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
Pain over a bony point that is worse when you press on it
A deep, pressing ache that builds with activity and lingers afterwards
Pain when you lie on that side at night, or when you kneel, sit or lean on the area
Visible swelling, warmth or a soft lump, most obvious at the elbow and knee
Stiffness after sitting still, easing once you start moving
Pain with the first few steps or the first overhead reach, then settling
Your treatment plan comes out of your assessment, because the right approach depends on which bursa is involved and what is loading it.
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
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
Book an assessment if:
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.
Seven clinics across three regions
Find a clinic near you. Each location is staffed by local practitioners who know your community.
Penrith
Western SydneyOur largest centre, with our full range of services under one roof.
Ropes Crossing
Western SydneyPodiatry, at Ropes Crossing Village.
Blaxland
Blue MountainsPodiatry, physiotherapy, exercise physiology and group classes.
Springwood
Blue MountainsPodiatry, dietetics and a boutique footwear store.
Katoomba
Blue MountainsPodiatry, physiotherapy and dietetics, in a restored 1914 cottage.
Ryde
North ShorePodiatry, physiotherapy, dietetics and exercise physiology, with a footwear store and gait analysis.
Lindfield
North ShorePodiatry, with mobile podiatry across the North Shore and Northern Beaches.
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
Is bursitis the same as tendinopathy?
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.
Do cortisone injections help bursitis?
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.
Can bursitis become infected?
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.
Why does bursitis hurt more at night?
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.
Can I keep running or training with bursitis?
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.
Should I use ice or heat on bursitis?
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.


















































