A bursa is a small fluid‐filled sac that provides cushioning between adjacent tissues to reduce friction. Bursitis is the inflammation of a bursa.

The muscles that are in contact with the surrounding tendons and bursae can become compressed, which causes imflammation to the bursae. Our therapy approach can help alleviate inflammation to the bursae by manipulating and releasing the tense surrounding muscles.

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The bursae are small fluid‐filled sacs that provide cushioning to reduce friction between adjacent tissues. Contrary to images in anatomical texts, the majority of bursae are thin and flat. As friction reducers, bursae are most vulnerable to chronic or acute compressive force injuries which may cause bursitis.


Bursitis is inflammation to a bursa. Bursitis is very similar to Tendinitis, which is inflammation and damage to a tendon. Can be a result of repetitive stress or post injury. Inflammation can accompany tears, or may occur independently as a result of repetitive injuries. The bursae may become inflamed and irritate the muscle, then later the tendonitis or tendinosis begins. Or tendons are inflamed and irritate the bursae.

By far the most common type of bursa pathology is compressive damage that results in inflammation, called bursitis. This is generally overuse pathology, but can result from acute compressive injury. The shoulder bursitis experienced by swimmers, for instance, develops from repetitive overhead motions of the arm. A number of bursae, such as the olecranon bursa (elbow) and the prepatellar bursa (knee), are superficial which allows their inflammatory reactions to be more easily identified. Bursae inflammation is sometimes caused by systemic illness, not mechanical compression.

Bicipital Tendonitis

Bicipital Tendonitis is often confused for bursitis in the shoulder. The long head and short heads of the biceps brachii can become irritated and inflamed as they attach to the coracoid process and supraglenoid tuberacle. The attachment at the coracoid process is more commonly irritated. Local tenderness at the site and pain away from the site depending on trigger point formation. Swelling and heat can also be present. The client may experience increased pain when trying to flex the elbow or shoulder with weight or against resistance. If ignored, the condition could result in a rupture to the muscle. Whether it be bicipital tendonitis or bursitis in the shoulder the basic problem is the same. The muscles in the shoulder and those directly in contact with the tendons and bursa are compressing and causing extreme tensional forces that need to be manipulated and released.