sacs that help your tendons glide over bony areas of your joints. Tendons are connective tissues that bind muscles to bones. When these structures become injured, they can make joint movement painful. Overuse or stress injuries can easily cause the following injuries:
- Bursitis—swelling and irritation of the bursa
- Tendinopathy—problems in the tendon including
- Tendinitis—swelling and irritation of the tendon
- Tendinosis—a wearing down of the tendon in response to overuse
Listen to Your Body, Avoid the ProblemPain is a communication tool. It is the way your brain tells you that you need to pay attention because something is wrong. If you are feeling pain, you need to assess why, especially if the pain is always in the same location and continues or recurs often. Ignoring the pain may simply force you to be unnecessarily uncomfortable. It can also lead to long term problems.Note what activities may be causing the pain. Find ways to change the activity to reduce stress on your joints. Some adaptations that may help include:
- Check your technique. A small correction in how you do an activity can make a big difference.
- Lower the intensity. You may have gone too hard, too fast. Lower your intensity level and gradually increase your intensity as you get stronger.
- Vary your actities to distribute the stress.
- Be aware of activities that have repetitive actions.
- For tasks like shoveling or sweeping, take small breaks to give your joints a break.
- For sport activites like tennis, do other types of exercise (cross-training) to give your body a break from the repetitive motions of one sport.
You Have Pain, Now What?
The BasicsBursitis and tendinopathy need time and attention to heal. Most of the time, the pain will go away with home care. Here are some tips on what you can do at home:
- Rest—avoid the activity that is causing the pain
- Ice—can help reduce swelling, so pack it on for a short time, a few times a day.
- Nonsteroidal anti-inflammatory drugs (NSAIDs)—pain relievers like ibuprofen or naproxen. If you have any medical problems, or take other medications, check with your doctor before starting this medicine.
- Investigate what action may have caused the pain. Look for ways to prevent it from happening again.
InjectionsIn some cases, cortisone may be injected into the bursa or occasionally around tendons. This medicine may help to reduce swelling and irritation.. These injections may make the pain may go away temporarily. The cause of the bursitis or tendinitis will still need to be addressed.
Physical TherapyPhysical therapy may help relieve the cause of the tendinitis or bursitis. A physical therapist may help to:
- Improve balance of muscles around a joint—imbalances can increase your risk of injury
- Strengthen muscles around the joint—to relieve pressure on the tendons and bursa
- Identify improper techniques that may be causing problem
American Orthopaedic Society for Sports Medicine
American Society of Exercise Physiologists
Canadian Society for Exercise Physiology
Public Health Agency of Canada
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- Reviewer: Michael Woods, MD
- Review Date: 10/2014
- Update Date: 10/24/2014