Bursitis, or inflammation of the bursa, is quite common. Such a seemingly minor disease can bring a lot of suffering to a person and significantly reduce his quality of life. Bursitis can be cured quite simply if therapy is started on time, but if the disease becomes chronic, treatment becomes much more difficult, and in some cases even surgery may be required.
As is known, inflammation of synovial bursae can be of an infectious or non-infectious nature. Accordingly, how to treat bursitis in a particular person depends on the cause of its occurrence.
This is what elbow bursitis looks like
This form of the disease is treated very quickly and effectively. The main thing is to seek medical help in time and follow all doctor’s recommendations. Therapy is usually conservative and consists of several groups of measures.
Effective treatment of acute bursitis is impossible without observing the following 4 rules:
Joint orthoses perfectly complement the treatment of bursitis
Medicines can be used both for oral administration or injections, and for local therapy (ointments, gels, compresses). As a rule, drugs from the group of analgesics and non-steroidal anti-inflammatory drugs are used. They suppress the inflammatory process, help reduce or completely disappear the main signs of bursitis (pain, swelling, fever).
These drugs are prescribed as injections for intramuscular administration. When pain and inflammation subside, similar drugs are prescribed in tablets. The dose should be selected only by a specialist, taking into account individual contraindications. The course of treatment is 7-10 days.
Drug therapy with anti-inflammatory drugs helps quickly eliminate inflammation in bursitis
Therapy must be supplemented with local treatment. You can use ready-made pharmacy anti-inflammatory and analgesic ointments (Diklak gel, Voltaren, Dolobene, Fitobene), or you can prepare a multi-component compress yourself.
For an anti-inflammatory and pain-relieving compress you will need:
All ingredients must be mixed carefully. A clean gauze cloth should be folded 6-8 times, soaked in a medicinal solution and applied to the sore joint for 40-60 minutes. You can make such compresses 2 times a day until the symptoms of bursitis subside.
If all of the above methods turned out to be ineffective, then they resort to puncturing the inflamed bursa with a needle and evacuating its contents. This manipulation reduces the pressure inside the synovial bursa, which significantly reduces pain. Also, during a puncture after evacuation of the inflammatory fluid, the doctor can inject an anti-inflammatory drug into the bursa cavity. Most often, long-acting glucocorticosteroids (Diprospan, Kenalog, Hydrocortisone) are used for this purpose. As a rule, 1 such procedure is enough to eliminate acute non-infectious bursitis.
After eliminating the acute period of inflammation using all the methods described above, restorative treatment begins. The patient is prescribed physical therapy for the affected areas of the musculoskeletal system, physiotherapeutic procedures, massage and other manual techniques.
Puncture for bursitis is not only a therapeutic, but also a diagnostic measure
All measures that are used in the treatment of acute aseptic bursitis are also suitable for the treatment of its infectious form. Functional rest, pressure bandages, cold, and elevating the limb are used.
Analgesics and non-steroidal anti-inflammatory drugs are used as drug therapy, but here they play the role of only symptomatic agents. The main medical treatment is the prescription of antibiotics. Only with their help can we cope with pathogenic microorganisms and eliminate purulent inflammation.
The antibacterial drug and its dose are selected individually in each case. Treatment is initially initiated empirically with a broad-spectrum antibiotic. After determining the exact cause of inflammation (microbiological examination of pus and isolation of microorganisms with determination of their antibiotic sensitivity), therapy is corrected.
The most commonly used antibiotics are from the following groups:
Puncture of the synovial bursa with the elimination of purulent contents is carried out not only for therapeutic purposes, but also for diagnostic purposes (determination of the causative agent of infection). After the pus is evacuated, antiseptic solutions and antibiotics are introduced into the bursa cavity to help cope with the disease.
It is required only in case of development of complications in the form of abscesses, cold purulent leaks. In this case, the synovial bursa is opened, the contents are eliminated, and all purulent pockets are sanitized. Further treatment is carried out according to the type of surgical treatment of a purulent wound using antibacterial drugs, local ointments, drainage, and antiseptics. Dressings are constantly carried out. As a rule, such treatment lasts up to 1 month.
For chronic bursitis, treatment is usually surgical
With chronic bursitis, various complications develop. For example, during aseptic treatment, adhesions are formed near the bursa, which compress the surrounding ligaments, vessels, nerves, and during an infectious process, a chronic fistula can develop (this is a narrow passage that connects the cavity of the bursa and opens on the skin, from which purulent contents are released from time to time).
Treatment for such forms of the disease is only surgical. In the first case, a bursectomy operation is performed (surgical removal of a pathologically altered synovial bursa). If there were no infectious contents inside, the postoperative wound will heal in 7-10 days. If a fistula is present, complete surgical excision is performed with further treatment of the purulent wound.
Surgical treatment of chronic bursitis is very effective, the relapse rate is only 3 cases out of 100.
Treatment of bursitis at home almost always involves the use of some kind of folk method. Such therapy is acceptable, but only if the inflammation is non-infectious. And in each case, before using any recipe, it is better to consult a specialist about possible contraindications.
Such folk treatment as wrapping with raw potatoes, beets and cabbage leaves has proven itself very well. They need to be made at night, alternating all 3 ingredients. For compresses, peeled raw potatoes should be cut into thin slices; prepare beets in the same way. The cabbage leaf must first be slightly kneaded in your hands. Wrap everything on top with a soft cloth. The course of treatment is 10-14 days.
Alternative treatment for bursitis can only be used with an aseptic process
Lotions made from propolis tincture help well with bursitis. To prepare the latter, you will need 10 grams of propolis and 100 milliliters of 40% alcohol. Propolis needs to be infused for 7 days at room temperature. For the lotion itself, you need to moisten a clean cloth with the tincture and apply it to the sore joint for 15-20 minutes. This procedure can be repeated 3-4 times a day. The course of treatment is 7-10 days.
To prepare a medicinal ointment you will need:
Soap and honey need to be heated in a water bath until a homogeneous mixture is formed. Then place it on a clean cloth. Place a finely grated onion on top. Apply a compress with this ointment to the sore spot, and wrap it with polyethylene on top. You need to keep it for 2 hours. The course is 10-14 procedures, 2 times a day.
Local pine baths are good for bursitis pain relief. To prepare this you need to take 250 grams of pine twigs, cones and needles. The raw materials must be boiled for 30 minutes in 3 liters of water. Then leave for 12 hours. After this, the bath is ready. It should be taken for 20-30 minutes every other day for 1-2 weeks.
To prepare an infusion of celery seeds, pour a glass of boiling water over a tablespoon of seeds. It is necessary to insist under the lid for 2 hours. Take half a glass orally 2 times a day. The course of treatment is 10 days.
In conclusion, it is important to say that the sooner you seek medical help for bursitis, the easier and more effective the treatment will be, and in the case of chronic bursitis, sometimes only surgery can relieve pain.
Bursitis as an inflammation in the periarticular bursa requires treatment, otherwise severe complications are possible. Treatment of bursitis of the elbow joint with Dimexide is carried out using compresses diluted with water or Novocaine. The drug is quickly absorbed into tissues and penetrates the blood, providing anti-inflammatory, antimicrobial effects and an anesthetic effect. Under the influence of Dimexide, the healing process is accelerated and the effect of antibiotics and other drugs is enhanced.
Elbow bursitis is a dangerous disease that manifests itself in acute, chronic and recurrent forms. The main cause is considered to be injury to the elbow. The use of "Dimexide" for bursitis of the elbow joint is useful because:
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Dioxidine for dressings is used in the form of a solution. Take 1:1 water and drug. The sore spot is pre-treated with an antiseptic. Moisten a piece of bandage or gauze in a medicinal solution and apply it to the elbow. Polyethylene is applied on top of the bandage and the elbow is wrapped in cotton cloth. The therapeutic bandage should be kept on for no more than 20-30 minutes. The course of therapy lasts 10-15 procedures. If a person has sensitive skin, you can make a 1:3 solution. The drug is used as a local anesthetic 2-3 times a day. For purulent bursitis, the solution is made in proportions of 1:4.
To relieve pain and inflammation, you can dilute Dimexide with Novocaine in a ratio of 1:3.
The drug is not prescribed during pregnancy and breastfeeding, as well as for children under 12 years of age. Joint lotions using Dimexide are contraindicated if you have:
When applying compresses, you must follow the rules. In case of overdose, urticaria, swelling, burning and other reactions may occur. If this happens, the bandage is removed from the elbow and treatment is stopped. Side effects may include dryness of the epidermis at the site of the manipulations, the appearance of pigmentation and contact dermatitis, as well as itching and irritation.
One of the most progressive methods for treating bunions at home is a compress. The use of a compress for the bone can relieve swelling, reduce pain and reduce the inflammatory process. Since bunions can be caused by various diseases (bursitis, gout and hallux valgus), several types of compresses are used.
Gout develops as a result of salt deposition and increased uric acid. To combat the disease, compresses are used to remove salts from the body and improve blood circulation. Here are some of them:
Since the main cause of bursitis is inflammation, the following types of anti-inflammatory compresses are used:
To combat the bone formed by hallux valgus, you need to use the following compresses.
A compress from river fish is made as follows: freshly caught fish are taken and the entrails are removed. Next, the head and tail should be separated from the fish, after which it is cut lengthwise and the ridge is removed. The cut fish is applied on both sides to the affected area, after which it is secured with a bandage. Next, the leg is wrapped in polyethylene and wrapped with cloth or bandage. The compress should be applied throughout the night and used until complete recovery. If you don’t have the opportunity to take freshly caught fish every day, you can buy the whole course at once and freeze it, then defrost one every day.
A compress of Kalanchoe leaves reduces inflammation and improves lymph circulation. To make it, take the required number of large leaves of the plant and put it in the refrigerator to cool overnight. In the morning, pour boiling water over the leaves. To better release the casting juice, you need to tap it with a meat hammer or the handle of a knife. Next, the sheet must be applied to the diseased bone and secured with gauze or a bandage. After the sheet dries, it must be replaced. Repeat this procedure for two weeks.
Urine compress. Proponents of urine therapy can use this compress for the bone in case of hallux valgus. Soak the gauze with fresh urine and place it on the sore area of the foot, then secure it with a wide bandage folded in half. This procedure should be applied three times a day until the patient recovers completely.
Egg compress To make this compress you need one hundred grams of wine vinegar and one egg. The egg is immersed in it and locked in a dark place until the shell dissolves. Once this happens, the eggs are pulled out. After breaking through the film, separate the yolk from the white. The yolk is cut and mixed with vinegar and one hundred grams of turpentine until smooth and sent to a dark and cold place. Next, take 250 grams of salt and dissolve it in 500 grams of hot water. Soak a rag in this solution and rub the bone. Then apply the previously prepared mixture to the sore finger and wrap it in a woolen scarf, placing parchment paper on top. The compress should be left overnight and repeated for two weeks.
A tar compress is also effective for getting rid of bones . Thanks to it, excess fluids and harmful substances are removed from the joints. To make a medicinal mixture, take two hundred and fifty grams of tar and fill it with 50 grams of 98 percent alcohol, then send it to a dark and cool place for a day. Once the medicinal mixture is ready, apply it to a cotton swab and apply it to the sore spot. Then secure it with a bandage and wrap it with film over it. This procedure is applied overnight and repeated for two weeks. After which a week-long break is taken and repeated again until complete recovery.
A warming compress made from walnut leaves has a positive effect on removing inflammation and swelling. To make this remedy, place the required amount of nut leaves in a vodka-iodine solution (one drop of iodine per 50 grams of vodka) for a day. Afterwards, the finished leaves are placed in gauze and applied to the bone, then fixed with a bandage. You need to wear the compress for two hours before going to bed, for a period of two weeks. After a week's rest, you can repeat the therapy.
The use of compresses will help relieve swelling and inflammation. Improves blood circulation and promotes metabolism.
But in order to avoid the transformation of diseases from a mild stage into a chronic one, consult a specialist. In addition, to consolidate the therapeutic effect of compresses, it is recommended to use orthopedic means.
Bursitis is a disease in which an inflammatory process occurs in the bursa (periarticular bursa), which causes the accumulation of fluid (exudates) in its cavity.
Read also our special article nutrition for joints.
To help the body cure the disease and support the body, with bursitis you need to eat foods with vitamins A, C, E, and eat more gelatin (at least three times a week will be enough). So eat more:
Jellied fish, jelly, fruit and milk jellies, jelly, and pumpkin porridge are best suited to the diet.
Traditional medicine provides a whole range of remedies to combat bursitis. This is first of all:
The main goal of treating bursitis is to eliminate the infection, relieve inflammation and prevent complications. A collection made from viburnum, celery (seeds), willow and zanthoxylum is well suited for these purposes. You need to take 15 milliliters of decoction three times a day.
To relieve muscle tension, the sore joint should be lubricated with tinctures of viburnum (bark) and lobelia. You can use them separately, or you can mix them, but the components must be in equal quantities.
To reduce swelling, compresses made from laundry soap, grated potatoes, geranium leaves and cabbage are applied to the sore spot.
If you suffer from severe and acute pain, you can apply a compress with dimexide (a solution of dimexide can be easily bought at a pharmacy, the main thing is to dilute it with distilled water according to the instructions). If you apply dimexide in its pure form, an allergic rash may appear or the skin may be damaged.
Salt baths are an effective remedy. For a 50-liter bath you will need 2 kilograms of salt (you just need to dissolve it). The only peculiarity of this procedure is drinking a glass of grapefruit juice (it also helps remove excess fluid from the bursa).
To restore motor function and relieve inflammation, you need to rub yourself with mustard-camphor ointment. Ingredients: 100 grams of melted beeswax, 5 tablespoons of mustard powder and 100 milliliters of alcohol. Mix everything thoroughly. Spread the affected joint, place wax paper on top, cover with a bag and wrap it up.
All these products contain oxidants and have a detrimental effect on the condition of joints and bones. Also, such food is difficult for the stomach and kidneys (excess liquid may accumulate due to impaired water-salt metabolism).
Bursitis is a disease of inflammatory nature that affects the periarticular bursa (mucous membrane), which is accompanied by deformation of the movable joint, redness of the skin, limitation of motor activity of the limb, pain, and swelling.
When choosing treatment methods, the severity of manifestations, the spread of the pathological process, the state of the immune system, the clinical picture, and changes in the affected tissue structures are taken into account. Therapy is usually complex, including medication, physiotherapy and massage, and adherence to a regimen.
The drugs are used to eliminate pain and suppress inflammation. Wound, infectious, traumatic bursitis is treated with antibiotics. In this case, the simultaneous use of 2-3 medications in the form of ointments, injections, tablets is prescribed.
Antibiotics for bursitis are used if the inflammatory process is purulent in nature. The first signs of a complication of the condition require puncture of the synovial bursa, followed by sending the exudate for research, where the pathogen is identified in the laboratory and the sensitivity of microorganisms to the effects of drugs is determined.
An antibioticogram is drawn up for at least 5 days. Since this period is too long for a purulent form of pathology (the process progresses quickly), the use of antibiotics with a wide spectrum of activity is prescribed:
If the selected drug does not produce the desired effect, it is replaced when test data is received.
Ceftriaxone is intended for intravenous, intramuscular administration. The daily norm is 1-2 g. It can increase depending on the severity of the pathology and amount to 4 g. The highest daily dose is 0.05 g/kg. The procedure is carried out once a day. Children whose weight exceeds 50 kg are treated similarly to adults. The duration of the therapeutic course is 14 days.
The dosage of Cephalotin is individual. When establishing the norm, the severity, localization of the disease, and sensitivity of the pathogen are taken into account. The drug is administered intramuscularly, intravenously at intervals of 4-6 hours. The size of a single dose is 500 mg or 1 g. Manifestations of severe forms of the disease are eliminated by increasing the amount of the drug administered (norm - 2 g, break - 4 hours). The duration of treatment is determined by a specialist.
Treatment of bursitis with Amoxiclav begins with calculating the daily dose. For children, the key factors are weight and age: 40 mg of medication per 1 kg. It is recommended to divide the indicated dose into several doses (3 times a day). Adolescents and adults are prescribed 375 mg of Amoxiclav three times a day, sometimes 625 mg twice. The tablets are taken before meals.
In the form of injections, the medicine is administered once every 8 hours. Dosage for adults is 1200 mg. Children (less than 12 years old) norm is 30 mg/kg with a similar interval. Treatment with injections ranges from 5 to 14 days.
Oxacillin in tablet form is taken before eating (60 minutes before) 3 g per day.
Antibacterial therapy takes from a week to 10 days, in severe cases it is extended to 21 days.
The daily dose for intramuscular and intravenous administration is 2-4 g. The dosage is adjusted according to the condition of the patient’s kidneys.
A specialist will select the optimal frequency, duration of use, and dose of Doxycycline. For one oral dose, intravenous drip, 0.1-0.2 g of medication is required, the daily maximum is 0.3-0.6 g (tablets), no more than 0.3 g (droppers).
The dosage is influenced by the patient’s condition and the type of pathogen (causative agent). On the first day, 0.2 g is prescribed, then half as much. Sometimes 200 mg is the daily dose for the entire period of therapy. A similar standard is set for teenagers. The dosage of the first day of treatment for children is 4 mg/kg, subsequent days varies from 2 to 4 mg/kg.
The regimen for taking Rondomycin is determined by the severity of the manifestations and the sensitivity of the pathogen to the drug. For mild to moderate cases, 600 mg of the drug per day is recommended. The daily dosage is divided into 4 times a day, 150 mg, or twice a day, 300 mg.
The permissible 24-hour maximum is 1200 mg. When the symptoms of inflammation completely disappear, treatment for bursitis does not end: it is recommended to continue use for another 1-2 days. Rondomycin is taken before meals (60 minutes before) or after a 2-hour period. The medicine should be taken well.
The daily dosage of Lincomycin is 1.5-2 g (three or four times half a gram). The daily children's norm is from 0.03 to 0.06 g/kg. Intravenous administration is carried out twice a day, involves the use of 0.6 g of the drug per 1 procedure. Duration of therapy is from 1 to 2 weeks.
An analogue of Lincomycin is Clindamycin, an effective medicine for bursitis in the form of tablets (oral), solution (injection). The solid form of the drug is taken at intervals of 6-8 hours daily, 150 mg. The dosage depends on the severity of the pathology, in complex cases it doubles or triples. For intravenous, intramuscular administration of the solution, 300 mg of the drug is used for injection twice a day (150 mg each).
Severe forms of the disease require an increase in the daily norm 4-9 times, divided into 3-4 procedures. At one time it is permissible to administer a maximum of 1.2 g intravenously over 60 minutes, 0.6 g intramuscularly.
The daily dosage of Ampicillin tablets is 1 g (4 doses of 250 mg). It is recommended to maintain equal (6-hour) intervals between each use to maintain a constant level of active substance. Treatment usually takes 5 days, but is extended twice or more if complications are diagnosed.
When prescribing Amoxicillin (tablets, suspension), the daily dose is 1.5 g (three times in equal parts). When a severe form of the disease develops, the single dosage is increased to 0.75-1 g. A maximum of 6 g of medication is allowed per day.
When determining the Gentamicin norm, the severity of the lesion, the localization of the pathological process, and the sensitivity of microorganisms are taken into account. Intravenously, intramuscularly, 3-5 mg/kg is administered daily (2-4 procedures are required). The duration of therapy is 7-10 days. The daily dosage can vary from 0.12 to 0.16 g with a similar course duration. Sometimes a single use of 0.24-0.28 g of the drug is prescribed.
The rate of Izepamycin is set similarly to Gentamicin; in addition, kidney problems are taken into account - impaired excretory function. Average dosing rates: 8 mg, 15 mg per kg of weight with a single daily administration. The maximum permissible use is 1.5 g per 24 hours. The course lasts 5-14 days.
For bursitis, ointment is an auxiliary measure that complements general drug therapy. Typically, external preparations with antibiotics, anti-inflammatory and regenerating substances are used. Any ointment for bursitis is used in the form of compresses. It is recommended to be treated with Dimexide (the most popular medication), Levomekol, and Balsamic Liniment.
For a compress, novocaine is diluted with Dimethyl sulfoxide (3:1). Gauze is moistened with the resulting solution and then applied to the affected joint. To enhance the effect, you need to put polyethylene on top and insulate it. The procedure lasts 30 minutes.
A compress with Dimexide added to boiled water (1:4) is effective for purulent accumulations, as it helps remove them from the joint capsule and prevents their re-formation.
To improve the penetration of drugs, dry antibiotics are added to the solution. The affected area is treated with the mixture.
If burning or irritation occurs, the compress is immediately removed from the skin to avoid burns. The longest permissible duration of use of Dimexide for bursitis is 10 days.
Inflammation of the joint capsule is a serious pathology, which without the necessary treatment can lead to complications: arthrosis, osteomyelitis. Purulent manifestations of the lesion can develop into sepsis. To avoid negative consequences, you must consult a doctor immediately after detecting the primary symptoms of the disease.
Chronic or acute inflammation of the joint capsule, the bursa, is called bursitis. In this case, inflammation of the mucous membrane of the synovial bursa and accumulation of exudate in the affected area are observed.
The development of bursitis most often occurs as a result of an inflammatory process of an infectious nature or as a result of joint injury.
Bursitis most often occurs in people leading a sports or active lifestyle.
Usually the pathological process affects the areas of the knee, elbow, and hip joints. Inflammation in the bursa between the heel bone and the Achilles tendon is common.
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According to the clinical picture, bursitis is divided into recurrent, subacute, acute and chronic.
The causative agents of the disease are determined by bursitis of nonspecific and specific types. Specific bursitis can be caused by tuberculosis bacilli, syphilitic, gonorrheal or brucellosis bacteria.
The nature of the exudate determines the serous, hemorrhagic or purulent forms of the disease.
Provoking factors influencing the appearance of bursitis can be frequent mechanical stress, various joint injuries, and even diathesis. Sometimes bursitis affects joints without external visible causes.
Often the cause of bursitis is hidden in the progression of arthritis, gout, and the deposition of calcium salts.
As we have already said, the disease has acute and chronic forms.
Acute bursitis occurs unexpectedly and progresses over 2-3 days. After prolonged or intense physical stress on the joints or as a result of acute infection, the patient suddenly notices swelling, redness and pain in the area of the affected joint.
In acute bursitis, symptoms increase over several days. After the peak of severity, all manifestations begin to decline. But the lack of qualified medical care can lead to the formation of chronic bursitis.
In addition, with complicated acute bursitis, i.e. when the disease is accompanied by sepsis, osteomyelitis, arthritis or fistulas, the prognosis of the disease is unfavorable.
The chronic form of the disease can be the result of acute bursitis or develop against the background of various inflammatory processes in the musculoskeletal system.
Chronic bursitis develops over a long period of time. It can develop over several months. In this case, the patient has a swelling in the articular area, soft on palpation, without changes in the structure of the skin and joint mobility.
Periodically, chronic bursitis worsens, and the amount of fluid in the bursa increases. Complications of the chronic form can be expressed by decreased mobility in the joint and scar adhesions.
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Due to the fact that the most mobile part of the upper limb is the elbow joint, bursitis can occur in it due to any external influence - injury or physical strain. Possible subsequent infection. In these cases, a hemispherical swelling occurs in the area of the elbow bend.
Additional infection leads to hyperthermia, redness of the inflamed area, pain and limited mobility of the affected joint.
No less common bursitis of the shoulder joint is characterized by the absence of a direct connection between the damage to the periarticular bursa and the joint cavity.
With shoulder bursitis, the affected area is very painful, and the pain increases with any movement.
The hip joint affected by bursitis is extremely painful and severe.
The addition of a secondary infection of a purulent nature to bursitis leads to damage to the entire joint. With this form of bursitis, the joint is limited in movement, because is in a slightly everted and bent position.
Bursitis of the knee joint affects the bursae located under and above the joint. The disease has an acute form and is expressed by increased temperature, swelling, and enlargement of nearby lymph nodes.
Achilles bursitis or bursitis of the ankle joint is quite rare and is localized between the heel and the calcaneal tendon. Most often it occurs due to wearing uncomfortable shoes. When diagnosing it, achillobursitis is differentiated from a heel spur.
The following symptoms are obvious and common to all types of bursitis:
With chronic bursitis, these symptoms may be mild.
Diagnosing bursitis is usually not difficult. To exclude diseases with similar symptoms, an x-ray or ultrasound examination of the joint is performed.
If necessary, a puncture is performed from the joint capsule to study the bacteriological and immunological composition of the contents.
Acute bursitis is treated inpatiently with bed rest and the application of a pressure bandage.
This regimen is applied for 10 days, and then light physical therapy is prescribed, which is necessary to restore mobility. In addition, anti-inflammatory therapy is carried out, including antibiotics for infectious origin of bursitis.
Treatment methods for chronic bursitis are based on drug resorption of the source of inflammation. Traditional methods are often used for these purposes.
To immobilize the diseased joint, bandages or other fixing devices are used. It is advisable to use cold packs or ice packs.
The affected joint is fixed in an elevated state and compression is applied using elastic bandages.
Shock wave and physiotherapy have a positive effect in the treatment of bursitis.
Dimexide is used for compresses in treatment for bursitis. For these purposes, the drug is diluted with 0.5 percent novocaine in a ratio of 1 to 3, and a napkin with compress paper soaked in the solution is applied to the affected area.
It must be remembered that for bursitis, dimexide cannot be applied for more than 30-40 minutes. If a burning sensation begins at the site where the compress was applied, you should not wait the allotted time and remove the compress, because An allergic reaction or burn may occur. Treatment of bursitis with dimexide is carried out for 10 days.
In some cases, surgery is used. In this case, the bursa is punctured and disinfected using antibiotics. In severe cases, corticosteroids are administered.
Localization of the inflammatory process allows doctors to distinguish types of joint bursitis:
It is necessary to take urgent measures if a person experiences pain, swelling, swelling in the joint area.
Considering that bursitis is an inflammation of the mucous membrane of the synovial bursa, experts identify various foci of inflammation in the knee area.
When the popliteal bursa becomes inflamed, doctors diagnose infrapatellar bursitis, which is a consequence of injury to the knee ligaments. In this case, inflammation forms under the large tendon. Infrapatellar bursitis occurs when nearby tendons are damaged.
When inflammation develops in the patellar bursa, suprapatellar bursitis occurs. Suprapatellar bursitis develops as a result of a direct blow to the knee or a fall on the cup. After such injuries, the site of the knee may become infected. If a person’s occupation often requires kneeling, suprapatellar bursitis will also affect him. Prepatellar bursitis is associated with redness of the skin and swelling. Prepatellar bursitis develops at the top of the knee and becomes apparent quickly. When a joint becomes infected, prepatellar bursitis can cause a fever.
Knee bursitis should be treated based on its etiology. Purulent forms require immediate consultation with a doctor and the use of antibacterial drugs.
In any case, if you have been diagnosed with suprapatellar bursitis or inflammation is found in the popliteal region (prepatellar bursitis), you should reduce the load on the joints and ensure that the knee is at rest. If necessary, you can also apply a bandage or compress to the knee joint area.
First of all, for any type of joint bursitis, it is necessary to take anti-inflammatory drugs, as well as analgesics.
As one of the treatment methods, doctors prescribe physiotherapeutic procedures. However, it is important to remember that their use is impossible in acute forms of inflammation in the leg.
The hip joint contains muscles that, by contracting and lengthening, provide movement to the joint. But this may cause friction against adjacent tendons and bones.
Special bags (bursa) help reduce friction. If the bursa becomes inflamed, pain appears. Hypothermia, a sedentary lifestyle, obesity, and injuries become the causes of the disease.
Inflammatory processes occur in the three bags of the hip joint. In the trochanteric bursa, which is located near the greater trochanter of the femur, the appearance of pain is observed in the area of the outer protrusion on the femur. This is how trochanteric bursitis manifests itself.
Iliopectineal bursitis occurs anterior to the location of the iliac psoas muscle.
Ischiogluteal bursitis occurs when inflammation of the bursa with the same name develops and the pain intensifies when the hip is flexed.
The appearance of pain signals that this is a disease that needs to be treated urgently.
Usually, rest and taking anti-inflammatory drugs are enough for recovery. If the disease is prolonged, doctors additionally prescribe glucocorticoid injections and physical therapy to part of the inflamed femoral area. In acute forms, surgical intervention is sometimes suggested.
After relieving acute pain, specialists begin exercises aimed at stretching the iliotibial tract and tensioning the fascia lata, strengthening the gluteal muscle.
If trochanteric bursitis is aseptic in nature, it is recommended to use cold compresses.
Trochanteric bursitis is treated with electrophoresis or ultrasound therapy of the femoral area. In cases where these measures are powerless, doctors inject glucocorticoids into the lesion. Often the above is enough to achieve recovery.
In cases where pain persists during conservative treatment, doctors see indications for surgical intervention.
Surgeries that eliminate a disease such as trochanteric bursitis are aimed at relieving the tension of the iliotibial tract with excision of the trochanteric bursa, in some cases without it.
Due to wearing uncomfortable shoes, people face a problem such as inflammation of the ankle joint, which experts call Achilles tendon bursitis. The disease is associated with inflammation of the mucous membranes of the tendon, where fluid (exudate) accumulates, and this provokes the appearance of tissue compaction. Achilles bursitis occurs where the Achilles tendon connects to the heel bone.
Treatment of Achilles bursitis involves conducting studies that can identify the causes of the disease in this area of the leg.
The first thing to do is to ensure that you are wearing loose and comfortable shoes. Injections given into the thickness of the tendon will help significantly reduce pain. Mixing an anesthetic with a corticosteroid will help reduce inflammation and relieve pain in the leg.
If the pain has become chronic, then the fluid that appears as a result of the inflammatory process should be removed. Then it is necessary to rinse the area of the leg where the manipulation was performed with antibiotics.
Purulent Achilles bursitis also involves surgery, when surgeons make an incision in the leg and remove the pus. In severe cases, doctors have to remove part of the heel bone of the leg. Simple forms of the disease can be cured using compresses, ultrasound and laser technologies.
Another disease that develops in the neighborhood and causes discomfort also occurs on the foot, and it is known to medicine as bunion. There are many reasons for the development of inflammatory processes and deformation of the fingers, including uncomfortable shoes, flat feet, and foot injuries. Bursitis of the big toe manifests itself with pronounced symptoms, allowing immediate identification of the disease. To detect the area of inflammation on the leg, X-ray diagnostics are performed, and in more acute cases, computed tomography is performed.
Treatment for bunions should begin with resting the foot and wearing loose shoes. Placing the leg on an elevated position will help reduce swelling.
Drug treatment of this leg ailment involves the use of painkillers and, if fluid is present, its elimination. In addition, modern medicine knows how to treat this leg disease with laser.
Wearing a plaster splint in the area of the leg where the lesion is located will help cure bunion.
Patients often find a diagnosis of subcoracoid bursitis in their medical records. To know how to deal with this disease, it is important to understand what you are dealing with. First of all, this disease manifests itself when the shoulder is dislocated, when the head of the bone moves forward and then back, and the friction causes the subcoracoid bursa to be compressed.
There are various methods for treating a disease such as subcoracoid bursitis. First of all, you should consult a doctor who will put the joint in its usual position. Methods that can bring relief include massage and physiotherapy.
No less inconvenient is a disease of the shoulder joint such as subacromial bursitis. This type of bursitis is called a mild form of rotator cuff syndrome, and it manifests itself in inflammation of the subacromial bursa.
The doctor prescribes a comprehensive treatment, which includes restriction of movement, the use of non-steroidal drugs orally, and physiotherapy. Subacromial bursitis in more acute forms involves the removal of fragments of the acromion.
In the absence of treatment for inflammation of the periarticular fluid of the shoulder, the processes occurring in the joint acquire a chronic form, leading to calcification, and here, a new disease, calcareous bursitis, appears before us. The disease must be treated with anti-inflammatory drugs such as cortisone. In severe cases, doctors recommend surgery.
If you experience pain in the shoulder blade area, you should seek help from a specialist. Clicking, sounds such as crunching tell us that perhaps this is a manifestation of a disease such as scapular bursitis, the symptoms of which can be heard at a distance of several meters. To establish a more accurate diagnosis, doctors recommend conducting additional studies. X-ray diagnostics allows us to identify developmental abnormalities and prescribe the correct treatment.
In cases where doctors have diagnosed bursitis of the elbow joint, you should forget about stress on the arm. The cause of this disease is inflammation of the olecranon bursa. Sometimes the pain can spread to the hand area.
Treatment of this disease requires an integrated approach. To limit movement, doctors put medical elbow pads on the injured area. Moreover, it is recommended to wear elbow pads constantly until complete recovery. Elbow pads provide immobilization of problem areas. In case of inflammation, elbow pads eliminate the possibility of further injury and infection. Typically, elbow pads are worn for at least five to seven days.
The second step is the use of anti-inflammatory ointments, which are applied to the affected part of the hand. Warming compresses can also be applied to this area of the hand.
The appearance of swelling of the elbow, increased temperature of the arm, and pain spreading to the hand indicate the need for the help of doctors who will remove the accumulated fluid in the painful area of the arm.
The knee area is very vulnerable and is subject to various types of injuries, and, consequently, diseases.
When diagnosing inflammation of the synovial bursa with the formation of effusion, doctors identify a joint disease such as synovitis. In many cases, the lesion spreads to the knee joint, affecting only one area of the knee. Synovitis is formed due to the presence of infection, injury, or hormonal imbalance. When an infection gets into the joint, synovitis manifests itself as intoxication, malaise, pain and general weakness.
This disease can be cured with puncture, immobilization, surgery, and drainage. Patients who have been diagnosed with purulent synovitis may be hospitalized in surgery for more radical treatment measures. After puncture or drainage, doctors prescribe antibiotic treatment. In severe forms of the disease, doctors issue sick leave.
Immobilization of the knee joint is the main therapeutic measure for treating a disease such as synovitis, which involves applying a pressure bandage to the affected area of the knee.
Synovitis of the knee joint, the treatment of which was carried out adequately to the patient’s condition, is cured much faster.
Synovitis should be treated with non-steroidal anti-inflammatory drugs, antibiotics and microcirculation regulators.
Sometimes synovitis can be treated with folk remedies, the most popular of which are comfrey dressings. Treatment of a disease such as synovitis requires an integrated approach.
Foot anserine bursitis is a disease of older people.
Inflammation of the crow's foot does not have pronounced symptoms and develops as a secondary disease. The pain spreads to the inside of the knee. The diagnosis of pes anserine bursitis requires additional research. To exclude dangerous diseases, a complete diagnosis of the knee joint is performed. Foot anserine bursitis is treated with anti-inflammatory drugs.
At home, treatment for bursitis involves the use of medications prescribed by the doctor. You can also apply compresses at home, for example, using dimexide. This medicine is used as a primary medicine. Dimexide has the ability to draw out purulent accumulations from the area of inflammation of the arm, hand, and legs.
Dimexide is suitable for compresses, and the recipe for its preparation involves using the medicine with water. The solution is used for many types of bursitis, since dimexide can relieve inflammation. In addition, dimexide also has antimicrobial properties. The drug is used as a local anesthetic. Dimexide is a conductor for other medications. A drug such as dimexide accelerates healing and enhances the effect of antibacterial therapy.
Despite its beneficial properties, dimexide can cause allergic reactions and requires caution. A doctor should prescribe dimexide, taking into account its contraindications.
Treatment with folk remedies involves the use of compresses made from herbal decoctions. Burdock root is especially known for its healing properties. Burdock root compresses affect the lesion and relieve the inflammatory process. The recipe for preparing a decoction for the treatment of bursitis is very simple and does not require much effort. Two tablespoons of crushed burdock root are poured with water and brewed, infused and prepared as compresses for the joints. Burdock lotions are useful for advanced forms of bursitis of the knee, arm and hand.
It is even useful to treat mild forms of bursitis with folk remedies. The recipe for preparing various anti-inflammatory drugs can be found in many sources of traditional medicine. These include celery teas and propolis tinctures. People know a recipe for a tincture of honey and vinegar that relieves inflammation.
However, treatment with folk remedies should not be harmful, and should not exclude control by specialists.
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.
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.
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.
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.
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?
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).
Nonsteroidal anti-inflammatory drugs in the treatment of elbow bursitis
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.
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 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:
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.
Glucocorticoid hormones in the treatment of elbow bursitis
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
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Apparently, you did not fully treat the bursitis, and it became chronic. You definitely need to see a doctor. Treatment of chronic bursitis is a long and unpleasant process. First of all, complete immobilization (immobility) of the joint is necessary. If the tumor is large, surgical intervention will be required - puncturing the joint capsule and washing the cavity with a disinfectant solution and antibiotics. In particularly severe cases, the doctor administers corticosteroid drugs, but usually physical therapy (UHF) is sufficient.
And in parallel with the treatment prescribed by the doctor, be sure to drink decoctions of St. John’s wort, burdock or yarrow. They have a good anti-inflammatory effect. They are prepared like this. Pour 1-2 tablespoons of raw material with a glass of boiling water, leave for 30 minutes, then strain, dilute with boiled water in a ratio of 1:1 and drink 1/2 glass three times a day. The course of treatment is 10-12 days. And when the acute inflammation passes (the joint will feel the same temperature as the rest of the skin), you can make compresses from the same infusions, warming them up to body temperature.
Alexey Alekseenko, trauma surgeon
HERE'S YOUR CABBAGE! ... I would like to share my experience in the treatment of bursitis. Last year I had a lot of pain in my knee, and then fluid started accumulating in my kneecap. The doctor pumped it out for me once, the second time the result was zero, the fluid appeared again, and suggested an operation. My wife reminded me that my grandmother treated her joints with burdock leaves and cabbage leaves. I wouldn’t have believed such nonsense, but I remembered my childhood, my grandmother on the porch with her knees tied up, and it’s true that until the last day she managed without crutches and a cane. So I went to the market and brought cabbage. I coated my knee with vegetable oil and wrapped it in cabbage leaves, after beating them with a rolling pin, and secured them with a bandage. I spent the whole day wearing the cabbage patch, and in the evening, when I took off the bandage, I saw that the leaf had turned black. At night, I again tied a fresh cabbage leaf to my knee and wrapped a woolen scarf around it. I did this for a month, the pain went away, and fluid stopped accumulating in the joint. Since then I haven’t gone to the doctor.
BALM FOR A SWELLY ELBOW
….I had bursitis. Apparently she injured her hand somewhere. She kept swelling in her elbow joint, and doctors drained fluid from it several times. I was exhausted to the limit and in desperation I turned to the healer. Thanks to this old and wise woman who lives on the outskirts of our Ural town. She saved me from another operation and relieved me of my illness. She gave me a healing balm. From it I made compresses on my elbow at night (soaked a linen napkin in the infusion, applied it to the sore spot, placed a plastic bag on top, secured the bandage with a bandage) for ten days. Then I took a break for 10 days and repeated everything again. Since then I have not remembered my illness. By the way, the healer did not hide the composition of the wonderful mixture, so I want to tell other people about it. Mix a bottle of pharmaceutical bile (sold at the pharmacy) with 2 cups of chopped horse chestnut fruits, add 3 finely chopped aloe leaves. Pour the mixture with 2 glasses of alcohol (70%). Leave for 10 days.
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.
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.