Inflammation Information: Acute bursitis causes pain, tenderness over the inflamed bursa, and limited range of motion. Chronic bursitis attacks may follow acute bursitis, unusual exercise, or strain. Attacks may last a few days to several weeks and are characterized by pain, swelling, and tenderness. Over the counter nonsteroidal anti-inflammatory drugs (NSAIDs), including aspirin (BayerR, EcotrinR, BufferinR), ibuprofen (AdvilR, MotrinR, NuprinR), and naproxen (AleveR), may be adequate to treat the pain associated with bursitis. Prescription strength NSAIDs including ibuprofen (MotrinR), naproxen (AnaproxR, NaprosynR), etodolac (LodineR), and indomethacin (IndocinR) are prescribed when over the counter products are ineffective. Narcotic pain-relievers including codeine (TylenolR with Codeine) and hydrocodone (VicodinR, LortabR) are also used. Oral corticosteroids such as prednisone (DeltasoneR) and methylprednisolone (MedrolR) are often prescribed to reduce pain and inflammation. Corticosteroid injections such as methylprednisolone (Depo-MedrolR) may be necessary to reduce inflammation in chronic, severe cases. For non-infected, acute bursitis, injections of the local anesthetic lidocaine (XylocaineR) may be used if other remedies don't adequately relieve pain.
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