Bursitis: symptoms, treatment and prevention
The disease can develop for many reasons. Usually the inflammatory process that occurs in the joint, is associated with excessive load on it. Bursitis often occurs in athletes due to injury or repetitive movements, accompanied by physical stress (playing tennis, Golf, badminton). In old literature one can find a disease called "maid's knee" –an inflammation near the joints of the bags of the knee joint in the long stay kneeling while cleaning. Also bursitis can develop as a result of other diseases of the joints (arthritis, gout) or of diseases such as tuberculosis.
The symptoms of bursitis
Bursitis is inflammation around the joints of the bags, the resulting increased load on the joint or as a manifestation of other diseases (particularly gout).
The disease can affect any joints, even the smallest. But most often the inflammation around the joints of the bags occurs in large joints (shoulder, elbow, knee, hip) that perform a large amount of movements and experiencing heavy load.
The main symptom of bursitis is the appearance of the joint fluctuatur rounded swelling, which is similar to the lump. On palpation, this formation can be quite painful.
The movement in the joint may be severely limited and be accompanied by pain. In the affected area swelling, warmth and redness of the skin.
For bursitis can be acute and chronic. In the chronic form of the disease syndrome pain less intense. The area near the joints of the bags can form calcium deposits, which make movement in the joint is even more limited. During exacerbation of the process fluid in the synovial cavity of the bag is increased, which can lead to the formation of gigram (cystic cavity filled with fluid).
The disease is diagnosed on the basis of patient complaints, examination and results of x-ray examination of the affected joint.
Treatment of acute bursitis
The acute form of the disease is usually treated conservatively in the outpatient setting.
During the acute inflammatory process is necessary to exclude the loading on the diseased joint, it is recommended to secure it with an elastic bandage bandages or special elastic clips. In some cases, may require the imposition of gypsum in Longuet. After subside of the inflammation, the amount of movement in the joints it is necessary to increase gradually, avoiding sudden movements and heavy loads.
To reduce the intensity of pain and inflammation topically applied anti-inflammatory creams . The introduction of the anesthetic in combination with glucocorticoid hormones is indicated for severe pain.
If conservative therapy is carried out during the week, does not give any positive results or inflammatory process is enhanced, the patients performed the puncture of the patient's joint. If it shows that the disease is complicated by the infectious process, are assigned antibacterial drugs.
After to subside pain in the affected joint patients physiotherapy (UHF, ultraviolet irradiation, phonophoresis), physiotherapy, massage. At home you can do the floor, alcohol compresses, bandages with Vishnevsky ointment, paraffin and ozocerite applications or to warm the patient's joint dry heat.
Treatment of chronic bursitis
Chronic bursitis is treated by surgery. With frequent exacerbation necessitates the removal of accumulated fluid from the cavity around the joints of the bags, it is rinsed with antiseptic solutions and administered antibiotics and hydrocortisone solution. Sometimes a procedure needs to be repeated up to 5 times. With the development of purulent complications need surgery, which performed the autopsy of the shoulder Bursa and removing the pus.
Surgical treatment is also necessary in cases, when bunions are formed, the calcium complications, which limits the mobility of the joint. Small deposits are removed by aspiration with a syringe. A large number of calcium salts from the cavity of the joint capsule can only be removed promptly.
Prevention of bursitis
In order to avoid the development of bursitis, it is necessary to eliminate the factors that lead to trauma of the articular bags. You cannot overload the joints, especially without prior "warming up"", you must also apply a special protective device (locks) and choose rational shoes when doing sports.