Bursitis: Is It More Common in Ehlers-Danlos Syndrome Patients?

zebrathemiddleaged
Jan 23
3 min read

Updated: Apr 13

Bursitis is a painful condition that affects many people, but those with hypermobile Ehlers-Danlos syndrome (HEDS) may experience it differently. If you or someone you know has HEDS, understanding how bursitis relates to this condition can help manage symptoms and improve quality of life.

What Is Bursitis?

Bursitis happens when the bursae, small fluid-filled sacs that cushion bones, tendons, and muscles near joints, become inflamed. These sacs reduce friction during movement, but when irritated, they cause pain, swelling, and limited motion. Common areas affected include the shoulder, elbow, hip, and knee.

Symptoms of bursitis include:

Sharp or aching pain around a joint
Swelling and tenderness
Stiffness or difficulty moving the joint
Warmth or redness in some cases

Bursitis often results from repetitive motion, injury, or prolonged pressure on a joint.

Why Bursitis May Be More Common in People with HEDS

People with HEDS often experience joint instability and frequent joint injuries. This instability can place extra stress on bursae, making bursitis more likely. Here are some reasons why bursitis may occur more often in HEDS patients:

Joint instability causes abnormal movement patterns, increasing friction around bursae.
Frequent joint dislocations or subluxations irritate surrounding tissues, including bursae.
Muscle weakness around hypermobile joints leads to poor joint support and increased pressure on bursae.
Overuse or repetitive strain from compensating for unstable joints can inflame bursae.
Delayed healing due to connective tissue fragility prolongs inflammation and symptoms.

Research shows that musculoskeletal complications, including bursitis, are common in people with HEDS. A study published in the American Journal of Medical Genetics found that joint pain and inflammation affect a large portion of this population, often linked to repetitive stress injuries.

Since joint pain is common in HEDS, distinguishing bursitis can be challenging. Look for these signs:

Localized pain near a joint that worsens with movement or pressure
Noticeable swelling or warmth over the joint
Pain that feels sharp or burning rather than dull or achy
Reduced range of motion due to pain, not just joint laxity
Symptoms that develop after repetitive activity or minor trauma

If bursitis is suspected, a healthcare provider may use physical exams, ultrasound, or MRI to confirm inflammation of the bursae.

Managing Bursitis in HEDS Patients

Treating bursitis in people with HEDS requires a careful approach that considers joint instability and tissue fragility. Here are practical strategies:

Rest and Activity Modification

Avoid activities that worsen pain or put excessive pressure on affected joints. Rest allows inflammation to decrease. However, complete immobilization is not recommended as it can weaken muscles supporting the joint.

Physical Therapy

A physical therapist can design a program to:

Strengthen muscles around hypermobile joints
Improve joint stability and control
Stretch tight muscles without overextending joints
Teach proper body mechanics to reduce strain on bursae

Pain Relief

Over-the-counter pain relievers like ibuprofen or acetaminophen can reduce pain and inflammation. In some cases, a doctor may recommend corticosteroid injections to reduce severe bursitis.

Supportive Devices

Braces or taping can provide extra joint support and reduce abnormal movement that irritates bursae. Cushions or pads may protect joints from pressure during daily activities.

Lifestyle Adjustments

Maintaining a healthy weight reduces stress on joints and bursae. Low-impact exercises such as swimming or cycling help keep joints mobile without causing irritation.

When to See a Doctor

If bursitis symptoms persist beyond a few weeks, worsen, or significantly limit daily activities, it is important to seek medical advice. A healthcare provider can rule out other causes of joint pain, such as arthritis or infection, and recommend appropriate treatment.

Managing bursitis in HEDS is part of a broader approach to living with a connective tissue disorder. Regular monitoring of joint health, staying active within limits, and working with healthcare professionals can help reduce flare-ups.

People with HEDS benefit from: