Are there specific lifestyle modifications or physiotherapy interventions that can help prevent recurrent bursitis?

Lifestyle modifications to help prevent recurrent bursitis include avoiding repetitive activities that cause chronic stress on the affected bursa, such as kneeling for pre-patellar bursitis. When avoidance is not possible, protective devices like thick foam cushions or kneepads should be used to reduce mechanical stress on the bursa.

Physiotherapy interventions focus on activity modification and may include therapeutic exercises tailored to the individual's needs, such as local muscle strengthening and general aerobic fitness, to improve joint function and reduce strain. Supervised therapeutic exercise sessions and combining exercise with education or behaviour change approaches can enhance adherence and benefits.

Rest, ice application, and simple analgesia are recommended conservative measures to manage symptoms and prevent exacerbations. Ice should be applied for 10 minutes every few hours with a barrier between ice and skin to reduce swelling.

For people with underlying conditions like gout or rheumatoid arthritis, appropriate management of these conditions is important to prevent bursitis recurrence.

Referral to physiotherapy or occupational therapy may be considered for early intervention and support in modifying activities and improving function, especially in occupational settings.