Bursitis alone is generally not sufficiently disabling to allow someone
to receive Social Security disability benefits. However, many of our
disability clients do suffer from bursitis, along with other ailments
and conditions. The Web site Bursitis.org
has good information about the causes of and treatments for
bursitis. Here is a part of the site's information. Visit the site for
more.
Bursitis.org
Bursitis information and
treatment options
How Bursitis Occurs
The bursa is what cushions the tendon and thereby helps
prevent friction between the tendon and the bone. Unfortunately, constant
rubbing of the tendon over the bone with high amounts of repetitive arm,
shoulder, hip, knee and ankle motion can lead to enough friction of the bursa itself to
cause the inflammation and irritation of the bursa called bursitis. For example, a person who
throws a ball too many times at one interval may begin to cause this friction process in the
shoulder or elbow. Another way that bursitis occurs is when compression of
the bursa happens on a regular basis, such as a side sleeper who places a lot of
shoulder or hip pressure when they lay down for long periods. In this case
it would not take too much movement of this already compressed area to cause
friction of the bursa.
Bursitis Symptoms
Symptoms can vary from an achy pain and stiffness to the
local area of the joint, to a burning that surrounds the whole joint around the
inflamed bursa. With this condition, the pain is usually worse during and after
activity, and the bursa and surrounding joint area can become stiffer the following day.
Bursitis Treatment
With proper care for the area, the pain in the bursa
should lessen over three weeks, but it should be noted that the healing of the
area continues and doesn't even peak until at least six weeks following the
initial injury. This is due to scar tissue formation, which initially acts
like the glue to bond the tissue back together. Scar tissue will continue
to form past six weeks in some cases and as long as a year in severe cases.
After 6 months this condition is considered chronic and much more difficult to
treat. The initial approach to treating a bursitis is to support and protect
the bursa by bracing any areas of the tendon that are being pulled on during
use, as this will help stop bursa friction from occurring. It is important to loosen up the tendons, lessen the pain,
minimize any bursa inflammation, and reduce the compression that can occur with
lying down or sitting.
After the scar
tissue has begun to accumulate, it will be important to perform procedures which
help break down the scar tissue in the tendon tissue, so as to let
the tendon and muscle regain it's normal flexibility and lessen the chance of further
injury. While exercise is appropriate for breaking down scar tissue once
the area has healed, it may further irritate the area during the initial stages.
Therefore, other methods that can be performed by your healthcare provider, such
as ultrasound and massage, may be safely used to accomplish this early on in the
injury. Ultrasound uses sound waves that vibrate a such a fast level, that it
cannot be felt with normal use. Ultrasound will cause an increase in
circulation to the tissue and soften the scar tissue to allow it to further
break down. Ultrasound can also be used as phonophoresis to help topical
pain and nutrient solutions reach further down into the tissues by transporting
them with the sound waves. Light stretches may also be performed if they do not cause any further
irritation to the area.
Bursitis Prevention
Prevention of this condition requires stretching the
muscle on a regular basis and thereby lengthening the tendon connections around
the bursa. This will allow less friction to the tendon/bursa/bone connection. As
mentioned previously, reducing the compression with sitting or lying down is
crucial for helping to keep the bursa from losing its natural lubrication and
allowing the bursa friction to occur more readily. When bursitis does
occur, it is important to treat it immediately, and thereby prevent it from
reaching a stage that is more severe.
Recent Comments