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    • #2708
      Heath Edwards

      Hi Steve

      Is it possible to get a bursitis without a tendinopathy?


    • #2709
      Stephen Bird

      Hi Heath,

      Most certainly.

      Often a bursitis is associated with an underlying tendinopathy or enthesopathy and it represents the inflammatory response of the synovial entheseal complex but this is not always the case.
      We often see isolated bursopathy in younger patients doing repetitive work or sport in shoulders where the tendons look pristine.
      Post traumatic bursitis is another entity where bursopathy exists without tendinopathy.
      Rheumatoid patients also like to develop isolated bursopathy as the synovium becomes inflamed.

      So when I see a bursopathy I always look hard for an underlying tendinosis or enthesopathy process, but on some occasions it is not present.


    • #2730
      Heath Edwards

      Thanks Steve, appreciate the detailed response

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