Tendinitis vs. Bursitis: Two Common Causes of Joint Pain

Tendinitis is inflammation of a tendon (the cord connecting muscle to bone). Bursitis is inflammation of a bursa (a fluid-filled sac that cushions between bones, tendons, and muscles). Both cause pain near joints and are often confused, but their locations and specific triggers differ.

Key Differences at a Glance

Structure
Tendinitis
Tendon (muscle-to-bone connector) inflammation
Bursitis
Bursa (cushioning sac near joints) inflammation
Pain Trigger
Tendinitis
Pain with specific movements that use the tendon
Bursitis
Pain with direct pressure on the area
Common Sites
Tendinitis
Shoulder (rotator cuff), elbow (tennis/golfer's), Achilles
Bursitis
Shoulder, hip (trochanteric), knee (prepatellar), elbow (olecranon)

Shared Symptoms

  • Pain near a joint
  • Swelling
  • Stiffness
  • Worsened by repetitive motion

Unique Indicators

ONLY Tendinitis
  • Pain along the length of the tendon
  • Crepitus (grating feel) with movement
  • Pain with resisted motion
ONLY Bursitis
  • Point tenderness over the bursa
  • Swelling that may look like a lump
  • Pain with direct pressure (leaning on elbow, lying on hip)

Professional Diagnosis

Both are diagnosed clinically through physical examination and provocative tests. Ultrasound or MRI can confirm and differentiate in ambiguous cases.

Treatment for Tendinitis

Rest, ice, NSAIDs, eccentric exercises (specific strengthening), physical therapy, and corticosteroid injection for refractory cases.

Treatment for Bursitis

Rest, ice, NSAIDs, avoiding direct pressure on the area, aspiration of fluid if significantly swollen, and corticosteroid injection.

When to See a Doctor

See a doctor if pain is severe, limits daily activities, is accompanied by fever or redness (possible infection), or does not improve with 2 weeks of home treatment.

Not sure which one you have?

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Medically Reviewed for Accuracy

Medical Advisory Board
Last reviewed: March 20, 2026

Content is aligned with established clinical guidelines from authoritative medical institutions, including MedlinePlus (U.S. National Library of Medicine), the CDC, the NIH, and the NHS. All content is reviewed by our medical advisory board for accuracy and safety.