Bursitis & Manual Osteopathy

Comparison between a healthy and inflammed knee bursae

Bursae are fluid-filled sacs found around the joints that surround the areas where tendons, skin, and muscle tissues meet bones. They provide lubrication and help reduce friction between joints during movements. Overtime injuries and damage to the bursae cause inflammation and lead to bursitis. Bursitis causes discomfort and pain in the affected area and reduces the range of motion in our joints.

Manual Osteopathy can help provide relief pain caused by bursitis.



General symptoms of bursitis include swelling (inflammation), redness, and discomfort joint pain. There are four types of bursitis occurring in different parts of the body.

• Patellar Bursitis: Occurring around the kneecap (patella), can range from acute to chronic. Repetitive injuries and excessive postural pressure can damage and tear the tendons of the knee, causing inflammation and pain during movement or prolonged standing and bending.
  
  
• Olecranon Bursitis: Occurring around the tip of the elbow (olecranon), can occur from the pressure between hard surfaces on the point of the elbow and injuries. Irritation during elbow extension is observed and may restrict movements. 
  
  
• Trochanteric Bursitis: occurring in the bursae of the hips, a common addition to arthritis, and usually takes a longer time to develop. Improper posture and weak musculoskeletal conditions (i.e.arthritis) can place strain on hip joints leading to irritation of the hip bursae.
  
  
• Retrocalcaneal Bursitis: Occurring around the ankle region, leading to pain and swelling in the heels. Initially acute and may become chronic if untreated. Prolonged repetitive activities such as running, jumping, and prolonged standing can inflame the bursae around the ankle. Strains from plantar fasciitis and compressed footwear are also leading factors. 
  
  
• Infectious Bursitis: Bursitis that occurs due to an infection from bacteria, typically around wounds, skin, and joint-infections. Symptoms of infected bursitis are similar to non-infectious bursitis, pain, and discomfort around affected areas.
  
  

Bursitis treatments involve pain medication, ice, and antibiotics to prevent the spread of infections. Corticosteroids are a great solution to reduce inflammation and relieve pain. 

Manual Osteopathy is also an effective treatment option, along with lifestyle changes. Practicing good posture and regular exercise to strengthen muscles and joints will lower the risk of bursitis. Manual Osteopathic Techniques such as mobilizations and soft tissue release can increase blood flow in muscles and induce a higher range of motion. The increased movement can facilitate higher production of joint lubrication (synovial fluid) reduce the risk of irritating the bursae sacs. Hands-on manual therapy, proper exercise techniques, and anti-inflammatory medications are an effective combination for individual seeking relief.

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