Injury or inflammation of the bursa (fluid-filled sac) in the ankle: Recognizing signs, origin, and remedies
Ankle bursitis is a common condition that affects the small, fluid-filled sacs (known as bursae) found throughout the body, acting as cushions and lubricants between bones, tendons, and muscles. In the case of ankle bursitis, these sacs become inflamed, causing pain, swelling, and difficulty moving the ankle.
Common causes of ankle bursitis include overuse, trauma, infection, and underlying medical conditions such as gout or rheumatoid arthritis. Additionally, inappropriate footwear can also contribute to the development of this condition.
Fortunately, treatment options for ankle bursitis are available and effective. The initial approach typically involves rest, ice, and nonsteroidal anti-inflammatory drugs (NSAIDs) to reduce pain and swelling, and control inflammation. Physical therapy is often recommended to stretch and strengthen surrounding tissues, improving joint function and reducing impingement.
Proper footwear and orthotics, such as shoe inserts or heel cups, can help redistribute pressure on the affected bursa, preventing worsening symptoms. Bracing or immobilization with splints or walking boots may also be necessary to limit movement and facilitate healing.
In some cases, steroid injections (corticosteroids) may be administered to reduce inflammation and pain, particularly when conservative treatments do not provide sufficient relief. While these injections offer temporary relief, they do not halt disease progression. Platelet-rich plasma (PRP) injections are a newer treatment option, but are less commonly used and still under evaluation.
If symptoms persist and are severe, surgical intervention may be considered to remove inflamed bursal tissue and address any related tendon damage or bony prominences.
A healthcare professional diagnoses ankle bursitis by examining the ankle, asking about symptoms, and pressing gently on the affected area to check for tenderness, swelling, or warmth. It's crucial to consult a doctor for a diagnosis and treatment plan, as avoiding the triggers for ankle bursitis can help prevent recurrence and potential long-term joint damage or chronic pain.
With proper care and management, most people with ankle bursitis can expect to recover fully and return to their everyday activities. Adjusting footwear and using orthotics is often an important preventive strategy to avoid recurrence.
[1] Smith, J. (2020). Bursitis: Causes, Symptoms, and Treatment. Healthline. Retrieved from https://www.healthline.com/health/bursitis [2] Mayo Clinic Staff. (2021). Bursitis. Mayo Clinic. Retrieved from https://www.mayoclinic.org/diseases-conditions/bursitis/symptoms-causes/syc-20355480 [3] Hoot, M. (2018). What Is Bursitis? American Academy of Orthopaedic Surgeons. Retrieved from https://orthoinfo.aaos.org/en/diseases--conditions/what-is-bursitis [4] Weber, B. (2017). Bursitis: Overview and Treatment Options. Merck Manuals Professional Edition. Retrieved from https://www.merckmanuals.com/professional/musculoskeletal-disorders/soft-tissue-disorders/bursitis-overview-and-treatment-options
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