A thorough medical history and physical examination is the first step in diagnosing tendonitis and bursitis.
Physical examination often discovers tenderness along the involved tendon or its sheath (outer covering) or at one particular point within the tendon, as well as pain when the muscle to which the tendon is attached is worked against resistance.
X-rays do not show bursae or tendons, but may be useful in excluding other bone or joint problems.
Blood tests and MRI and diagnostic ultrasound are usually not needed, but could be useful in the detection of these conditions.
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