Which bursae are between the clients elbow and the skin?
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Most of us have heard of people having ‘bursitis’, often of the hip or shoulder, but what is a bursa and why does it become painful and symptomatic? A bursa is a thin, self contained, lubricated cushion located at points of friction between a bone and surrounding soft tissue, such as skin, muscles, ligaments and tendons. Show
Our body contains about 160 bursa, some quite superficial and some quite deep in the body. Bursa will vary considerably in size, depending on the individual and the location in the body. Traditionally, a painful bursa has been thought to be an inflammatory condition, resulting from excessive force and load to the bursa. While the mechanism for developing the condition is not disputed, there is now evidence of a lack of inflammatory cells in the condition and it appears that the bursa become thickened and loses its low friction gliding capability. The added bulk of the bursa also starts to impinge on movement, often within an already confined space. The main mechanism for development of the condition is excessive repetitive load to the tissue, either through increased loading patterns or due to poor muscle control and movement patterns. Irritation to the Bursa may also develop as a result of trauma and the involvement of systemic inflammatory diseases such as rheumatoid arthritis may make the bursa more prone to development of the condition. Common areas where the bursa become injured include the subacromial bursa of the shoulder. This condition tends to be common in overhead activities at work and in sport such as swimming, surfing and paddling. It is more prevalent in people with poor shoulder posture and weak scapular and rotator cuff muscles. The Trochanteric bursa on the outside of the hip is another common site of injury. It tends to be associated with poor hip stability as a result of weak gluteal muscles and is more common in women than men, though to be related to wider hips in the female population and increased angles of pull of the gluteal muscles. Some less common sites of injury include the ischiogluteal bursa at the insertion of the hamstrings onto the pelvis, which is commonly seen in runners with poor technique, olecranon bursa at the back of the elbow from excessive leaning on the elbow (housemaids elbow) and supra patella bursa above the kneecap as a result of trauma or poor mechanics of the knee. Treatment of an injured bursa by your physiotherapist will vary depending on the cause of the injury. In the event of traumatic injury or a sudden increase in loading patterns that will not continue, it is often enough to simply rest to de load the bursa and let the body do its thing this can often be helped with some stretch, tissue release, taping and possibly with a steroid injection into the area in stubborn cases. As poor posture and muscle control are commonly significant contributors to the injury, in addition to the above approach, your physio will provide you with some strengthening exercises to restore appropriate mechanics in the affected area. Elbow bursitis can be painless, or it can be painful at rest and when leaned on, as when writing with the arm pressing on a table. It can have many causes, but the most common is trauma, whether a direct hit, or smaller bumps or pressure applied over time. Elbow bursitis is commonly seen in students or office workers who lean their elbows on hard desks or armrests for long periods of time; however, its occurrence is not related to any particular age or ethnic group. This condition can also be caused by infection or autoimmune conditions. Sometimes, however, a specific cause cannot be determined. Our senior hand therapists and physiotherapists treat individuals with elbow bursitis to What is Elbow Bursitis?Elbow bursitis (also called olecranon bursitis) happens when the bursa (a fluid-filled sac on the tip of the elbow) becomes Normally, the bursa acts as a cushion for the tip of the elbow (ulna) bone. But certain types of
can cause constant friction or irritation of the bursa, leading to the development of bursitis ("itis" means "inflammation of"). When the bursa becomes injured, it can swell and become painful. Elbow bursitis can be caused by:
How Does Elbow Bursitis Feel?With elbow bursitis, you may experience:
How Is It Diagnosed?If you see our senior hand therapists or senior physiotherapists first, we will conduct a thorough evaluation that includes taking your health history. We will also ask you detailed questions about your injury, such as:
We also will perform special tests to help determine the likelihood that you have elbow bursitis. We will gently press on the back side of the elbow to see if it is painful to the touch, and may use additional tests to determine if other parts of your elbow are injured. We also will observe how you can move your elbow and arm, and test your strength and flexibility. Your physical therapist will test and screen for other, more serious conditions that could cause elbow pain or swelling. To provide a definitive diagnosis, we may collaborate with an orthopedic physician or other health care provider, who may order further tests, such as an x-ray to confirm the diagnosis and to rule out other damage to the elbow, such as a fracture or infection. how our senior physiotherapists and senior hand therapists can helpWe will work with you to design a specific treatment program that will speed your recovery, including exercises and treatments that you can do at home. Hand therapy and physiotherapy will help you return to your normal lifestyle and activities. The time it takes to heal the condition varies, but results can be achieved in 2 to 8 weeks or less, when a proper During the first 24 to 48 hours following your diagnosis, we may advise you to:
We will work with you to: Reduce Pain and Reduce Swelling If repetitive activities have caused the elbow bursitis, we will help you understand how to avoid or modify the activities, to allow healing to begin. We may use different types of treatments and electrothermal modalities to control and reduce your pain and swelling. Improve Motion We will choose specific activities and treatments to help restore normal movement in the elbow and arm. These might begin with "passive" motions that our therapist performs for you to gently move your elbow joint, and progress to active exercises and stretches that you do yourself. Improve Flexibility We will determine if any of your arm muscles are tight, start helping you to stretch them, and teach you how to stretch them. Improve Strength If we finds any weak or injured elbow muscles, we will choose, and teach you, the correct exercises and equipment to steadily restore your strength and agility. Improve Endurance Restoring your arm's muscular endurance is important after an injury. We will develop a program of activities to help you regain the endurance you had before the injury, so you can return to doing the things you like to do. Learn a Home Program We will teach you strengthening and stretching exercises to perform at home. These exercises will be specific for your needs; if you do them as prescribed by our senior hand therapist and senior physiotherapist, you can speed your recovery. Return to Activities We will discuss your activity goals with you and use them to set your work, sport, and home-life recovery goals. Your treatment program will help you reach your goals in the safest, fastest, and most effective way possible. We will teach you
Speed Recovery Time We are trained and experienced in choosing the best treatments and exercises to help you safely heal, return to your normal lifestyle, and reach your goals faster than you are likely to do on your own. If Surgery Is NecessarySurgery is not commonly required for elbow bursitis, but if surgery is needed, you will follow a recovery program over several weeks, guided by your physical therapist. Your physical therapist will help you minimize swelling and pain, regain motion and strength, and return to normal activities in the safest and speediest manner possible. Back to Top book an appointment today(or check your pains / injuries)Phoenix Rehab Physio ServicesPhoenix Rehab Group works with specialist physiotherapists and rehab therapists who are highly trained, qualified, experienced and passionate to provide high level of expert care to our patients. PHYSIOTHERAPY & PHYSICAL THERAPY See all the conditions our principal physiotherapists treat. HAND THERAPY & CUSTOMIZED SPLINTING Patients who sustained injuries to their elbows, forearms, hands, wrists (sprains and fractures) and fingers, usually will benefit / require Hand Therapy to
Commonly treated hand pain injuries includes REFORMER CLINICAL PILATES & WELLNESS PILATES  Clinical Pilates is a form of physical exercise that focuses on posture, core stability, balance, control, strength, flexibility and breathing. It is a system of safe and effective exercises, which meet specific individual needs, to treat a wide range of injuries and conditions. You may do Pilates as matwork or with the reformer or both, and every session will be customized 100% to your fitness, injury and tolerance. TRADITIONAL CHINESE MEDICINE (TCM)
DEEP TISSUE RELEASE & SPORTS MASSAGE THERAPY Sports and deep tissue release massage helps to increase nutrient-rich blood flow to tired, tight and tense muscles to accelerate recovery and shorten downtime / recovery period required. It also prevents muscles from scar tissue micro-tears (and potential ruptures), and increases muscle performance. Having regular deep tissue and sports massage will keep your muscles healthy and fit with body/movement-confidence. Read the benefits of regular deep tissue release therapy here. ALTERNATIVE THERAPIES All our allied health therapists and TCM physicians are fully insured and registered with Allied Health Professions Council (AHPC) and Traditional Chinese Medicine Board (TCMB). See our entire team here with introductions and their specializations. At the first session, our specialist physiotherapists will carry out a thorough assessment, helping them to select the most appropriate treatment to help you recover as well as provide treatment in the same session. Follow up sessions are inline to provide expert treatment for your pain as well as prescribing specific exercises to reduce your risk of re-injury and giving you a long term solution. do Tell Your Family, Friends And Colleagues About Us =)We appreciate you as our valued clients and want you to know that the # 1 way we grow as a clinic / brand is through word of mouth referrals from valued patients like yourself. We prefer not to rely on advertising - instead, we prefer and appreciate the goodwill and positive reinforcement from patients. When you have the chance, please tell your family, friends and physicians about the positive results and experience you have had in our physio clinics. book an appointment today(or check your pains / injuries)
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