Physical Therapy and Rehabilitation

Bursitis and Tendonitis

Bursitis and tendinitis is an inflammatory condition of the soft tissue often around the shoulder, elbow, wrist, hip, knee and ankle.


Bursitis is seen as painful swelling of the joints. Bursa is a small sac filled with fluid forming on the soft tissue covering a joint or bone. Bursitis is the inflammation of one of these sacs. This common painful condition can become an acute or chronic condition if inflammation is not prevented.

The most common causes of bursitis are overuse of or putting excessive strain on or receiving a direct blow to a joint.


Tendinitis is an inflammation of the connective tissues, called tendons. Connective tissues convey muscle movements to a bone, ensuring that the bone moves. They exist throughout the body. There are small tendons in the body such as those in the hand as well as big tendons like Achilles tendon in the heel. Tendinitis is the result of an injury frequently recurring in the affected area. Both conditions are also related to age. Aging can compromise the integrity of the tendon and makes it more prone to injury.


The first step in treating these conditions is to reduce pain and inflammation. For this, in the acute phase, ice application, avoiding active use of aching region as well as allowing it to rest using various bandages and orthoses, painkillers, cortisone injections to aching region, regional massage and physical therapy methods are utilized. Along with these treatments , stretching, relaxation and strengthening exercises should be performed.

If no healing is achieved after 6 - 12 months or tendon is completely torn, surgical intervention is applied.