Elbow bursitis is a very common condition that can occur in some occupations. It should be noted that this is a rather complex joint disease, which is characterized by an inflammatory process, otherwise it is inflammation of the elbow joint.
Treatment of elbow bursitis should begin with a protective regimen. Limit physical activity as much as possible. For this purpose, pressure or bandages are applied. For extensive closed injuries, a plaster cast is applied for the purpose of immobilization (immobilization).
For open injuries, surgical treatment of the wound and application of an antiseptic bandage are performed. The earlier these measures are started, the less severe the infectious complications. It is mandatory to take broad-spectrum antibiotics. The accumulated exudate is aspirated (suctioned out, pumped out) using a syringe. Aspiration must be performed under sterile conditions. After the pus and exudate are removed, steroid hormones are injected into the joint capsule to relieve inflammation. The most popular drug in this group is Kenalog.
A powerful anti-inflammatory effect develops after the use of NSAIDs – non-steroidal anti-inflammatory drugs. These medications are taken in combination. If the elbow is not covered with a bandage, plaster, and there are no wounds on it, then along with tablets you can use gels and ointments with Ibuprofen, Voltaren, Nise, Diclofenac. As a supplement to antibiotics and anti-inflammatory drugs, you can use general strengthening agents - vitamins, calcium supplements, immunostimulants.
After the acute phase has passed, elbow bursitis is treated with physical therapy. Magnetic therapy, phonophoresis with hydrocortisone, paraffin, and ozokerite are indicated in this regard. Under the influence of physical procedures, inflammation is finally eliminated and metabolic processes in the joint capsule are improved. To strengthen the muscles of the shoulder, forearm, and develop the elbow, physical therapy is indicated during the recovery period of bursitis. Exercises begin with minimal loads with abduction and adduction of the forearm. Further exercises are performed with a small load.
Prevention of hand hygroma here
They are prescribed extremely rarely, only if there is a suspicion of infection entering the synovial bursa. Antibiotics are administered either by injection, or the joint capsule is washed with solutions containing the drug. For bursitis, doctors most often prescribe broad-spectrum antibiotics. However, medications may differ depending on the causative agent of the disease.
For purulent forms of bursitis, it is always advisable to take diclofenac or ibuprofen to relieve inflammation. An antibiotic is required in this case. The most commonly used antibiotics are cephalosporins. But in any case, a specialist should prescribe antimicrobial drugs depending on the patient’s condition. Which methods of taking antibiotics are better in a particular case is decided by the attending physician. As a rule, injections are more effective. Along with antibiotics, general restorative drugs are prescribed. Diclofenac can enhance the activity of some antibiotics; this fact must be taken into account when selecting them.
Ointment is often prescribed for the diagnosis of bursitis of the elbow joint: treatment is carried out with drugs such as Nicoflex, Diclofenac, Traumeel S, etc. However, ointment cannot always help. For severe pain, anesthetics or hormonal drugs are injected into the joint. And in case of an infectious lesion, it is necessary to take antibiotics, which are prescribed as intravenous injections or tablets.
Depending on the sensitivity of the infectious pathogen, antibiotics of the following groups are used for bursitis of the elbow joint: macrolides, cephalosporins, penicillins. All intra-articular injections are made with strict adherence to asepsis and antisepsis.
Dimexide is used as the primary drug. It is used as follows: diluted with boiled water in a ratio of 1:4, after which compresses are soaked in this solution, which are then applied over the inflamed area. Dimexide has the ability to draw pus from a wound, so it is perfect as an initial treatment. Treatment of bursitis of the elbow joint with dimexide should be carried out using it to prepare compresses. In parallel, anti-inflammatory nonsteroidal drugs intended for internal use are prescribed.
Elbow bursitis is an inflammation of the bursae that surround the joint. Any injury can lead to this disease, which requires long-term treatment and a serious approach.
As a rule, acute bursitis of the elbow begins after an injury, when the synovial bursae, of which there are 3 near the elbow joint, are damaged. However, the essence of bursitis is that the damaged bursa becomes infected with pathogenic agents: staphylococcus, streptococcus or pathogens of tuberculosis, syphilis, gonococcus and therefore the inflammatory process begins . Therefore, we can say that a weakened immune system contributes to the occurrence of bursitis: after all, not all people who injure their elbows develop this disease.
The disease manifests itself in the fact that a seal appears around the elbow and then swelling (up to 7-10 cm). This place hurts; due to intoxication, the body temperature may rise. However, the patient can bend the elbow (bursitis can be confused with arthritis, but with the latter the elbow is practically immobilized), although this causes pain.
Before treating elbow bursitis with folk remedies, you should definitely consult a doctor and receive drug therapy. Folk remedies can greatly alleviate the course of the disease, but in very rare cases they lead to recovery.
When is surgery indicated for elbow bursitis?
Nonsteroidal anti-inflammatory drugs in the treatment of elbow bursitis
For bursitis of the elbow joint, NSAIDs are used both systemically and externally. For severe inflammation, pain and high body temperature, systemic NSAIDs are prescribed. One of the most effective drugs in this group is diclofenac, which can be used both as injections and as rectal suppositories. The latest generation of NSAIDs includes nimesulide (for example, Nise) - it is preferred to prescribe it if a long course of treatment is required, since this drug has fewer side effects than first-generation NSAIDs.
Along with systemic NSAIDs, NSAIDs are almost always prescribed for external use in the form of ointments, creams and gels. The most popular ointment for elbow bursitis:
Antibiotics for bursitis of the elbow joint are prescribed in accordance with the identified sensitivity of the infectious agent to them. The most common causative agent of infection in bursitis of the elbow joint is Staphylococcus aureus, against which a number of antibiotics of different groups are active:
Glucocorticoid hormones in the treatment of elbow bursitis
Antibiotics for bursitis of the elbow joint are prescribed only when the inflammatory process is caused by the introduction of pathogenic flora.
Before using antibacterial therapy, it is necessary to do an analysis - examine the exudate from the bursa to determine which microorganisms caused the inflammatory process . Exudate is extracted using puncture.
Bursitis of the elbow joint is called inflammation of its synovial bursa.
The acute condition begins with inflammation of the synovial bursa, during which exudate accumulates, stretching it.
When the process becomes chronic, the walls of the bag thicken, its inner surface becomes covered with fibrin.
Bursitis is divided into aseptic, occurring without infection, and infectious, which, in turn, are divided into nonspecific and specific. Nonspecific ones are caused by streptococci and staphylococci, specific ones are caused by Koch bacilli, Treponema pallidum, and gonococci.
The following factors provoke the disease:
Symptoms of elbow bursitis:
You can distinguish bursitis of the elbow joint from arthritis and arthrosis by a characteristic feature: movements cause pain, but their amplitude is not limited.
With bursitis caused by the introduction of pathogenic microorganisms, the inflammatory process affects the surrounding tissues, and phlegmonous inflammation may appear.
For traumatic bursitis, treatment is carried out as follows:
In case of erosive processes of the digestive organs, they can be replaced with analgesics or paracetamol. But it should be noted that their use is less effective. In case of severe pain, the use of opiates is acceptable.
If the inflammatory process drags on for a long period, fluid is removed from the synovial bursa followed by its analysis, during which the type of disease is determined.
In non-infectious cases, methylprednisolone or triamicilone is added, and then infiltration anesthesia is performed. Corticosteroid medications can be injected directly into the bursa. Physiotherapy is included: paraffin baths or phonophoresis.
For infectious bursitis, repeated drainage of the bursa in the area of the affected elbow joint is performed. At the same time, antibiotics are prescribed orally, specifically acting on the causative agent of the disease. Most often, the following drugs are used for nonspecific bursitis:
For diseases of a nonspecific nature, antibiotics are used that specifically act on pathogenic microflora and sulfonamide drugs.
Surgical intervention is required to remove calcium intra-articular deposits in a non-infectious process or to remove the purulent component in purulent-inflammatory diseases.
You can play sports after bursitis only when there is no pain. There are special exercise therapy complexes, during which a dosed load is applied to the joints.
Before starting the exercise, the joints need to be warmed up with massage movements. When playing sports, the joint must be bandaged, preferably with an elastic bandage.
The earlier treatment for a disease begins, the easier it is to treat and the less likely it is to use surgical intervention. If joint inflammation is dealt with from the moment the pain syndrome appears, the transition to a chronic form can be avoided.
A full life is ensured by the musculoskeletal system, with the help of which various movements are performed. The occurrence of some diseases associated with inflammation of the joints can disrupt the usual way of life. The person feels discomfort and stiffness in movements. One such disease is bursitis.
Bursitis is an inflammatory process that occurs in the tissues surrounding the joint. Around any joint there are synovial bursae, which are filled with a certain amount of fluid. It ensures easy sliding of the joint. Therefore, when moving, a person does not experience pain.
During the inflammatory process, the fluid changes its composition, and its amount in the synovial bursae increases. This condition is called bursitis and causes pain in the area of the inflamed joint.
Depending on the nature of the inflammatory process, acute and chronic forms of the disease are determined. The most common types of bursitis are the knee and elbow joints. Often the disease becomes the result of professional activity.
Bursitis of any tissue area has the same symptoms and treatment. Inflammation of the joints requires some attention, since the limbs are under constant stress.
In acute bursitis, as the inflammatory process increases, the manifestation of symptoms intensifies. Swelling of the elbow joint increases, the inflamed skin becomes red and hot to the touch. The pain intensifies, and when pressing on the skin, fluid is felt inside.
In the chronic form, symptoms are less pronounced. The patient does not have a large accumulation of fluid in the elbow joint and is not bothered by acute pain. But if treatment is not started in time, complications may arise. An advanced form of the disease leads to the formation of pus and dysfunction of the joint.
Treatment of any disease begins with identifying the cause that caused such manifestations.
With bursitis, the inflammatory process can occur in the following circumstances:
At the initial stage of the disease, conservative treatment is carried out. It is based on taking medications and physiotherapeutic methods. Timely treatment of elbow inflammation can stop the spread of infection to other areas.
The use of tablets for illness should be prescribed by a doctor. He selects remedies that can alleviate the patient’s condition. The most commonly used drugs are: “No-Shpa”, “Sedalgin”, “Analgin”. Given the degree of inflammation of the elbow joint, antibiotics are prescribed together with these drugs.
Treatment will be more effective if the pills are supplemented with other therapeutic methods. If the initial stage of inflammation of the elbow joint was not stopped in time, and it develops further, the doctor prescribes antibiotics.
For bursitis, treatment with antibacterial agents is carried out with more than one drug. Two or three medications are prescribed at the same time. They are used for intramuscular and intravenous injections and direct injection into the periarticular bursa of the elbow joint.
The most effective medications include the following antibiotics.
"Lincomycin" is an antibacterial agent. Used in the treatment of severe forms of viral diseases. It is not addictive and is quickly distributed throughout the body.
The active ingredient of the drug is lincomycin hydrochloride. Available in the form of capsules and solution for injection.
Capsules are used 3-4 times a day at regular intervals of 500 mg. Treatment lasts 7-10 days, sometimes extended to a month. The medication is taken an hour before eating. For children, the daily dose of the drug is determined based on body weight. Per 1 kg, 30-60 mg of medication is acceptable.
When used intravenously, the norm for adults is 600 mg 1-2 times a day. The course of therapy lasts up to 15 days.
The shelf life of the drug in capsules is 4 years. The injection solution is stored for no more than three years.
"Amoxiclav" is a combination drug used to treat an inflamed joint. The drug is available in the form of tablets, powder for the preparation of suspension for oral administration and injection.
Tablets and suspension are taken by the patient with meals. This method of therapy reduces possible side effects from the digestive tract. The usual course is 6-15 days. After this, a repeated medical examination of the patient is carried out, and if necessary, the drug is continued.
The dosage for children under 12 years of age is 40 mg/kg. This is the daily norm, which is taken in 3 doses. For body weight exceeding 40 kg, the instructions provide for an adult dosage.
For children under 6 years of age, it is recommended to take Amoxiclav in the form of a suspension. The product comes with a pipette that needs to be used for precise dosing. The medication regimen and dosage for adults is determined by the attending physician. Therapy can be carried out every 8 or 12 hours a day.
When taking Amoxiclav , you need to take into account that the daily dosage of the drug depends not on age, but on body weight. The course of therapy determines the severity of the disease.
"Ceftriaxone" is used for bursitis for intramuscular and intravenous administration. The drug is produced in bottles in the form of a powder, which is used to prepare the composition for injection.
For adults and children over 12 years of age, the dosage is 1-2 grams. The injection is given once a day in the morning or evening.
In severe cases of the disease, the rate is increased to 4 grams, at which the maximum daily dose per 1 kg of weight is 50 mg of the drug. Children under 12 years of age are allowed 20-30 mg of the drug per 1 kg. The usual course of therapy is half a month.
The drug is well tolerated, with virtually no side effects.
At the first suspicion of illness, you should consult a traumatologist or surgeon. If necessary, inpatient treatment is prescribed. If the knee or elbow joint is affected, a fixing bandage is applied to the limbs. This ensures complete rest of the affected area.
During treatment, antibiotics, compresses or dressings with Vishnevsky ointment are used. In severe cases of the disease with purulent formations, surgical intervention is required. The rehabilitation period includes physiotherapeutic treatment. It includes physical therapy, massage, and UHF.
If swelling occurs, treatment should not be neglected. The tumor may disappear after some time, but it is possible that such symptoms appear during the initial stage of a chronic disease.
Do not self-medicate, be sure to consult a specialist
The bursa is a slit-like cavity that protects joints from friction. When an inflammatory process occurs in it, the disease is called bursitis. Bursitis is treated with anti-inflammatory drugs, corticosteroids and antibacterial drugs. Antibiotics for bursitis of the elbow joint (knee, shoulder, hip joint) are prescribed in case of bacterial infection entering the cavity and the formation of purulent exudate . The drugs are administered directly into the joint capsule, intramuscularly or orally.
To understand why antibacterial medications are needed, you need to know how the disease occurs and what symptoms are characteristic of this type of pathology. Bursitis of the knee joint or other joint is formed due to injury, intense stress on the joint, infectious disease, diathesis, age, and metabolic disorders. Often the cause of bursitis cannot be determined, so on patient records you can find an ICD 10 code indicating an unspecified type of pathology. Common symptoms of the disease include:
A patient diagnosed with bursitis complains of decreased ability to work and pain when touching the affected joint. Sometimes tingling and numbness are felt in the area of the affected joint. The joint increases in size due to a large accumulation of synovial fluid, which can be serous, fibrinous, purulent, calcareous, hemorrhagic, calculous in nature. The disease requires immediate treatment. Bursitis responds well to treatment if the patient goes to the clinic in time.
Antibacterial drugs are prescribed for purulent pathology. Purulent bursitis is accompanied by the accumulation of purulent contents in the synovial bursa. The infection enters from the outside through scratches and wounds, during surgery or a fracture. Also, its occurrence provokes infectious diseases that occur in the patient’s body, the bacteria of which enter the bursa through the blood and lymph and begin to multiply. Ulnar bursitis of a purulent nature can lead to the development of an abscess, osteomyelitis or arthritis.
It is important to detect the disease in time and carry out diagnostic measures. Treatment with antibiotics is necessary both for purulent formation and for severe inflammation of the synovial bursa. After all, the inflammatory process begins due to a bacterial infection in the bursa. Before using antibacterial drugs, synovial fluid is collected. The resulting sample is examined to identify the microorganism that caused the inflammatory process. This is necessary to prescribe the necessary medications.
The accumulation of purulent fluid leads to some complications. To speed up the treatment process, doctors open the elbow. Before this, the doctor administers an anesthetic, then makes an incision with a scalpel, opens the abscess and removes all the contents of the synovial bursa. After removing the purulent contents, the doctor, using sterile bandages and cotton wool, must remove all the blood that has accumulated in it. Next, the doctor puts on a turunda with an antiseptic, then treats the bursitis with ointments and then injects antibacterial drugs into the cavity of the bursa.
This procedure is necessary to quickly remove pathogenic microorganisms. If they remain in the cavity of the synovial bursa and do not die, the purulent process will resume and the symptoms will return.
For the treatment of knee bursitis, semi-synthetic and natural tetracyclines are prescribed. Drugs in this group are prescribed if the development of bursitis is provoked by microorganisms such as meningococci, pneumococci, spirochetes, chlamydia and others. Gonococci, salmonella, and enterococci are resistant to the tetracycline group. Semi-synthetic and natural tetracyclines include the following medications used for bursitis:
The drugs can be prescribed orally, in the form of injections or ointments. Semi-synthetic and natural tetracyclines cannot be used for elbow bursitis if there is an individual intolerance to the components, during lactation and pregnancy. Also, medications are prohibited for use for inflammation of the synovial bursa if the patient is diagnosed with severe liver or kidney failure. Age limit - from 8 years. Side effects may include nausea and vomiting, loss of coordination, staining of dental tissue, etc.
The following antibacterial drugs are often prescribed: Ceftriaxone, Cefpirom, Cefaclor. Cephalosporins belong to the β-lactam antibiotics. They have 4 generations. These antibacterial medications have a bactericidal effect. Drugs are selected depending on the causative agent of the disease. First generation medications, for example, Cefuroxime, are recommended to be taken in the presence of streptococcal or staphylococcal infections. The drug is inactive against enterococci and listeria. Taking the medicine without reading the instructions and performing a puncture will not help the patient; using the medicine has a negative effect on the liver and kidneys.
Third generation cephalosporins (Ceftriaxone, Cefotaxime) are identical in antimicrobial properties. Pneumococci remain sensitive to these drugs, but they are good against streptococci.
For bursitis, antibiotics are prescribed depending on the infection that triggered the inflammatory process. Damage to the elbow (hip, shoulder, knee) by a purulent disease forces doctors to prescribe drugs such as:
Aminoglycosides are also prescribed. Medicines in this group have a quick and powerful bactericidal effect on the body. For bursitis of the elbow joint, treatment with aminoglycoside antibiotics involves the use of drugs such as Gentamicin, Amikacin, Penicillin, Isepamycin. How long does treatment with antibacterial drugs last? For complete recovery, the patient needs to take medications for 10–14 days.
Antibacterial medications should be taken strictly as prescribed by your doctor. It is important to follow the dosage and application regimen. Despite the high effectiveness of medications, they cause side effects that appear due to large dosages or improper use of the medication. Adverse reactions include:
Most antibiotics used for bursitis of the elbow and knee joints cause the destruction of normal microflora. Medicines weaken the immune system and promote the active proliferation of fungi. During the period of treatment of bursitis with antibacterial drugs, it is important to take immunomodulatory drugs. Scientists say that taking antibiotics by women leads to the development of breast cancer. Therefore, broad-spectrum drugs cannot be taken independently. They are released with a prescription from a doctor. Self-medication poses a health hazard and worsens the disease.
Bursitis is a serious condition. It is characterized by inflammation of the synovial bursa of the joint and subsequent accumulation of exudative contents. The synovial bursa surrounding the joint always contains a certain amount of fluid, which acts as a lubricant and is always located in the gap between the surfaces of the adjacent bones of the joint. Bursitis mainly affects heavily loaded joints and is quite common among professional athletes. Most often, bursitis occurs in the knee, shoulder, elbow and hip joints. A little less commonly, bursitis occurs in the heel area of the foot.
Depending on the nature of the disease and its course, bursitis is divided into acute and chronic forms. Antibiotics for bursitis are usually prescribed mainly for chronic and purulent manifestations. In mild forms, they are limited to the prescription of anti-inflammatory drugs, for example, diclofenac. The justification for using an antibiotic is proven by the presence of certain factors, such as: an increase in body temperature, the presence of pus in the synovial bursa, and the transition of the inflammatory process to neighboring tissues.
The most common bursitis is the shoulder, knee and elbow joints. Bursitis of the hip joint and in the foot area is slightly less common.
Knee bursitis often occurs due to occupational activities. For example, among miners. Inflammation of the synovial bursa of the elbow joint occurs in athletes and scientific workers whose activities involve constant stress on the elbows from the desk.
There is a concept of post-traumatic bursitis. This may apply to sports injuries, for example, among football players, and injuries of various origins.
Sometimes complications occur in the form of bursitis due to arthrosis of the joints or gout.
The mechanism of inflammation is based on infection of the synovial bursa and the development of microbial flora in it.
The main signs of inflammation in the synovial bursae are redness of the skin of the joint and the appearance of swelling. Its size can vary, depending on the severity of the inflammation, from 6 to 10 cm. On palpation, the patient feels painful sensations, the structure of the swelling is dense. With ordinary acute bursitis, an increase in temperature, as a rule, does not occur. This fact should be taken into account when differentiating the degree of inflammation. Thus, with purulent bursitis, an increase in body temperature is almost always observed.
With acute bursitis, there is no restriction of mobility in the joint, unlike arthrosis. That is, the patient can freely bend and straighten his arm at the elbow joint or his leg at the knee.
A mild degree of elbow bursitis does not always alarm the patient, since slight pain appears as a result of strong pressure. It is important to take this point into account, because if proper treatment is not provided, the form of the disease will change to a more severe degree or even purulent. Synovial fluid has a protein component and is ideal for the growth of microorganisms that cause inflammation.
In acute forms of bursitis, the application of a special fixing bandage to the affected joint is indicated. This measure allows for relative fixation of the joint and, therefore, minimal impact on the inflamed synovial bursa.
Also, for uncomplicated forms of inflammation, the drug diclofenac is prescribed in the form of an intramuscular injection or tablets. Its action has an anti-inflammatory and analgesic effect. Diclofenac should be used with caution in the presence of stomach diseases. Applying compresses with dimexide or Vishnevsky ointment has a significant effect. The use of compresses is especially important when sweating (formation of significant exudative contents). To avoid secondary infection, the skin around the joint is treated with methylene blue.
Cooling compresses reduce the amount of swelling. They should be applied no more than twice a day for 30 minutes.
Prescribing an antibiotic for acute forms of the inflammatory process is appropriate in the case of a borderline condition with a purulent form or in cases of severely weakened immunity.
Purulent joint bursitis is a serious, complicated disease. In this case, surgery is required. In milder cases, puncture of the synovial bursa is performed, followed by drainage of the exudate and administration of an antiseptic. Corticosteroid drugs are injected into the area of inflammation. Sometimes a local antibiotic is administered. For complicated forms, surgery is performed. An incision is made and the synovial bursa and purulent discharge are removed.
For purulent forms of bursitis, it is always advisable to take diclofenac or ibuprofen to relieve inflammation. An antibiotic is required in this case. The most commonly used antibiotics are cephalosporins. But in any case, a specialist should prescribe antimicrobial drugs depending on the patient’s condition. Which methods of taking antibiotics are better in a particular case is decided by the attending physician. As a rule, injections are more effective. Along with antibiotics, general restorative drugs are prescribed. Diclofenac can enhance the activity of some antibiotics; this fact must be taken into account when selecting them.
You should know that bursitis is a fairly serious disease and, if treated unsatisfactorily, can lead to complications in the form of arthrosis and osteomyelitis. In purulent cases, complications are fraught with sepsis. Therefore, it is important to promptly prescribe treatment at the first signs of the disease.
Bursitis is an inflammation of the periarticular bursa containing synovial, so-called joint fluid. What are the symptoms of this disease: joint deformation, redness of the skin, limited movement of the limbs, pain and swelling. What antibiotics are used for bursitis?
Bursitis is mainly treated with medication. At the same time, massage, various physiotherapeutic procedures and physical therapy are additionally prescribed. Therapy for the treatment of different forms of the disease is not fundamentally different. Antibiotics are used for all types of bursitis - infectious, wound and traumatic.
IT IS IMPORTANT TO KNOW! The only remedy for JOINT PAIN, arthritis, arthrosis, osteochondrosis and other diseases of the musculoskeletal system, recommended by doctors! Read more.
During treatment, the patient is simultaneously prescribed two or three drugs from Ceftriaxone, Lincomycin, Amoxiclav, Doxycycline. Intramuscular or intravenous injections are prescribed, when combined with drugs administered directly into the periarticular bursa.
In parallel with antibiotics, anti-inflammatory drugs made from steroid hormones are also used: Kenalog with Diprospan, non-steroidal anti-inflammatory drugs to eliminate heat, swelling and pain: Voltaren, Indomethacin, Diclofenac and Ibuprofen. To achieve a therapeutic effect, the drugs are used in combination - in tablets or injections, as well as externally.
What antibiotics are used for bursitis - Lincomycin (prescribed 500 mg 3-4 times a day). For children, the daily dose is set at 30-60 mg per kg of body weight. The drug is taken one hour before meals. When administered intravenously, Lincomycin dose for adults per day is 600 mg 1-2 times a day. The full course lasts up to two weeks.
Amoxiclav is taken immediately before meals. For children under 12 years of age, the dose of the drug is calculated based on their body weight. The daily amount is 40 mg per kg, the dose is divided into three times. For children weighing more than 40 kg, the dose is the same as for an adult. The drug in the form of injections is prescribed to adults and children over 12 years of age at 1.2 g with an interval of 8 hours. Children under 12 years of age are administered 30 mg per kg of body weight at intervals of 8 hours. Treat with Amoxiclav for 6-15 days.
What antibiotics are used for bursitis both intravenously and intramuscularly - this is Ceftriaxone. For children over 12 years old and adults, the dosage is 1-2 g. once a day. When the disease is complicated, the daily dose is increased to 4 grams with a maximum daily dose of 1 kg of weight/50 mg. And for children under 12 years old, 20-80 mg/kg of weight. For children weighing more than 50 kg, the dose is the same as for adults. The course of therapy with Ceftriaxone is two weeks.
Bursitis is classified according to duration:
Depending on what inflammatory and pathological processes develop in the synovial bursa of the elbow, bursitis is classified according to the type:
The video in this article shows an operation for purulent bursitis of the elbow:
Inflammatory pathology is also distinguished according to two more classifications:
It is not difficult to completely restore JOINTS! The most important thing is to rub this into the sore spot 2-3 times a day.
The main reasons for the development of pathology are as follows:
If you suspect bursitis of the elbow joint, symptoms appear:
The pain and lump immobilizes the joint: it reduces the range of motion. Every movement causes pain throughout the entire arm. The patient loses his appetite, his temperature rises, general intoxication of the body begins, and weakness appears.
Conservative treatment is carried out in stages, as indicated in the table:
For recurrent bursitis and unclear etiology, limited range of motion and pain, arthroscopy of the elbow joint is performed.
General intravenous anesthesia is administered, an antiseptic treatment of the elbow is made, and two small punctures are made. Then a camera and micro-instruments are inserted through them. This operation is considered minimally invasive, so the recovery period after it will be shorter.
During arthroscopy:
Is sick leave given for elbow bursitis? In the acute stage, when the functions of the elbow joint decrease, after punctures and operations, patients are given a sick leave. Its duration is determined by the doctor depending on the patient’s condition.
After arthroscopy, patients are discharged for 2-3 days, but the sutures are removed after 2 weeks. Rehabilitation begins in the ward of the medical center and can last at home for several weeks or even months. The price of surgical intervention is from $560 or 1300 €, 2500-120020 rubles.
After surgery and in order to prevent bursitis, wearing orthoses or bandages on the elbow joint of various designs and types is prescribed.
Prevention of elbow bursitis also includes:
The threat of injury should be eliminated and traumatic effects on the elbow at work and during sports training should be prevented.
With mechanical irritation, serous and then purulent exudate accumulates, leading to stretching of the periarticular bursa, which reaches the size of a large tumor. There are serous effusion and purulent exudate.
With serous effusion, the cavity of the mucous bursa contains a viscous yellow protein liquid. At the beginning of the inflammatory process, the walls of the cavity are without pronounced changes and are thin. But gradually, due to their thickening, connective tissue grows, cords and protrusions form.
With purulent exudate, which is the result of an acute inflammatory process, due to necrosis of the walls of the bursa, pus is poured into the surrounding soft tissue with the formation of phlegmon, either intermuscular or subcutaneous. The skin over it is swollen, the temperature is elevated, and it is painful on palpation. The function of the knee joint may not be impaired, and movement may be painless, which distinguishes bursitis from arthritis of the knee joint.
There is another type of bursitis - traumatic, in which hemorrhagic fluid accumulates in the stretched synovial bursae, which leads to permanent changes in its walls and the proliferation of connective tissue, which divides the cavity of the bursa into additional pockets.
At the first signs of bursitis of the knee joint, you should contact a medical institution for advice and treatment. Treatment of bursitis of the knee joint is carried out by a traumatologist or surgeon. Treatment of the disease depends on the causes of its development. Thus, in the case of a traumatic form, the administration of a solution of hydrocortisone with antibiotics is most often prescribed after a novocaine blockade.
In the early stages of acute bursitis, it is preferable to use rest, dry heat, UHF, antibiotics and fixing bandages. In some cases, a puncture of the cavity is performed with suction of the exudate.
For purulent bursitis, surgical intervention is necessary, namely: opening the abscess of the mucous bursa, removing the purulent contents and subsequent sanitation of the wound. Healing occurs slowly, which is the negative side of this method. It is more preferable to remove the mucous bursa without opening its lumen. The incision is made on the side of the bursa, the wound is left open or sutured after filling the cavity with antibiotics.
The prognosis of treatment depends on pathological changes in the tissues of the infected bags, the body’s resistance, and the ability of the infection to spread. There is a particular danger if bursitis is complicated by arthritis, osteomyelitis, sepsis, or fistulas.
Elbow bursitis is an inflammation of the bursae that surround the joint. Any injury can lead to this disease, which requires long-term treatment and a serious approach.
Next, let us pay attention to the fact that the course of the disease depends on the composition of the fluid accumulated in the bursa: for example, the mildest form of bursitis is characterized by serous fluid, and if there is blood in it, then this complicates the treatment (hemorrhagic type). The most severe form is purulent bursitis of the elbow joint.
With purulent bursitis and the absence of adequate treatment, inflammation can spread to neighboring tissues, which can cause the temperature to rise to 40 degrees.
Treatment of elbow bursitis depends on the form of the disease and begins with making a correct diagnosis. Sometimes an external examination of the patient is sufficient, but for clarification a puncture may be necessary, with the help of which information about the nature of inflammation and microbial flora is obtained.
At the early stage of acute bursitis, it is necessary to rest the joint so that it does not injure the bursa, and therefore a pressure bandage is applied. Warming compresses also help well at this stage, but you need to be careful with them: if purulent processes develop, these areas cannot be warmed.
To prevent the development of purulent bursitis, general antibiotics are prescribed if there is no information about the causative agent. If the puncture is done and you find out which group of bacteria caused it, then choose the antibiotic to which the bacteria are sensitive. At the same time, it is necessary to take anti-inflammatory drugs.
If purulent bursitis has already developed, then you need to contact a surgeon who will perform a puncture, wash the bursa and inject antibiotics with corticosteroids or antiseptics into it.
When is surgery indicated for elbow bursitis?
Bursitis is a serious enough disease that may require surgery. However, many people who become ill with it refuse surgery until the last minute, fearing for their health.
Let's find out when surgery is really necessary:
Only a doctor can determine how to treat bursitis of the elbow joint, since treatment tactics will depend on the type of bursitis and the nature of its course. To treat bursitis of the elbow joint, medications are used, both systemic (tablets, capsules for oral administration, injection solutions) and external (ointments, creams, gels).
Elbow bursitis is often accompanied by severe inflammation and pain, especially if it develops after injury. In order to relieve inflammation and pain, non-steroidal anti-inflammatory drugs (NSAIDs) are prescribed. The NSAID group includes diclofenac, ibuprofen, nimesulide and other drugs. All of them have anti-inflammatory, analgesic and antipyretic effects.
Antibiotics for elbow bursitis
Antibiotics can only be prescribed by a doctor after conducting a laboratory test - inoculating the contents of the synovial cavity on nutrient media in order to identify the causative agent of the infection and its sensitivity to antibiotics.
Sometimes the inflammation and pain associated with elbow bursitis is difficult to relieve. In such cases, intrasynovial injections of glucocorticoid hormones are prescribed; they very quickly relieve all inflammatory phenomena. For this purpose, medications such as prednisolone and hydrocortisone are most often used.
As prescribed by a doctor, mainly tablets 4 25 25 0
Sources: http://prosustavy.com/bolezni/brst/lechenie-bursita-loktevogo-sustava.html, http://womanadvice.ru/bursit-loktevogo-sustava-lechenie, http://teammy.com/notes/ 249440print
No comments yet!
The mucous tissue, localized in the area of attachment of muscle groups to bone structures, is subjected to mechanical irritation every day. Serous-mucosal exudate produced in the synovial bursa is called upon to stop such phenomena.
The penetration of infectious agents from the outside leads to the transformation of the mucous nature of the exudate into its purulent version. It accumulates, and the joint capsule increases significantly in size. Visually, this appears as a spherical formation in the elbow area.
Locally, the patient will experience severe pain, swelling, hyperemia of the dermis, and fluctuations in temperature parameters. Some limitation of motor activity is possible.
A thorough history taking and diagnostic procedures will facilitate the adequate selection of therapeutic therapy for elbow bursitis.
Therapeutic tactics largely depend on the type of inflammatory process in the synovial bursa:
The severity of symptoms is directly related to the general reactivity of the patient’s body, as well as the nature of the synovial effusion. Experts identify the following types of bursitis:
In some cases, it is possible to develop a combined variant of the pathology, for example, serous-fibrinous bursitis or a purulent-hemorrhagic variant.
In direct dependence on the results of the examination, the specialist selects effective methods of therapy. When a primary variant of bursitis is identified - without significant damage to the articular structures, conservative methods are usually used.
First of all, the specialist selects the optimal antibacterial therapy. The choice of drug must be strictly justified. Several important factors are taken into account - the susceptibility of the infectious agent to the effects of medications, their tolerance by the patient, availability, and form of administration to the body.
If a bacterial study, for a number of reasons, has not been carried out, experts give preference to antibacterial drugs with the widest possible spectrum of action on pathogenic microorganisms. Medicines of the latest generations are popular, active against most infectious agents.
At an early stage, treatment of elbow bursitis comes down to organizing functional rest of the affected area, applying cold, then heat. Antibiotic therapy will be recommended for extensive accumulation of exudate in order to prevent suppuration.
After the puncture and aspiration of the contents, a bacterial test will be carried out to identify the infectious agent. The antibiotic is selected taking into account this study. It is administered intra-articularly after washing the affected area.
Surgical treatment is resorted to if the above conservative methods are unsuccessful and the disease progresses. Treatment procedures will be carried out in a hospital setting. Antibacterial therapy will be more extensive - several drugs will be prescribed - both in tablet and injectable form.
Having made and confirmed the diagnosis, the specialist recommends optimal treatment of elbow bursitis with antibiotics. The mechanism of their effect is quite complex, the main effect is to suppress the activity of pathogenic microorganisms and prevent further reproduction.
At the moment, the choice of drugs is quite wide:
It is recommended to take antibiotics for bursitis of the elbow joint strictly as prescribed by the doctor - he determines the optimal name of the medication, the frequency and method of administration, and the duration of the treatment course. As a rule, it takes at least 10–14 days for complete recovery.
It must be remembered that in addition to suppressing pathogenic microbes, the above drugs also affect beneficial microflora. Therefore, it is absolutely prohibited to change the treatment regimen on your own.