By definition, bursitis is the inflammation (“itis” = inflammation) of small, fluid-filled sacs called bursa. These bursae reduce friction at critical points in the body. Bursae are found in places where muscles or their corresponding tendons slide across bones. Healthy bursae create a smooth, almost frictionless, gliding surface that helps to create movement that is painless.  However, when bursitis occurs, movement across an inflamed or irritated bursa becomes both difficult and painful.

Bursitis is most commonly caused by repetitive movement and / or excessive pressure or mechanical stress. Repetitive jobs or sports tend to be big factors in developing bursitis. Although bursitis can occur in dozens of places, the most common places to be diagnosed with bursitis include:

  • Prepatellar bursitis:housemaid’s knee
  • Infrapatellar bursitis:clergyman’s knee
  • Trochantaric bursitis:causes hip pain
  • Olecranon bursitis: characterized by pain and swelling in the elbow
  • Subacromial bursitis:causes shoulder pain (see picture at top of page)

Traumatic injury is a less-common, but equally problematic cause of bursitis. Sometimes bursitis can even be caused by a systemic disease process such as Rheumatoid Arthritis. Although I might be able to provide some answers nutritionally, the “Tissue Remodeling” treatment that I provide in my clinic will not likely be effective for disease-based bursitis.




Is it Bursitis,


or Fascial Adhesion?


It is my experience after two decades of practice, and 10 years of treating extensively via “TISSUE REMODELING“, that the vast majority of what doctors are diagnosing as bursitis, is not bursitis.  It is a FASCIAL ADHESION or some sort of TENDINOPATHY.

If someone comes to me with the bony knob of their elbow (or their knee) swollen up like a tennis ball, our treatment is not going to help. That is a true bursitis and will require some other sort of intervention (possibly acupuncture, possibly having it drained). However, when someone is generically diagnosed with “bursitis” of the shoulder or hip, there is a strong possibility that I can help their problem. This is because the majority of bursitis diagnosis in these two areas are not really bursitis at all. As stated above, they are usually a tendinopathy or a fascial adhesion. But don’t take my word for it.

Read what Dr. Warren Hammer, the chiropractic profession’s #1 expert on the ELASTIC, COLLAGEN-BASED CONNECTIVE TISSUES with almost 60 years of experience, has to say on the issue.  Does he agree with this Missouri hillbilly’s assessment of the situation?  Pay attention as Dr. Hammer breaks down recent research that was published in the medical journal, Joint, Bone, Spine; as well as the Scandinavian Journal of Medicine & Science in Sports

It is interesting to note that the term, “periarthritis of the hip” has been changed to hip rotator cuff tears, to trochanteric tendino-bursitisHowever, studies have shown that isolated hip bursitis is virtually non-existent.  Although a bursitis may be present, the underlying causes are lesions of the overlying tendons…..

If you have been diagnosed with bursitis, but do not have the kind of swelling seen in the pictures above, I would strongly suggest trying one treatment with our Tissue Remodeling method. If your problem is in fact, tendon or fascia, you will see big change in just one treatment.  But don’t take my word for it, visit my VIDEO TESTIMONIAL PAGE.  



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