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Bursitis

Get on top of bursitis pain and back to moving comfortably

That deep, pressing ache over your hip, shoulder, knee or heel gets worse when you lie on it, press on it or load it. Bursitis is common, and it responds well to the right treatment plan.

Medicare, NDIS, DVA and private health funds accepted.

Understanding Bursitis

Bursitis is inflammation of a bursa, a small fluid-filled sac that cushions the space between bone and soft tissue. When that sac is compressed or overloaded, it becomes painful and sometimes swollen, and simple things like lying on your side or kneeling start to hurt.

Bursitis rarely happens on its own. Most of the time something else is loading that area, such as weak muscles, a change in training, a stiff joint above or below, or footwear that presses on the spot. Treatment works best when it addresses that driver as well as the pain.

Who does it affect?

anyone, but most often adults over 40, runners, tradespeople and people who kneel or lift overhead at work

How common is it?

one of the more frequent causes of hip, shoulder, elbow and heel pain seen in clinic

What is the recovery like?

varies with the site, the cause and how long it has been there, and often improves with load changes and strengthening

Who should I see for treatment?

your physiotherapist, and your podiatrist for heel and foot bursitis

What funding options are available?

Medicare, NDIS, DVA and private health funds accepted

What is bursitis?

A bursa is a thin, fluid-filled sac that sits between a bone and the tendon, muscle or skin moving over it. You have them at your hip, shoulder, knee, elbow and heel. Their job is to reduce friction.

Bursitis develops when a bursa is repeatedly compressed or rubbed. The lining thickens, fluid builds up, and the area becomes sensitive to pressure. It can also start suddenly after a fall onto the hip, elbow or knee.

Common contributing factors include:

  • A sudden increase in training load, walking distance or hours on your feet

  • Weakness in the muscles that control the hip, shoulder blade or ankle

  • Kneeling, leaning on your elbows or working overhead for long periods

  • Footwear with a firm heel counter or a seam that presses on the back of the heel

  • Stiffness or a previous injury in a nearby joint that changes how you load the area

  • Health conditions such as rheumatoid arthritis or gout

  • Direct hit on the bursa - more common in knee and elbow bursa

Symptoms of Bursitis

Your treatment plan comes out of your assessment, because the right approach depends on which bursa is involved and what is loading it.

Load management

Adjusting how much, how often and how hard you use the area so the bursa is no longer compressed all day

Progressive strengthening

Targeted exercise for the hip, shoulder blade or calf so the surrounding muscles share the load properly

Manual therapy and soft tissue treatment

Hands-on work to reduce pain and restore movement in nearby stiff joints

Taping and offloading

Padding, taping or a temporary change in position to take direct pressure off the bursa

Footwear and orthotic changes

For heel and foot bursitis, changing what presses on the area and how your foot loads through each step

Referral pathways

Your physiotherapist can arrange imaging or refer you to a GP or specialist for injection if your symptoms warrant it [CONFIRM: OPH referral pathway for corticosteroid injection]

What to expect at your first appointment

  

Tell us what is going on

You describe where the pain sits, when it started, what makes it worse and what you need to get back to.

A full assessment

Your physiotherapist checks the painful area, tests strength and movement, and looks at the joints above and below it.

A clear plan

You leave knowing what is causing your pain, what to change now, and what your first exercises are.

Review and adjust

You come back so we can measure progress and build your loading up as your symptoms settle.

When to book an appointment

    Book an assessment if:

  • Your pain has lasted more than two weeks without improving

  • You cannot sleep on that side, kneel, or lift overhead without pain

  • Rest, ice and over-the-counter pain relief have not made a lasting difference

  • You are not sure whether this is bursitis, a tendon problem or something else

Looking after yourself at home

These steps help most people while you wait for your appointment.

  • A sudden increase in training load, walking distance or hours on your feet

  • Weakness in the muscles that control the hip, shoulder blade or ankle

  • Kneeling, leaning on your elbows or working overhead for long periods

  • Footwear with a firm heel counter or a seam that presses on the back of the heel

  • Stiffness or a previous injury in a nearby joint that changes how you load the area

  • Health conditions such as rheumatoid arthritis or gout

  • Direct hit on the bursa - more common in knee and elbow bursa

Meet the team who treat this

Behind every appointment is a team of practitioners who know each other, trust each other and work together for you. Across seven clinics and nine disciplines, our team shares expertise, coordinates treatment plans and celebrates your progress together.

Meet the full team

Aimee Fuller

Healthcare Support Officer

Available at Blaxland

Alicia Whiticker

Healthcare Support Officer

Available at Blaxland

Amanda Banks

Healthcare Support Officer

Available at Blaxland

Amanda Duggan

Healthcare Support Officer

Available at Blaxland

Amy Meekings

Healthcare Support Officer

Available at Blaxland

Anita Beerapu

Healthcare Support Officer

Available at Blaxland

Benjamin Tucker

Healthcare Support Officer

Available at Blaxland

Blake Cossar

Healthcare Support Officer

Available at Blaxland

Bronte Tupper

Healthcare Support Officer

Available at Blaxland

Chris Farrugia

Healthcare Support Officer

Available at Blaxland

Corrina Aitken

Healthcare Support Officer

Available at Blaxland

David Logue

Healthcare Support Officer

Available at Blaxland

Dean Gresser

Healthcare Support Officer

Available at Blaxland

Emma Nassif

Healthcare Support Officer

Available at Blaxland

Esha Sharma

Healthcare Support Officer

Available at Blaxland

Fatima Hussaini

Healthcare Support Officer

Available at Blaxland

Felicity Spencer-Davey

Healthcare Support Officer

Available at Blaxland

Frankie Raikadroka

Healthcare Support Officer

Available at Blaxland

Hannah Norrie

Healthcare Support Officer

Available at Blaxland

Heather Edwards

Healthcare Support Officer

Available at Blaxland

Isaac Vella

Healthcare Support Officer

Available at Blaxland

Jarrah Nesbitt

Healthcare Support Officer

Available at Blaxland

Jonathan Lopez

Healthcare Support Officer

Available at Blaxland

Justin Hanna

Healthcare Support Officer

Available at Blaxland

Kasey Collins

Healthcare Support Officer

Available at Blaxland

Katrina Gauci

Healthcare Support Officer

Available at Blaxland

Kennedy Touet

Healthcare Support Officer

Available at Blaxland

Kristy Edwards

Healthcare Support Officer

Available at Blaxland

Kyle Perry

Healthcare Support Officer

Available at Blaxland

Lorna Nicastri

Healthcare Support Officer

Available at Blaxland

Maja Bosic

Healthcare Support Officer

Available at Blaxland

Marxy Koronel

Healthcare Support Officer

Available at Blaxland

Matt Barton

Healthcare Support Officer

Available at Blaxland

Michael Todd

Healthcare Support Officer

Available at Blaxland

Mr Jeffery Jenkins FACPS

Healthcare Support Officer

Available at Blaxland

Nathan Cavanagh

Healthcare Support Officer

Available at Blaxland

Patrick Celeban

Healthcare Support Officer

Available at Blaxland

Praise Khin

Healthcare Support Officer

Available at Blaxland

Sarah Bonnici

Healthcare Support Officer

Available at Blaxland

Shannon Smith

Healthcare Support Officer

Available at Blaxland

Siobhan Kelly

Healthcare Support Officer

Available at Blaxland

Taleisha Bozzi

Healthcare Support Officer

Available at Blaxland

Trystan Singh

Healthcare Support Officer

Available at Blaxland

Uty Kotwal

Healthcare Support Officer

Available at Blaxland

Yoni Hochberg

Healthcare Support Officer

Available at Blaxland

Zak Lloyd

Healthcare Support Officer

Available at Blaxland

EPC, DVA, NDIS and WorkCover welcome

Nearly half of our appointments are funded through Medicare, DVA, NDIS or WorkCover. We manage the paperwork so you can focus on your health.

NDIS

We support eligible NDIS participants across podiatry, physiotherapy, exercise physiology, dietetics and psychology, depending on your plan and goals. Eligibility and funding are set by your plan.

Learn more

Medicare

Medicare may rebate podiatry, physiotherapy, exercise physiology and dietetics sessions when your GP refers you under an Enhanced Primary Care (EPC) or Chronic Disease Management (CDM) plan, and psychology sessions under a Mental Health Care Plan. The number of sessions is set by your plan.

Learn more

DVA

Gold and White card holders can access DVA-funded care across our services with a valid referral.

Learn more

WorkCover

If you have been injured at work, we accept WorkCover referrals for physiotherapy, exercise physiology and psychology, and manage the paperwork with your insurer, with a clear return-to-work plan.

Learn more

Seven clinics across three regions

Find a clinic near you. Each location is staffed by local practitioners who know your community.

Penrith

Western Sydney

Our largest centre, with our full range of services under one roof.

510/536 High St, Penrith NSW 2750

Ropes Crossing

Western Sydney

Podiatry, at Ropes Crossing Village.

1B/2 Central Pl, Ropes Crossing NSW 2760

Blaxland

Blue Mountains

Podiatry, physiotherapy, exercise physiology and group classes.

10 Layton Ave, Blaxland NSW 2774

Springwood

Blue Mountains

Podiatry, dietetics and a boutique footwear store.

20 Ferguson Rd, Springwood NSW 2777

Katoomba

Blue Mountains

Podiatry, physiotherapy and dietetics, in a restored 1914 cottage.

69 Megalong St, Katoomba NSW 2780

Ryde

North Shore

Podiatry, physiotherapy, dietetics and exercise physiology, with a footwear store and gait analysis.

819 Victoria Road, Cnr Shepherd Street, Ryde NSW 2112

Lindfield

North Shore

Podiatry, with mobile podiatry across the North Shore and Northern Beaches.

2/324 Pacific Highway, Lindfield NSW 2070
view all locations

Ready to sort out that bursitis pain?

Book an assessment and get a clear plan for your hip, shoulder, knee or heel.

Frequently asked questions

No. Bursitis is inflammation of a fluid-filled cushioning sac, while tendinopathy is a change in the structure of a tendon. They often occur together at the hip and shoulder because the tendon and bursa sit side by side, and pressing on either can hurt. The distinction matters because tendinopathy usually needs progressive loading, while an irritated bursa needs compression taken off it first.

A corticosteroid injection can reduce pain in the short term, which some people use as a window to start rehabilitation. It does not change what caused the bursa to become compressed, and pain can return if loading stays the same. Injections are arranged through your GP or a specialist, not in our clinic. Your physiotherapist can talk through whether it is worth discussing in your case.

Yes. Septic bursitis is most common at the elbow and knee, where the bursa sits just under the skin and can be broken into by a cut, graze or bite. Signs include rapidly increasing swelling, heat, redness spreading from the area, and feeling unwell or feverish. This needs same-day medical care and antibiotics, not physiotherapy.

Lying on the affected side compresses the bursa against the bone for hours at a time, so it becomes more sensitive by morning. Side sleeping with your top leg dropped forward also stretches the tissue over your outer hip. A pillow between your knees, a softer mattress topper, and switching sides can all reduce that overnight compression.

Often yes, at a reduced level. Complete rest usually settles pain temporarily but leaves the underlying weakness untouched, so symptoms return when you go back. Your physiotherapist will usually adjust your distance, speed, hills or overhead volume rather than stopping you altogether, then build it back as your strength improves and your pain response settles.

Ice is generally more useful when the area is swollen, warm or freshly flared, and 10 to 15 minutes is enough. Heat suits stiffness, particularly first thing in the morning or before gentle movement. Neither treats the cause, so use whichever makes moving easier and keep going with your exercises.