• What are the Causes of Tendonitis and Bursitis?
• What are the Symptoms and Diagnosis?
• What are the Treatments for Tendonitis and Bursitis?

Tendonitis and bursitis are common conditions characterized by the inflammation or degeneration of tissue surrounding muscles and bones. These ailments typically affect the soft tissue surrounding joints such as the shoulder, elbow, wrist, hip, knee, or ankle. While tendonitis often occurs as a short-term condition resulting from repetitive use, it can become chronic. On the other hand, bursitis is the inflammation of the bursa, a small sac that cushions between moving structures in our body, including bones, muscles, tendons, and skin. When the bursa becomes inflamed, it can lead to significant pain even without movement.

Matthew Davis, M.D., explains, “Tendonitis and bursitis can cause considerable discomfort and limit an individual’s ability to perform daily activities. At Davis Orthopedics, we’re dedicated to providing effective treatments and personalized care to help our patients overcome these conditions and regain their quality of life.”

Tendonitis is typically caused by repetitive stress or overuse injuries. Engaging in activities like typing for prolonged hours, maintaining improper posture for extended periods, continuous painting, cutting, sewing, or chopping, driving for long durations, utilizing backhand swing in tennis (also known as tennis elbow), and wearing improper running shoes can all contribute to the development of tendonitis. It can occur gradually over time or result from a sudden and intense injury.

Conversely, bursitis can arise in individuals with gout, pseudogout, or blood and kidney diseases. Aging also increases the likelihood of tendonitis and bursitis as bones and muscles weaken over time.

Pain along the tendon, or at specific points within it, is a common symptom of tendonitis. If there is swelling, warmth, or redness, it may indicate an infected bursa, signaling the presence of bursitis. To accurately diagnose these conditions, we will conduct a thorough physical examination. In cases of chronic pain, additional diagnostic tests such as X-rays, MRIs, ultrasound scans, and blood tests may be recommended.

The specific treatment approach for tendonitis and bursitis depends on the underlying cause and the severity. Dr. Davis may suggest worksite interventions for individuals whose tendonitis is related to their occupation. However, several common treatment modalities are generally employed:

• Rest: Resting the injured limb or joint is crucial to alleviate symptoms and reduce inflammation.
• Ice: Applying ice to the affected area for 10-15 minutes, once or twice daily, can help reduce pain and inflammation.
• Medication: Nonsteroidal anti-inflammatory drugs (NSAIDs) such as aspirin, ibuprofen, or naproxen may be recommended to reduce persistent pain and inflammation. In certain cases, corticosteroid injections may be administered if pain persists despite NSAID usage.
• Supports: Patients experiencing severe pain may find relief using supports like canes or custom-made braces.
• Physical therapy: Regular exercises prescribed by a physical therapist can be highly beneficial for ankle tendonitis, as they help maintain muscle strength and function. 
• Surgical intervention may be necessary in severe cases or when the tendon is ruptured.

In some cases, corticosteroid injections may also be used if the pain does not subside with NSAIDs. Patients with severe pain may also use supports such as a cane and custom-made braces.

If you’re experiencing symptoms of tendonitis or bursitis, it’s important to consult a qualified orthopedic specialist who can provide an accurate diagnosis and recommend appropriate treatment options. 

Make an appointment today with Dr. Davis at Davis Orthopedics. He is dedicated to helping individuals overcome these conditions and achieve optimal musculoskeletal health.