Using Physical Therapy to Manage Bursitis

Using Physical Therapy to Manage Bursitis

If you live in Pueblo and are tired of constantly having to rely on pain medication to mask persistent Bursitis pain in your knee, hip, elbow, heel, or shoulder, you may be wondering if there are any options for you that will effectively manage or treat your pain. The goal of physical therapists is to encourage healing in your body so that you no longer have to be chained to pain relief medicines that only put a bandaid over the true problem. Thankfully, physical therapy has been proven to be extraordinarily effective against bursitis and is an excellent option for those struggling long-term with this condition. 

 

What is Bursitis?

The joints in your body are crucial for providing the motion needed for everyday tasks. Each joint is made up of many different parts including tendons, muscles, and bones. Inside each joint is a small sac filled with fluid called the bursa. Bursae are responsible for providing essential protection in between each part of the joint. Tendons, bones, and muscles glide easily over the bursae, reducing friction and preventing injury.

When these sacs become exposed to high amounts of pressure or are irritated over time, they can become inflamed, irritated, and even scarred. This condition is called bursitis, and the result is pain that can become quite severe when engaging in everyday activities. Often these areas can be painful to the touch, stiff, and sore.

Location, Symptoms, and Diagnosis of Bursitis

Bursitis can be experienced anywhere in the body where there is a joint with bursae. Common locations are the hip, shoulder, knee, and elbow. However, this condition can also be found in the foot, such as the heel or big toe. Those with bursitis may experience pain and swelling in the area as well as redness and a feeling of stiffness in the joint. 

Diagnosis is usually made through a physical exam and the patient’s explanation of their pain and discomfort. However, some doctors will also include tests that rule out other conditions such as gout or bone spurs. These tests can include things like x-rays, blood tests, aspiration of bursa fluid, and, on rare occassions, an MRI.

Causes of Bursitis

Bursitis can be caused by many different things, but it is most often seen in patients who are engaged in repetitive motion. This can be something such as pitching a baseball, using a golf club, or running on uneven surfaces. Other patients may develop bursitis as a result of poor posture, leaning against hard surfaces on a daily basis, or exercising without warming up first.

Bursitis can also be caused by sudden injury. Sports injuries, a blow to the affected area, or car accidents can damage the bursa and cause pain, swelling, and irritation. Some patients may develop the condition because of an injury on another part of the body. Using a cane on one side, or limping can cause excessive pressure and strain on the bursae in different joints of the body.  An infection or arthritis in the area can also lead to bursitis. Identifying the cause of your bursitis can be extremely helpful for your road to recovery, so be sure to talk to your physical therapist about your habits and any recent injuries that you may have had.

How Can Physical Therapy Help Bursitis

While anti-inflammatory medications can be a good tool for temporary pain relief and inflammation control, these medicines should be viewed as an intermediate solution. It is important to prioritize healing and lifestyle change when necessary to allow the bulsa and the joint around it to fully recover from the trauma.

One of the first things to do to care for the affected area is to practice the PRICE technique. PRICE stands for Protection, Rest, Ice, Compression, and Elevation.  When you first begin to experience pain in this area, whether as a result of repetitive motion or injury, you can begin this treatment on yourself to begin the healing process. If the pain persists, you will want to schedule an appointment with a physical therapist to explore more in-depth methods of healing.

When it comes to bursitis recovery, there are several steps that your Pueblo physical therapist may guide you through. The goal of these steps is to stop the irritation, heal the bursa, and strengthen the joint to keep the injury from happening again. Here are a few of the steps that you and your physical therapist may go through on your way to recovery.

Lifestyle Modification

The first step is to investigate what has caused the irritation of the bursa in the first place. Once you have found a cause, it is imperative to temporarily stop doing the activity that is causing the irritation. It may even be a simple matter of modifying your motions or changing a few habits. This will help to avoid further irritation so that healing can take place.

Stretch and Strengthen Technique

In many cases of bursitis, the inflammation and irritation is exacerbated by weak and tight tendons in the joint area. An effective method of rehabilitation is the stretch and strengthen technique which focuses on strengthening the weak tendons and muscles while simultaneously stretching the tight ones. This is where much of the physical therapist’s work takes place.

Reintroduce Activity

After the recovery process has taken place, it is time to slowly reintroduce activity. Your physical therapist will help to create a program to ease you back into the activities that you love without risking a recurrence of your pain or discomfort. The goal is to set you up for a healthy lifestyle, and prevent the bursitis from returning.

Physical therapy is a great way to alleviate the pain of bursitis. Whether you have been injured or you are experiencing this condition as a result of repetitive motion, the techniques and strategies of an experienced physical therapist can take away your pain and improve your life. This care, along with the self-care that you do at home, can help you to finally live a pain free life.

At Synergy Physical Therapy & Wellness and Wellness, we are committed to the health and happiness of all of our patients regardless of their age. Our friendly Pueblo-based company wants each of our patients be pain free without resorting to surgery, injections, or medication.

As we age, maintaining health and independence becomes a top priority. Strength training, a type of resistance exercise often overshadowed by cardio or flexibility exercises, is a cornerstone of healthy aging. Whether you’re in your 30s or 80s, incorporating strength training into your routine can help you live a longer, more vibrant life. Here’s why everyone needs to embrace strength training and how to overcome common barriers to getting started.

1. Avoiding Frailty

Frailty, marked by reduced strength, endurance, and physical function, is a growing concern with age. According to the National Institute on Aging, frailty increases the risk of falls, disability, and hospitalization. For women, who face a higher risk of osteoporosis, frailty can also lead to fractures with prolonged recovery. Strength training combats frailty by building muscle mass and bone density. 

A 2021 study in the Journal of Clinical Medicine found that resistance training significantly improved muscle strength and reduced frailty markers in older adults. For women, this is especially critical, as stronger muscles and bones reduce the risk of osteoporotic fractures. Exercises like weightlifting, bodyweight workouts, or resistance bands enhance physical resilience, making daily tasks like carrying groceries or climbing stairs safer and easier.

(Want to know more about osteoporosis and PT’s role in it’s prevention and treatment? Check out our previous article for more information: Osteoporosis, Osteopenia, and Physical Therapy

2. Staying Able to Do the Things You Love

Strength training ensures you can keep enjoying activities like gardening, hiking, or playing with grandkids. According to an article in Harvard Health Publishing, muscle strength can begin to decline by about 1-2% per year after age 35 due to sarcopenia, also known as age-related muscle loss. This muscle loss accelerates as our bodies age. This loss can limit your ability to perform daily tasks or pursue hobbies, particularly for women who may experience accelerated muscle loss during menopause due to declining estrogen levels. 

Regular strength training preserves functional capacity, and benefits multiple domains of health. A  2019 study published in Frontiers in Physiology showed that resistance exercise not only improved musculoskeletal health, but also helped patients manage chronic conditions like cardiovascular disease and diabetes (Mcleod et al., 2019). Older adults who participated consistently in resistance strength exercise maintained better mobility, overall health, and independence than those who did not. Additionally, the same study found that those using light weight or only body weight while strength training was just as effective as heavy weights (McLeod et al., 2019). The most important factor of strength training for healthy aging is finding a routine that is suited to your body and your ability. A consultation with a physical therapist can help you find the right routine and guide you through proper exercise form to ensure your exercise is preventing injury, not causing it.  Strength training empowers you to stay active, healthy, and independent.

3. More Muscle Mass Equals Improved Blood Sugar Control

Building muscle isn’t just about strength—it’s about metabolic health. Muscle tissue helps regulate blood sugar by improving insulin sensitivity, which is vital for preventing or managing type 2 diabetes, a condition more prevalent with age (Mcleod et al., 2019). Increased muscle mass enhances glucose uptake, reducing blood sugar spikes. This is particularly important for women, who may face increased risks for diabetes complications. Researchers have found that  resistance training improved glycemic control in older adults with type 2 diabetes (Mcleod et al., 2019). In their review of resistance exercise and blood sugar management, resistance exercise performed for 8 weeks resulted in clinical improvements in A1C management and improvements in insulin resistance. These findings are relevant not just to individuals living with diabetes, but also those with insulin resistance, metabolic disorders, or a family history of diabetes. More muscle mass means greater glucose storage capacity, supporting overall metabolic health. Even moderate strength training, like lifting weights twice a week, can make a significant difference.

Common Barriers to Starting Strength Training

Despite its benefits, many hesitate to start strength training. Here are common barriers and solutions:

  • Lack of Knowledge: Many feel intimidated by unfamiliar exercises. 
    • Solution: Start with simple bodyweight moves like squats or push-ups. Online resources from the American Council on Exercise (ACE) offer free beginner guides, or consult a certified personal trainer for a tailored program.
  • Fear of Injury: Older adults, especially women with lower bone density, may worry about getting hurt. 
    • Solution: Begin with low weights or resistance bands under professional guidance. A 2018 study in Journal of Strength and Conditioning Research confirms supervised strength training is safe and effective for all ages when done correctly.
  • Time Constraints: Busy schedules can make exercise feel daunting. 
    • Solution: Short, 20-minute strength workouts 2-3 times per week still deliver impactful benefits, per American College of Sports Medicine guidelines.
  • Gym Intimidation: Gyms can feel overwhelming for beginners. 
    • Solution: Try home workouts with minimal equipment or join small group classes for older adults, which foster a supportive environment. Women-only classes can also provide a comfortable starting point.

Getting Started with Strength Training

To reap the benefits, aim for 3 sessions per week. Focus on compound movements—exercises that work multiple muscle groups at once, like squats, deadlifts, lunges, assisted pull-ups, and pushing-pressing motions. These maximize efficiency and functional strength. Start with light weights, resistance bands, or bodyweight exercises, gradually increasing intensity.

Safety Tip: Deadlifts, a powerful and functional movement, we commonly integrate this into out-patient rehabilitation strategy, but it does require proper technique to avoid injury. Begin with no weight, using a broomstick or similar tool to master form under a skilled coach’s guidance before adding weight. This is especially important to protect against lower back strain or injury.

Always consult a healthcare provider before starting a new exercise program, especially if you have chronic conditions like osteoporosis, chronic low back pain or shoulder problems. If you do struggle with any of these, one of our physical therapists can design a program tailored to your needs, and we’re here to support you every step of the way. If you are free from chronic conditions or pain a skilled coach or trainer can also be a great fit to get you started safely.

Strength training isn’t just for bodybuilders—it’s for everyone who values aging gracefully, staying active, and feeling their best. By building strength now, you’re investing in a healthier, more independent future.

References:

Harvard Health. (2023, February 14). Age and muscle loss. https://www.health.harvard.edu/exercise-and-fitness/age-and-muscle-loss

Mcleod, J. C., Stokes, T., & Phillips, S. M. (2019). Resistance Exercise training as a primary Countermeasure to Age-Related Chronic Disease. Frontiers in Physiology, 10. https://doi.org/10.3389/fphys.2019.00645

Talar, K., Hernández-Belmonte, A., Vetrovsky, T., Steffl, M., Kałamacka, E., & Courel-Ibáñez, J. (2021). Benefits of Resistance training in Early and late Stages of Frailty and sarcopenia: A Systematic Review and Meta-Analysis of Randomized Controlled Studies. Journal of Clinical Medicine, 10(8), 1630. https://doi.org/10.3390/jcm10081630

Request An Appointment

Please fill out this form and
we will contact you about scheduling.