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Bursitis - Treatment

Tratamiento:

El médico puede recomendar descanso o inmovilización temporal de la articulación afectada.

Los antinflamatorios no esteroides (AINES), como el ibuprofeno, pueden aliviar el dolor y la inflamación. La fisioterapia formal también puede ayudar.

Si la inflamación no responde al tratamiento inicial, es posible que sea necesario extraer líquido de la bolsa e inyectar corticosteroides. Rara vez se requiere cirugía.

A medida que el dolor desaparece, se debe comenzar a ejercitar el área afectada. Si se ha presentado atrofia muscular (debilidad o disminución en tamaño), el médico puede recomendar ejercicios para restablecer la fortaleza e incrementar la movilidad.

La bursitis ocasionada por infección se trata con antibióticos. Algunas veces, se debe hacer un drenaje quirúrgico de la bolsa infectada.

Expectativas (pronóstico):

Esta enfermedad puede responder bien al tratamiento o puede convertirse en una afección crónica si no se logra corregir la causa subyacente.

Complicaciones:

  • Se puede presentar bursitis crónica.
  • Demasiadas inyecciones de esteroides en un corto tiempo pueden ocasionar lesión en los tendones circundantes.

Situaciones que requieren asistencia médica:

Consulte con el médico si los síntomas se repiten o no mejoran después de dos semanas de tratamiento.

  • Reviewed last on: 8/3/2010
  • Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington, School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Regan WD, Grondin PP, Morrey BF. Elbow and forearm. In: DeLee JC, Drez D Jr, Miller MD, eds. DeLee and Drez’s Orthopaedic Sports Medicine. 3rd ed. Philadelphia, Pa: Saunders Elsevier; 2009:chap 19.

Shah A, Busconi B. Hip, pelvis, and thigh. In: DeLee JC, Drez D Jr, Miller MD, eds. DeLee and Drez’s Orthopaedic Sports Medicine. 3rd ed. Philadelphia, Pa: Saunders Elsevier; 2009:chap 21.

Wapner KL, Parekh SG. Foot and ankle. In: DeLee JC, Drez D Jr, Miller MD, eds. DeLee and Drez’s Orthopaedic Sports Medicine. 3rd ed. Philadelphia, Pa: Saunders Elsevier; 2009:chap 25.

Schmidt MJ, Adams SL. Tendinopathy and bursitis. In: Marx JA, ed. Rosen’s Emergency Medicine: Concepts and Clinical Practice. 7th ed. Philadelphia, Pa: Mosby Elsevier; 2009:chap 115.

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