Bursitis is almost always diagnosed on physical examination. Findings consistent with bursitis include:
- Tenderness directly over the bursa
- Pain with movement of overlying muscles and tendons
- Swelling of the bursa
Are X-rays or MRIs needed to diagnose bursitis?
Studies such as x-rays and MRIs are not usually needed to make the diagnosis of bursitis. While they are not needed for diagnosis of bursitis, x-rays may be performed to ensure there is no other problem, such as a fracture, that could be causing the symptoms of pain and swelling. X-rays can show evidence of swelling of the bursa, especially in the case of olecranon bursitis. MRIs are also good tests identify swelling, and will show evidence of bursitis. However, these tests are not usually needed to confirm the diagnosis; MRIs are usually only performed if there is a suspicion of another problem.
What complications can occur because of bursitis?
There is a small risk that an inflamed bursa can become infected. Infection is most often a concern when the inflamed bursa is close to the skin, such is the case with olecranon bursitis. In situations such as trochanteric bursitis or shoulder bursitis, where the inflammation is deeper within the body, infection is extremely rare.
If you have any sign of infection associated with bursitis you should alert your doctor immediately. Signs of infection include:
- Open wounds around the area of bursitis
- Redness of increasing warmth the skin
- Other signs of infection such as fevers, chills, and sweats
What is the treatment for a particular type of bursitis?
For more information about a specific type of bursitis, look through the following related articles. On the following page of this article, find general bursitis treatment guidelines for patients who have a bursitis diagnosis.
Related Bursitis Information:
- Shoulder Bursitis
Information about shoulder bursitis. Many people are told by their doctor they have "shoulder bursitis;" learn about this common diagnosis and available treatments. - Olecranon Bursitis
Olecranon bursitis is a common cause of swelling and inflammation around the elbow joint. Usually treated easily by draining the swollen bursa, it is important that olecranon bursitis be evaluated by a physician to ensure it does not become infected. - Trochanteric (Hip) Bursitis
Trochanteric bursitis, also called hip bursitis, is a common problem of pain and inflammation over the outside of the hip and thigh area. Treatment consists of resting and medications. - Prepatellar (Kneecap) Bursitis
Prepatellar bursitis, or Housemaid's Knee Syndrome, is a condition of swelling and inflammation over the front of the knee. This is commonly seen in patients who kneel for extended periods, such as carpet layers and gardeners.
