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What is calcific bursitis?
A bursa is a thin fluid-filled sac that reduces friction forces between tissues of the body. Chronic (repeated or long-standing) inflammation of the bursa (bursitis) can lead to calcification of the bursa. This is referred to as "calcific bursitis." The calcium deposits (calcification) can occur as long as the inflammation is present and remain after it has resolved. Calcific bursitis occurs most commonly at the shoulder (in the bursa adjacent to the rotator cuff tendons) or hip (in the bursa at the greater trochanter).
What are causes and risk factors for calcific bursitis?
Calcific bursitis often has no direct cause that is identified and likely occurs in this setting after unnoticed strain of a joint caused local inflammation of the bursa (bursitis). Risk factors for developing calcific bursitis include joint injury (trauma) and underlying diseases such as ankylosing spondylitis and calcium pyrophosphate dehydrate deposition disease (pseudogout).
What are symptoms and signs of calcific bursitis?
Calcific bursitis may not cause any symptoms once the inflammation has subsided. Calcific bursitis typically leads to chronic pain, stiffness, and sometimes limited range of motion of the affected joint with use or when examined.
How is calcific bursitis diagnosed?
The diagnosis of inflammation of the bursa (bursitis) can be made clinically based on the history and physical findings. Calcific bursitis is diagnosed when viewed with anX-ray test or MRI scan of the inflamed, painful bursa.
What is the treatment of calcific bursitis?
Treatment of the inflammation of calcific bursitis can help to prevent further calcification as well as relieve pain and stiffness. Treatments include medications for inflammation, cold packs, immobilization, injections of cortisone into the bursa, physical therapy, and occasionally surgery to remove the inflamed bursa and calcium deposit.
What is the prognosis of calcific bursitis?
When the inflammation is quieted, the long-term outlook (prognosis) is excellent. Optimal improvement can require physical therapy treatment. The calcium deposit can remain indefinitely and may not cause any problems. Significant calcium deposits can sometimes, however, cause a mechanically abrasive area of tenderness. These deposits that continue to cause symptoms are considered for surgical removal.
Can calcific bursitis be prevented?
The prevention of calcific bursitis involves avoiding injury and reinjury to joints and treating any underlying medical condition (if present) that might increase the chances for developing calcific bursitis.
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Top Calcific Bursitis Related Articles
Acute and Chronic BursitisA bursa is a fluid-filled sac found in the joints that cushions them. Bursitis is an inflammation of the bursae, most commonly caused by repetitive motion. Bursitis can be caused by a bacterial infection and should be treated with antibiotics. Doctors also recommend icing and resting the joint.
Bursitis Symptoms and TreatmentsDiagnosed with bursitis? Learn about treatment and prevention for trochanteric bursitis, as well as hip, knee, shoulder and other bursitis types.
CAT ScanA CT scan is an X-ray procedure that combines many X-ray images with the aid of a computer to generate cross-sectional and three-dimensional images of internal organs and structures of the body. A CT scan is a low-risk procedure. Contrast material may be injected into a vein or the spinal fluid to enhance the scan.
celecoxibCelecoxib (Celebrex - Discontinued Brand) is a NSAID (nonsteroidal antiinflammatory drug) that is used to treat pain, arthritis pain, menstrual cramps, and colonic polyps. Celebrex is also used relief of pain, fever, swelling, and tenderness caused by osteoarthritis, juvenile arthritis, rheumatoid arthritis, and ankylosing spondylitis. There are important drug interactions to review when taking Celebrex. Side effects should also be reviewed.
Cortisone InjectionCortisone injections are used to treat small areas of inflammation or widespread inflammation throughout the body. There is minimal pain from these injections, and relief from the pain of inflammation occurs rapidly.
diflunisalDiflunisal (Dolobid) is a NSAID drug used to treat mild to moderate the fever, pain, and inflammation, osteoarthritis and rheumatoid arthritis. Side effects, drug interactions, warnings and precautions, and patient information should be reviewed prior to taking any medication.
etodolacEtodolac (Lodine ([Discontinued]) is a NSAID prescribed to treat pain and inflammation associated with osteoarthritis, rheumatoid arthritis, juvenile rheumatoid arthritis, tendinitis, bursitis, and menstrual cramps. Side effects, drug interactions, and pregnancy safety information should be reviewed prior to taking this medication.
fenoprofenFenoprofen (Nalfon) is a nonsteroidal antiinflammatory drug (NSAID) used for the treatment of pain and inflammation due to osteoarthritis and rheumatoid arthritis. Fenoprofen (Nalfon) is also used for the treatment of mild to moderate pain for conditions such as menstrual cramps, tendinitis, and bursitis. Side effects, drug interactions, warnings and precautions, and patient safety information should be reviewed prior to taking any medication.
flurbiprofenflurbiprofen (Ansaid - discontinued brand) is a medication prescribed for the treatment of inflammation and pain caused by osteoarthritis, rheumatoid arthritis, soft tissue injuries like bursitis and tendinitis. Side effects, drug interactions, dosage, and pregnancy safety information should be reviewed prior to taking this medication.
Frozen ShoulderA frozen shoulder (adhesive capsulitis) is when the shoulder joint experiences a significant loss in its range of motion due to inflammation, scarring, or injury. Treatment involves anti-inflammatory medication, cortisone injections, and physical therapy.
Hip BursitisBursitis of the hip results when the fluid-filled sac (bursa) near the hip becomes inflamed due to localized soft tissue trauma or strain. Symptoms include stiffness and pain around the hip joint. If the hip bursa is not infected, hip bursitis can be treated with ice compresses, rest, and anti-inflammatory and pain medications.
indomethacinindomethacin; Indocin, Indocin-SR (Discontinued Brand in U.S.) is a nonsteroidal anti-inflammatory (NSAID) drug prescribed for the treatment of inflammation caused by gouty arthritis, osteoarthritis, soft tissue injuries such as bursitis and tendinitis, rheumatoid arthritis, and ankylolsing spondylitis. Side effects, drug interactions, pregnancy safety, and dosage information should be reviewed prior to taking this medication.
ketoprofenKetoprofen (Nexcede, Orudis, Oruvail, Actron brands have been discontinued) is a NSAID prescribed to treat inflammation and pain caused by menstrual cramps, types of arthritis like rheumatoid arthritis and osteoarthritis, and other causes of mild to moderate pain. Side effects, drug interactions, storage, dosing, and breastfeeding and pregnancy safety information should be reviewed prior to taking any medication.
MRI ScanMRI (or magnetic resonance imaging) scan is a radiology technique which uses magnetism, radio waves, and a computer to produce images of body structures. MRI scanning is painless and does not involve X-ray radiation. Patients with heart pacemakers, metal implants, or metal chips or clips in or around the eyes cannot be scanned with MRI because of the effect of the magnet.
Nonsteroidal Anti-inflammatory Drugs and UlcersNonsteroidal antiinflammatory drugs (NSAIDs) are prescribed medications for the treatment of inflammatory conditions. Examples of NSAIDs include aspirin, ibuprofen, naproxen, and more. One common side effect of NSAIDs is peptic ulcer (ulcers of the esophagus, stomach, or duodenum). Side effects, drug interactions, warnings and precautions, and patient safety information should be reviewed prior to taking NSAIDs.
Rotator CuffRotator cuff disease is damage to any of the four tendons that stabilize the shoulder joint. Shoulder pain and tenderness are common symptoms. Rotator cuff disease treatment depends on the severity of the shoulder injury.