Defined as inflammation of a bursa.
________ - is a sac lined with synovial membrane filled with synovial fluid. It protects tissues from abrasion, due to friction against adjacent structures.
Naturally occurring bursas
Bursas that develop as a result of, or in response to, friction, ex – in bunions.
Locations of bursa commonly becomes inflamed.
What is the Bursa in the Shoulder?
subacromial subdeltoid bursa
Bursa in the elbow that protects tricep tendon from external impact.
Two major sections of subacromial bursa/subdeltoid bursa.
Medial portion (subacromion)
Lateral portion (subdeltoid)
Prepatellar bursa is also known as:
What is Bursa in the ankle?
Bursa of the foot is called:
bunion (false bursa)
Bursa of the hip is called:
trocanteric and ischial bursa
What are the causes of bursitis?
Overuse (excess friction)
Direct trauma S
econdary to trauma, ex – dislocation, fracture Inflammation in adjacent structures
What are the signs and symptoms of bursitis?
Pain usually constant
Pain exacerbated when bursa compressed, either directly, or by joint movement or muscle contraction
If without treatment signs and symptoms of bursitis will last for how many days?
can last 10 days or less, becoming a dull ache,and fade in 4 – 6 weeks
What is the onset of bursitis following the trauma?
12 to 72 hours
Test used to identify bursitis.
Fluctuation test: tap on the bursa and it creates a _____________ .
Aim in the treatment of bursitis. True or False:
1. Decrease swelling and pain
2. Prevent or decrease adhesion formation in bursa
What are the treatment for acute bursitis?
Passive relaxed ROM to proximal and distal joints
Acute techniques can be used proximal to inflammation.
If bursitis is due to trauma - Swedish massage, proximal to injury if indicated.
What are the treatment for subacute bursitis?
Origin & Insertion
Golgi Tendon Organ
Active Assisted ROM (in range, pain free)
Swedish massage proximal to injury
Reflexive techniques distal to injury
The following are treatment for chronic bursitis. Except:
1. Myofascial Release
2. Swedish massage
3. Trigger points (stretching)
4. Passive Relaxed ROM
5. Joint mobilization
Hydrotherapy is used in bursitis by using:
cold donut roll or ice massage
Remedial Exercises in Subacute bursitis.
Passive relaxed – (therapist moves it) Gentle active free Isometrics
Remedial Exercises in chronic bursitis.
Progress to full function Strengthen to reduce friction on structural elements
Home care for bursitis includes:
Re-educate recreational or occupational activities to prevent repetitive action syndrome
True or False:
Bursas become adhered after repeated bouts of inflammation and as a result, do not swell up as much over-time but the pain is just as severe.
It is the Inflammation of a synovial membrane.
_______________ - membrane lining the capsule of a joint (or bursa).
Synovial membrane can also be called:
The following are causes of Synovitis. Except:
1. Trauma/subcutaneous injury such as contusion or sprain
2. Irritation produced by damaged cartilage
3. Exposure to warm environment
4. Joint infection
5. Joint pathologies
True or False:
In acute synovitis the joint has swelling, become tense but no pain.
- Synovitis is painful especially at night
Give Three signs and symptoms of synovitis.
Membrane itself can be swollen
Increased fluid in joint cavity (effusion)
In chronic synovitis what happened to the articular structures?
Articular structures become irregularly thickened from formation of fibrous tissue
True or False:
In chronic synovitis what happened movement is still allowed.
- Movement in synovitis is restricted
What are the signs and symptoms of chronic synovitis?
Joint grating and creaking
Possible increased accumulation of fluid (chronic effusion)
If effusion persists after initial acute inflammation, there will be a decrease in ROM with a boggy end-feel
What are the contraindications of synovitis?
In acute and subacute stages, Do not stretch muscle crossing joint or use joint mobs to stretch joint capsule, in order to restore movement. Just maintain ROM using Active Free ROM.