For non-infectious bursitis, the preliminary treatment starts with non-operative options such as cold compression therapy and Blood Flow Stimulation Therapy ™ . Surgery to remove the inflamed bursa is normally not required for bursitis, however if you fail to see improvement with the conservative treatments, your physician may recommend surgery to remove the bursa completely. Although this removes the problem of an inflamed bursa, you are left with less cushioning in your joint which can lead to a host of other conditions.
Patients who do have infection of their bursa require additional treatment. There is debate about the best treatment, and it likely depends on the severity of the infection and the individual patient to know the best treatment. Options may include oral antibiotic treatment, intravenous antibiotics, or surgery to remove the infected bursa. Usually is an infection is detected quickly, simple treatments will begin, whereas more aggressive, advanced infections may require a surgical procedure to clean the infection to prevent it from spreading.
Bursae close to the surface of the skin are the most likely to get infected with bacteria, a condition that is called septic bursitis. The most common bacteria to cause septic bursitis are Staphylococcus aureus or Staphylococcus epidermis . People with diabetes , alcoholism , certain kidney conditions, those with suppressed immune systems such as from cortisone medications (steroid treatments), and those with wounds to the skin over a bursa are at higher risk for septic bursitis. About 85% of septic bursitis occurs in men.