When is joint aspiration recommended for bursitis?

A bursa is a small fluid sac that cushions tissues near a joint. Bursitis can make it enlarge and become tender. A clinician may draw out fluid to reduce pressure or send it for testing. The sample can help distinguish irritation from infection, blood, or crystals. The exact plan depends on the bursa involved, the appearance of the skin, recent injury, and your general health.

Do not try to drain the swelling yourself. Before the appointment, report fever, wounds near the area, diabetes, immune problems, and medicines that affect bleeding. The clinician may inspect the skin and use imaging when the bursa is difficult to locate. After aspiration, protect the area as advised, keep it clean, and return if pain or swelling worsens rather than settling.

Seek prompt care for a hot, red, increasingly painful swelling, fever, chills, or feeling unwell, as an infected bursa needs timely treatment. Contact the treating service for persistent bleeding, spreading redness, pus, or worsening pain after aspiration. Severe breathing difficulty or fainting is an emergency.

Ask which bursa is involved, whether the fluid will be tested, how long to limit pressure on the area, and what will prevent the irritation from returning.