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This condition occurs when bursa (sacs of fluid that cushion movement between the bones, tendons and muscles at your joints) become painfully inflamed. Usually caused by repetitive movement or prolonged excessive pressure, other causes include acute or chronic infection (notably staphylococcal) or tuberculosis. It can also occur alongside other common joint problems such as arthritis or gout. The most common area affected is the shoulder but it can also occur at the knees ("Housemaid's Knee"), the buttocks ("Weaver's Bottom" - caused by sitting on hard surfaces for extended periods), elbows ("Miner's Elbow" - today caused by more modern activities such as vacuuming), hips, heels and even at the base of the big toe. If the underlying cause is a chronic condition such as arthritis, bursitis may reappear despite any preventative measures that are taken.
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