Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.
Dr. Balentine received his undergraduate degree from McDaniel College in Westminster, Maryland. He attended medical school at the Philadelphia College of Osteopathic Medicine graduating in1983. He completed his internship at St. Joseph's Hospital in Philadelphia and his Emergency Medicine residency at Lincoln Medical and Mental Health Center in the Bronx, where he served as chief resident.
A bursa is a fluid-filled sac that cushions an area of friction between tissues, such as tendon and bone. Bursae reduce friction between moving parts of the body, such as in the shoulder, elbow, hip, knee, and heel.
The number varies, but most people have about 160 bursae throughout the body. Bursae are lined with special cells, called synovial cells, which secrete a fluid rich in collagen and proteins. This synovial fluid acts as a lubricant when parts of the body move. Inflammation of a bursa is referred to as bursitis.
Pain, tenderness, redness, warmth, and/or swelling near the inflamed bursa. Pain may increase with activity or pressure. Symptoms of bursitis may:
Radiate out from the joint area, unlike arthritis pain, which tends to be confined to the joint.
Affect the precise area where the inflamed bursa is located.
Pain and stiffness that may be worse during the night or when getting up in the morning.
Stiffness in the joint near the affected area. Movement or mild exercise of the joint usually reduces the stiffness. (Too much movement may worsen existing symptoms or bring back the pain and stiffness.)