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Bursitis
Overview
What Is Bursitis?
Bursitis is a painful condition that affects the small, fluid-filled sacs called bursae that cushion the bones, tendons, and muscles near your joints. When these bursae become inflamed, the resulting condition—bursitis—can cause significant discomfort, limit mobility, and interfere with daily activities.
At Compass Pain and Wellness, we take a multidisciplinary approach to managing bursitis, combining advanced therapies like TECAR and Shockwave with physical therapy, chiropractic care, acupuncture, massage therapy, and interventional pain management for optimal patient outcomes.

our approach
We take a structured, multi-layered approach to Bursitis treatment
Expert Analysis
Understanding Bursitis
Bursae are essential for smooth, pain-free movement of muscles and tendons over bones. There are over 150 bursae in the human body, commonly located near major joints such as the shoulder, elbow, hip, and knee. When one of these sacs becomes irritated or inflamed, bursitis develops. While bursitis can affect anyone, it is more common in older adults and individuals engaged in repetitive activities.
The signs and symptoms of bursitis typically develop near joints and include:
- Localized Pain: Often sharp or aching, worsening with movement or pressure on the affected area.
- Swelling: Especially visible and palpable in superficial bursae such as those near the elbow or knee.
- Tenderness: Pain on palpation over the inflamed bursa.
- Stiffness Or Limited Range Of Motion: Particularly in shoulder or hip bursitis.
- Warmth And Redness: In cases of septic bursitis, where infection is present.

triggers
What Causes Bursitis?
Bursitis may result from a variety of causes. Understanding these risk factors allows for more targeted prevention and treatment strategies. Some of the potential causes include:
Repetitive Motion Or Overuse
Repeated pressure or friction (e.g., throwing, kneeling, climbing stairs).
Acute Trauma
A direct blow to a joint can inflame the bursa.
Prolonged Pressure
Frequent kneeling or leaning on elbows.
Infection
Bacteria can enter through a skin wound and infect the bursa (septic bursitis).
Systemic Conditions
Diseases like rheumatoid arthritis, gout, or diabetes can predispose individuals to bursitis.
Age
Tendons become less elastic and more susceptible to injury with age.
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What Happens If Bursitis Is Left Untreated?
If bursitis is not treated appropriately, several complications can arise.
Early intervention is key to preventing progression and maintaining joint function.
Chronic Bursitis
Inflammation becomes long-standing, leading to thickening of the bursa walls and persistent pain.
Tendon Rupture
Nearby tendons may weaken due to prolonged inflammation.
Joint Stiffness
Ongoing pain can limit joint use, leading to stiffness and reduced mobility.
Muscle Atrophy
Reduced use of the affected area can result in weakening of surrounding muscles.
Infection Spread
In cases of septic bursitis, untreated infection can extend to adjacent tissues or enter the bloodstream.
solutions
Our Approach for Bursitis
Bursitis can be a persistent and painful condition that prevents you from doing the activities you love. This may impact mobility, work, hobbies, and even emotional well-being, making everyday tasks more challenging
At Compass Pain and Wellness, the first treatment step will always be a detailed evaluation with your doctor to give you the answers you need. Next, our team will build a plan of care tailored to your specific pathology. This may involve advanced medical treatments as well as supportive therapies to address all aspects of your bursitis.

evaluation
How To Diagnose Bursitis
Diagnosing Bursitis begins with a thorough evaluation of symptoms, medical history, and a physical examination. This will consider the onset, duration, and severity of symptoms, aggravating and relieving factors, and palpation and range-of-motion tests to locate the originating source of your symptoms. Early and accurate diagnosis of bursitis is crucial for developing an effective treatment plan and preventing further complications.
Imaging Tests
X-ray can be used to rule out arthritis or fractures but doesn’t show bursae well. An ultrasound may be useful for visualizing fluid accumulation and guiding aspiration, and an MRI will provide detailed soft tissue images to helps confirm diagnosis in complex cases.
Lab Tests
If septic bursitis is suspected, aspiration and fluid analysis may be performed in which fluid is drawn from the bursa to check for infection or crystals (gout/pseudogout).
Conservative Therapies
At Compass Pain and Wellness, we employ a comprehensive, integrative approach that begins with conservative care and progresses to interventional options if needed.
Physical Therapy
Physical therapy improves strength, flexibility, and mobility while addressing pain from injury or chronic conditions.
Chiropractic Care
Chiropractic care improves spinal alignment and joint function to reduce pain and enhance physical mobility.
Acupuncture
Acupuncture stimulates targeted points on the body to reduce pain, support healing, and restore energy balance.
Massage
Massage therapy eases muscle tension and improves circulation to support pain relief and overall well-being.
Medication Therapy
Medication therapy uses tailored prescriptions to reduce chronic pain and improve daily function and comfort.
TECAR Therapy
TECAR therapy can help treat bursitis by delivering deep heat through radiofrequency energy, which reduces inflammation, alleviates pain, and supports tissue regeneration in the affected bursa.
Shockwave Therapy (ESWT)
Can be beneficial in calcific bursitis of the shoulder or trochanteric bursitis.
Activity Modification
Avoiding movements that aggravate symptoms.


Advanced Treatment Approaches
When conservative measures are inadequate, the following advanced treatments may be considered:
Corticosteroid Injections
Highly effective in many cases, especially in shoulder and hip bursitis.
Needle Aspiration
Removes excess fluid to relieve pressure and analyze for infection.
Platelet-Rich Plasma (PRP) Therapy
Promising results in treating chronic inflammation and tendon-bursa interface pathology.
Surgical Options
Rarely needed but may be necessary for infected bursae or in cases of chronic, treatment-resistant bursitis. Surgical removal (bursectomy) may be performed arthroscopically or via open procedure.
Our integrative care team works collaboratively to customize each treatment plan to the patient’s unique condition and lifestyle goals.

Ready to Transform?
Schedule Your Treatment Today
Bursitis is a common and often debilitating condition that can significantly impact mobility and quality of life. Fortunately, with early diagnosis and comprehensive care, most patients recover fully. At Compass Pain and Wellness, we provide integrative, patient-centered care that combines physical therapy, acupuncture, massage therapy, chiropractic, and interventional procedures to treat bursitis effectively. If you are experiencing joint pain, swelling, or limited movement, schedule a consultation with our expert team today. We are here to help you return to a pain-free, active life.
our team
Our providers
Meet our experienced and compassionate team of doctors who specialize in helping you manage your condition. With a patient-centered approach, our doctors work to understand your unique needs and provide compassionate, personalized care. Trust our providers to guide you on your journey to better health and improved well-being.



