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Bursitis | | Description |
Also known as: Housemaid's Knee, Inflammation (Bursa)
Bursitis, the
serious inflammation of a bursa, a kind of sac or envelope containing the
lubricating substance of an articulation, can occur at shoulder, elbow,
hip, or knee level, and can also cause blockage of a joint if
calcification is present.
Tendonitis is inflammation of one of the
tendons, which join the muscles to the bones. Muscles are fairly elastic,
but when they are submitted to strenuous effort micro-ruptures can occur
within the tendons, causing pain.
Bursitis is an inflammation of
fluid-filled sacs (bursa) the body situates in places where movement would
otherwise cause friction. The most common bursa to become inflamed is in
the shoulder. The cause of bursitis is mostly unknown, but trauma or
arthritis may be involved.
What are the symptoms of bursitis? Acute
bursitis causes pain, tenderness over the inflamed bursa, and limited
range of motion. Chronic bursitis attacks may follow acute bursitis,
unusual exercise, or strain. Attacks may last a few days to several weeks
and are characterized by pain, swelling, and
tenderness.
Conventional treatment options: For non-infected, acute
bursitis, temporary rest, immobilization (i.e., splinting), and high doses
of nonsteroidal anti-inflammatory drugs (NSAIDs) are standard. NSAIDs
include aspirin, ibuprofen (e.g., Advil, Motrin, Nuprin), naproxen
(e.g., Aleve, Naprosyn), and others. When rest alone is inadequate to
relieve pain, injections of local anesthetic (e.g., lidocaine) may be
used. Narcotic pain-relievers are also used. Chronic bursitis is treated
similarly, but splinting and rest are less likely to be helpful.
Corticosteroid injections may reduce inflammation.
Nutritional
supplements that may be helpful: In a preliminary study, intramuscular
injections of vitamin B121 2 relieved the symptoms of acute subdeltoid
(shoulder) bursitis and also decreased the amount of calcification in some
cases. This mechanism is not understood. Oral B vitamins are unlikely to
have the same effect, since the body's absorption of vitamin B12 is quite
limited. A doctor should be consulted regarding B12 or B12/niacin
injections.
Are there any side effects or interactions? Refer to
the individual supplement for information about any side effects or
interactions.
Herbs that may be helpful: While there have been few
studies on herbal therapy for bursitis, most practitioners would consider
using anti-inflammatory herbs that have proven useful in conditions such
as rheumatoid arthritis. These would include boswellia, turmeric, willow,
and topical cayenne ointment.
Are there any side effects or
interactions? Refer to the individual herb for information about any side
effects or interactions.
References:
1. Klemes IS.
Vitamin B12 in acute subdeltoid bursitis. Indust Med Surg
1957;26:290-2.
2. Kellman M. Bursitis: a new chemotherapeutic
approach. J Am Osteopathic Assoc 1962;61:896-903.
Source: NOW Foods
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