Bursitis
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| What is a bursitis? | Inflammation of a bursa. | ||||
| What is the function of a bursa? | Bursa reduces the frictions between tendons and bones. It is not palpable unless inflammed. | ||||
| What is the cause of bursitis? | Overuse leading to excessive friction and inflammation. Usually secondary to other conditions such as tendinitis. | ||||
| What are the contributing factors? | Muscle imbalance, poor biomechanics, postural dysfunction (scoliosis/hypK) | ||||
| Where are common locations for bursitis? | Olecranon bursa, subscapular bursa, trochantric bursa, illipectineal bursa, isheal, patellar bursitis. | ||||
| What is the symptom picture for acute bursitis? | Inflammation, heat and swlling, pain is deep and burning (both at rest and during activity), ROM is decreased, other conditions such as tendinitis could be present. | ||||
| What is the symptom picture of chronic bursitis? | Painful or achiness duing activity or with compression, chronic inflammation, ROM is less restrcited then acute stage. | ||||
| What are contraindications of bursitis? | Avoid direct compression or drag on the bursa or surrounding tissues, on site techniques, if infective bursitis is speculated then send them directly to med aid. | ||||
| What are some of the assessement findings for bursitis? | Swelling, redness, antalgic gait, heat is palpated locally, spasm, hypertonic muscles, and TP in the muscles that cross the bursa. | ||||
| What are the findings for ROM testing? | AF rom is decreased, PR rom has an empty end feel, AR isometric contractions are painful. | ||||
| What are the special tests we can use to determine bursitis? | Ober's test, Faber's test, Painful arc test. | ||||
| What type of hydrotherapy do we use in the acute stage of bursitis? | Cold hydrotherapy to affected bursa. | ||||
| What massage techniques are used in the acute stage of bursitis? | Hydro to affected bursa, position for comfort, lymphatic drainage proximal, swedish techniques applied to trunk and proximal limb, gentle muscle squeezing to distal area. | ||||
| What massage techniques are used for the chronic stage of bursitis? | Postion for comfort, hydrotherapy of deep moist heat, compensating structures with swedish techniques, muscle stripping, pain free PR ROM, friction to adhered structures. |
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Created by:
Angelina Leduc
on 2009-06-09