From the Guidelines
Bursitis is primarily caused by inflammation of the fluid-filled sacs (bursae) that cushion joints, typically resulting from repetitive motions, direct trauma, infection, or underlying conditions like rheumatoid arthritis or gout. The management of bursitis involves a multi-faceted approach, starting with non-pharmacological methods such as physical therapy, heat/cold application, and orthotics, as suggested by the American Heart Association in their scientific statement 1. When these methods are insufficient, pharmacological treatments may be considered, with the initial choice being the least risky medication, such as acetaminophen or aspirin at the lowest efficacious dose, especially for short-term needs 1. Some key points to consider in the management of bursitis include:
- Rest, ice application, compression, and elevation of the affected area (RICE protocol) to reduce pain and inflammation
- Use of over-the-counter NSAIDs like ibuprofen or naproxen to reduce pain and inflammation
- Corticosteroid injections directly into the bursa for rapid relief in persistent cases
- Physical therapy exercises to restore range of motion and strengthen surrounding muscles once acute pain subsides
- Aspiration and antibiotics if significant fluid accumulation or infection is suspected
- Prevention strategies such as using proper technique, taking regular breaks, using padding, maintaining good posture, and gradually increasing exercise intensity. According to the available evidence, the focus should be on the least invasive and most effective management strategies to improve patient outcomes in terms of morbidity, mortality, and quality of life 1.
From the FDA Drug Label
For relief of the signs and symptoms of tendonitis For relief of the signs and symptoms of bursitis The FDA drug label does not answer the question.
From the Research
Causes of Bursitis
- Bursitis is often caused by repetitive motion or friction on the bursae, which are fluid-filled sacs that cushion joints and reduce friction between bone and soft tissue 2
- Inflammation of the bursae can also be caused by infection, trauma, or certain medical conditions such as rheumatoid arthritis 3, 4
- The use of non-steroidal anti-inflammatory drugs (NSAIDs) can help reduce inflammation and pain associated with bursitis, but their use should be monitored and individualized to specific requirements 4
Management of Bursitis
- Treatment of bursitis typically involves rest, ice, compression, and elevation (RICE) to reduce inflammation and pain 2
- NSAIDs, such as naproxen and etoricoxib, can be used to reduce pain and inflammation, but their use should be evidence-based and individualized to specific requirements 3, 4
- In some cases, antibiotics may be prescribed to treat bacterial infections that can cause bursitis 2
- Physical therapy and exercise can also help improve mobility and reduce stiffness in affected joints 4