Tendinitis and bursitis
A painful inflammation of tendons and of tendon-muscle attachments to bone, tendinitis usually occurs in the shoulder rotator cuff, hip, Achilles tendon, or hamstring.
Bursitis is a painful inflammation of one or more of the bursae—closed sacs that are lubricated with small amounts of synovial fluid that facilitate the motion of muscles and tendons over bony prominences. Bursitis usually occurs in the subdeltoid, olecranon, trochanteric, calcaneal, or prepatellar bursae.
Tendinitis commonly results from trauma (such as strain during sports activity), another musculoskeletal disorder (rheumatic diseases, congenital defects), postural misalignment, abnormal body development, or hypermobility.
Bursitis usually occurs in middle age from recurring trauma that stresses or pressures a joint or from an inflammatory joint disease (rheumatoid arthritis, gout). Chronic bursitis follows attacks of acute bursitis or repeated trauma and infection. Septic bursitis may result from wound infection or from bacterial invasion of skin over the bursa.
Teaching Checklist: Tendinitis and bursitis tips
Review the following teaching points with your patient:
Take anti-inflammatory agents with food to minimize GI upset.
Avoid activities that aggravate the affected joint.
Use a triangular sling for comfort and protection, especially while sleeping.
Use a splint if indicated.
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