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Elbow joint disease

02 Jun 18

Tendinitis of the elbow joint

Elbow tendinitis, or elbow tendinitis, is a condition that affects the tendon. The disease is associated with increased physical activity, and intense training provokes the appearance of microtraumas in the tendon. If after exercise a person gives the body time to rest and recover, then microtraumas heal successfully and no pathology occurs.

If an athlete does not rest after training, then the tissues do not have time to recover, and as a result, a fatigue injury to the tendon occurs. This condition requires mandatory consultation with a specialist and timely treatment, otherwise tendinitis can cause inflammation of the entire joint and disruption of its function.

Causes of elbow tendinitis

Most often, tendinitis of the elbow joint occurs due to heavy physical activity, so athletes who train every day, seven days a week, are susceptible to the disease. Tendonitis of the elbow tendon can also occur in people of certain professions who perform monotonous movements with their hands every day.

Constant and monotonous loads lead to the appearance of microtraumas in the tendon, which worsen over time. Signs of necrosis and inflammation are often observed in the affected areas.

The disease often occurs in elderly patients after an injury to the elbow joint. Typically, a number of concomitant diseases contribute to this condition, for example, diabetes mellitus, rheumatoid arthritis, weakened immunity, vitamin deficiency, etc.

Symptoms and treatment of elbow tendonitis

Symptoms of elbow tendinitis can vary depending on the cause of the condition. With systematic heavy loads, the pathology develops gradually, the symptoms gradually intensify, in other cases a sharp and severe pain appears, which does not allow normal movement of the arm.

Symptoms of elbow tendinitis:

  • the main symptom of the disease is pain, it can be aching or sharp, most often the discomfort intensifies in the evening, and also manifests itself when moving the affected hand;
  • there may be swelling around the joint;
  • during the inflammatory process, the skin turns red and becomes hot;
  • Due to tendon damage, characteristic clicking sounds may be observed during movement.
  • Diagnosis of elbow tendinitis

    A doctor diagnoses tendinitis through an external examination and based on research. First of all, the specialist listens to the patient’s complaints and takes an anamnesis, after which he conducts an external examination of the affected elbow joint. The doctor observes pain on palpation in the tendon area and characteristic swelling, so he can immediately make a preliminary diagnosis.

    The doctor conducts functional tests and differential diagnostics, since the signs of the disease may be similar to other joint pathologies, arthritis and osteoarthritis. The patient is sent to take a blood test, and may need to undergo x-rays, ultrasound, ultrasonography, and other procedures.

    How to Treat Elbow Tendinitis

    Most cases of elbow tendonitis are successfully treated with conservative methods. The therapy is complex, the patient is prescribed medications, physiotherapy, exercise therapy, and at first the joint may need to be immobilized using a fixing bandage or bandage.

    Drug treatment is necessary to relieve pain and inflammation in the affected area, for this purpose non-steroidal anti-inflammatory drugs are prescribed, for example, diclofenac or nimesulide. These products are sold in the form of tablets, ointments and gels. Usually the medication is prescribed to be used internally and externally at the same time, this helps to achieve a quick and lasting effect.

    Treatment of elbow tendinitis may also require taking antibiotics if the disease is accompanied by an infectious inflammation of the tendon. Antibiotics are also prescribed after surgery.

    Physiotherapeutic treatment helps relieve pain and significantly speed up the recovery of the injured tendon. Typically, the patient is prescribed a course of procedures that must be completed every day for 10 days, and at the end of treatment, the state of health improves significantly.

    Physical activity plays a vital role in the treatment of tendinitis. In the first days after the injury, the patient is recommended to rest completely so as not to provoke new injuries. As soon as the pain subsides, physical therapy is prescribed, which is aimed at strengthening the muscles and ligaments.

    Exercises must be performed carefully; at first, strength training is contraindicated; you can only do stretching exercises. During physical therapy exercises there should not be much pain, otherwise exercises should be postponed for several days until the affected area of ​​the tendon heals.

    Treatment of elbow tendonitis with folk remedies

    In the complex treatment of the disease, you can also use traditional medicine recipes, but it is very important to consult a specialist before using the product. It is worth remembering that folk remedies are not a panacea for all diseases; they only slightly alleviate the symptoms, but cannot completely cure the pathology.

    Treatment of tendinitis of the elbow joint is carried out using the following recipes:

  • For tendinitis, cold treatment is prescribed; the most popular remedy is ice massage. Fill a plastic cup with clean water and place it in the freezer. The resulting ice should be used to massage the joint twice a day.
  • Sea salt helps well when the tendon is damaged; bandages are made with it on the elbow, and medicinal baths can also be used. To prepare a compress, add a tablespoon of salt to a glass of water, moisten a clean cloth with the resulting solution and apply it to the sore spot. To prepare the bath, you need to pour warm water into a deep bowl and add a few tablespoons of salt, put your elbow in the bath for 15 minutes.
  • To quickly restore tendons, it is recommended to take baths with elderberry decoction and soda. The herb should be brewed in boiling water and allowed to brew, strain the resulting product and add a few tablespoons of soda to it. Place the affected arm all the way up to the shoulder in a warm decoction with soda for 15-20 minutes.
  • A compress with onions is very effective for tendonitis. To prepare it, you need to puree fresh onions using a blender or fine grater. The pulp should be laid out on a piece of cloth and applied to the sore elbow, and secured on top with another piece of cloth or bandage. You need to keep the compress for 4 to 5 hours, after which the skin needs to rest.
  • Traditional healers recommend massage with oils. Fir and lavender oils are effective for tendinitis. You need to add 2-3 drops of lavender and fir oil to olive oil, and massage the affected area with this remedy twice a day. For effectiveness, it is recommended to take a medicinal bath with herbs or salt before the massage procedure.
  • Before using the product, you need to make sure that the skin is not damaged, and there is no allergy to its components. Otherwise, serious allergic reactions may occur, in which case the patient’s condition will greatly worsen.

    Disease prevention

    Tendonitis is an unpleasant and painful pathology that causes a lot of inconvenience to the patient, especially if he is an athlete. If a person’s joints constantly undergo heavy loads, he needs to pay special attention to disease prevention.

    You can prevent elbow tendinitis by following these guidelines:

  • it is necessary to give the body rest; you cannot carry out heavy training on the same parts of the body every day;
  • during monotonous work, it is very important to periodically warm up and give your hands time to rest;
  • Human nutrition plays an important role in prevention; it must be balanced, it is necessary to strengthen the immune system and eat enough vitamins;
  • If an injury to the elbow joint occurs, it is recommended to begin treating it as quickly as possible and under the supervision of a competent traumatologist.
  • Professional athletes are recommended to use fixing bandages during training; they will relieve the load on the joint and prevent tissue injury.

    Elbow bursitis

    Elbow bursitis

    Elbow bursitis is popularly called “student’s bursitis” or “athlete’s bursitis”, since most often the disease affects people who regularly perform movements using the elbow joints.

    The disease is an inflammatory process that occurs in the synovial bursa of the joint.

    The causes of elbow bursitis include:

  • bruises of the periarticular bursa and tendon injuries;
  • joint overload;
  • arthritis and gout - inflammation in these diseases can also affect the bursa. The patient's joint activity sharply decreases, swelling and redness appear;
  • allergies and autoimmune diseases.
  • Symptoms of elbow bursitis

    Elbow bursitis has its own symptoms.

    These include:

    • swelling that appears suddenly and causes pain, and also interferes with joint movements. Sometimes such swelling may not be noticed immediately, thereby delaying the start of treatment;
    • the synovial bursa will gradually increase in size and inflammation will increase, and at the same time pain;
    • increased body temperature, redness of the skin.
    • Purulent bursitis of the elbow joint, in addition to the symptoms described above, has a microbial flora and provokes the development of purulent arthritis. The disease usually occurs against a background of fever. Body temperature can rise to 40 degrees, the person will feel general malaise and drowsiness.

      A specialist can diagnose the disease. Methods for diagnosing bursitis:

    • conversation;
    • inspection;
    • radiography;
    • Ultrasound;
    • CT scan;
    • Magnetic resonance imaging;
    • puncture with laboratory tests of the extracted fluid;
    • a general blood test to identify signs of the inflammatory process;
    • angiography of blood vessels to determine the boundaries of inflammation.
    • There are two types of bursitis: acute (rapid) and chronic (recurrent).

      If the described symptoms appear, you should consult a doctor. It is recommended not to let acute bursitis become severe and to begin treatment as soon as possible when the first symptoms appear.

      Treatment of elbow bursitis

      Treatment of bursitis also requires a serious and careful approach. The first thing that needs to be done is to reduce the load on the elbow joint, and if possible, reduce it to a minimum. An elastic bandage will first be placed on the joint, which will limit the range of motion. It also helps neutralize pain, as the joint stops bending and reduces the level of swelling. To reduce pain, non-steroidal anti-inflammatory drugs are used, such as nimesil, celecoxib, rofecoxib, nise.

      To prevent bursitis from becoming purulent, a puncture of the joint capsule is taken. Afterwards, the elbow joint is washed with an antiseptic solution. If purulent bursitis is highly active, this procedure must be repeated several times until signs of improvement appear.

      An operation to remove bursitis of the elbow joint and clean the joint capsule is performed only in critical situations when the health and life of the patient is threatened due to very long postoperative rehabilitation.

      Incorrect and untimely treatment of the acute form of bursitis can lead not only to the transition of this pathology to a chronic form, but also to the appearance of a number of complications that can completely destroy the joint, which will lead to complete blocking of the mobility of the limb.

      Prevention of elbow bursitis

      Those whose profession involves constant stress on their joints should take care of them whenever possible. Place soft pillows under your knees or elbows, wear special protective bandages, take breaks with a short warm-up.

      Epicondylitis of the elbow joint

      Epicondylitis is an inflammatory disease of the elbow joint that develops at the site of muscle attachment to the epicondyle of the humerus, accompanied by degenerative processes in the tissues.

      The mechanism of development of the disease boils down to the following: over time, constant uniform muscle contraction leads to pinching of the tendons, as a result of which their blood supply is disrupted and degenerative changes develop.

      In some cases, the trigger is the direct impact of external factors (in case of injury) on the elbow area. There is a detachment of tendon fibers from the place of attachment to the bone and their further inflammation.

      Anatomical changes in the body are expressed in the form of small tears at the connection between the muscle and the tendon, which subsequently leads to chronic inflammation of the periosteum, calcification of the joint with calcium salts, and sometimes to bursitis of the synovial bursae of the elbow joint.

      Epicondylitis can occur at any age, regardless of gender. Due to employment in certain professional activities, the disease often develops after 35 years .

      The causes of epicondylitis may include:

      Chronic overstrain of the muscles of the limb. Of particular importance is overload of the extensor carpi radialis, which is most likely when playing certain sports (tennis, wrestling, boxing, lifting weights), especially often with improperly organized striking technique or other movements.

      In addition to athletes, the disease is typical for people in the following professions:

      Elderly age. Degenerative processes in the tissues around the joint often cause the rapid development of epicondylitis, even with light loads on the elbow joint.

      Elbow injury accompanied by tendon damage.

      A single overexertion of a limb , for example, when carrying heavy loads, jerking, sharply swinging the arm, or rotating movements.

      Osteocondritis of the spine. A direct connection between pathological changes in the spinal column and epicondylitis has not been established, but in some cases, after surgery or traction of the spine, pain in the elbow joint decreases sharply.

      As a rule, the disease develops only on one hand – the dominant one. There are two types of epicondylitis, differing in the area of ​​localization of inflammatory processes:

    • Lateral (external) epicondylitis. Often referred to as “tennis elbow.” Tendon damage occurs on the outside of the joint.
    • Medial (internal) epicondylitis , or golfer's elbow. Leads to pain with movement and palpation on the inside of the elbow. It occurs much less frequently than the lateral one.
    • Depending on the point of highest pain when pressed, there are several forms of epicondylitis:

      Symptoms of epicondylitis

      The area of ​​localization of painful symptoms: with medial epicondylitis - the inner surface of the arm, with lateral epicondylitis - the outer surface, especially often - in the area of ​​the lateral epicondyle.

      Distinctive features of epicondylitis that allow it to be differentiated from arthritis of the elbow joint:

      1. Pain appears during exertion, for example, when trying to move a limb inward. If the affected arm moves with the healthy one, there is no pain.
      2. The occurrence of discomfort occurs regardless of the force of effort applied to the movement of the hand. That is, pain can occur even with a minimal amplitude of arm movement, the main thing is that this movement is of a flexion-extension nature.
      3. The existence of points of severe pain, determined by palpation.
      4. Pain when shaking hands.
      5. With internal epicondylitis, the pain intensifies when the elbow is flexed and may be absent when it is extended.
      6. Decreased muscle tone, difficulty holding any object.
      7. Unchanged appearance of the elbow joint.
      8. No pain at night, except for periods preceded by heavy lifting.
      9. Over the course of several months, the disease usually progresses and enters the chronic stage.

        Consequences for the patient

        In case of prolonged absence of medical care, inflammation of the tendon can spread to neighboring tissues. The most common complication of epicondylitis is bursitis, an acute inflammatory process in the synovial bursa. Since the elbow joint has a complex structure, in which 3 joints are united by one articular capsule, bursitis can lead to simultaneous damage to the entire bone joint. As a result, the pain in the elbow intensifies many times over, and a swelling appears on the outside of the elbow, painful on palpation and hot to the touch. Advanced forms of bursitis may require surgical intervention to excise the bursa.

        In some cases (for example, in case of calcium metabolism disorders), epicondylitis is accompanied by the deposition of calcium salts (calcification) in the tendon area, especially at the point of its connection with the condyle of the joint.

        A rare complication of epicondylitis is compression of the radial nerve by the posterior muscle of the forearm, which can cause paresis (partial paralysis) of the extensor muscles.

        The main diagnostic method is physical examination and collection of anamnesis of the disease. After performing motor and functional tests, an experienced specialist can correctly establish the diagnosis without conducting any instrumental examinations.

        To clarify the conclusion and differentiate it from other inflammatory conditions of the joints, an X-ray examination or ultrasound may be prescribed.

        Treatment of epicondylitis

        An effective way to relieve pain is immobilization of the affected limb . Rest of the muscles is ensured by applying a splint or fixing bandage in the shape of a figure eight, which prevents tension on the tendon. A modern way to reduce the load on the elbow joint is to use specially made orthoses (wristbands, elbow pads). In some cases, plaster fixation of the elbow joint is indicated for up to 1 month. Next, passive stretching of the limb is performed, achieved through prolonged exercise therapy.

        Conservative therapy for epicondylitis includes:

      10. Non-steroidal anti-inflammatory drugs (ketorolac, ibuprofen, brufen, ortofen, indomethacin, etc.) - to reduce pain and inflammation.
      11. Phonophoresis or electrophoresis with anesthetics , glucocorticosteroids, analgesics.
      12. External therapy: ointments with NSAIDs, irrigation of the elbow joint with chlorethyl to cool the painful area.
      13. In the case of the vertebral nature of epicondylitis (with osteochondrosis of the cervical spine), therapeutic treatment of the underlying disease is carried out.
      14. Physiotherapeutic treatment methods:
        • microcurrent treatment;
        • laser therapy;
        • cryotherapy (applying cold compresses for 20 minutes 3 times a day);
        • dry heat (after eliminating the main symptoms);
        • magnetic therapy;
        • reflexology.
        • Shock wave therapy is considered a progressive method of treating epicondylitis, in which exposure to sound impulses leads to the launch of the processes of restoration of damaged tissue.

          If no positive dynamics are observed after 12 months of conservative treatment, surgical intervention is indicated. It consists of excision of the muscle (extensor radialis), removal of part of the tendon, adjacent tissues, that is, all areas in which inflammatory processes occur. The operation is performed using a surgical incision or through a puncture.

          After a course of therapy, therapeutic exercises begin immediately after its completion. If surgery has been performed, warming up the elbow joint begins no earlier than 2 months later.

          The purpose of the exercises used is to strengthen the muscles of the limb and stretch the tendons:

        • with the healthy hand, bend the hand of the affected arm alternately inward and outward until a slight tension is felt in the elbow;
        • Taking an object weighing about 1 kg in your hand, bend your arm slightly at the elbow, bringing it to the body. After fixing the hand in this position for 5 seconds, it is returned to its original position (pulled down with the back of the hand outward);
        • similar to the previous exercise, the arm is adducted with the hand facing inward;
        • A weight (1 kg) tied to a rope is rotated clockwise. At the same time, they change the position of the fingers when gripping the rope, giving the greatest load to each of them in turn.
        • Treatment with folk remedies

          Traditional recipes are used only in conjunction with conservative treatment . Otherwise, delaying a visit to the doctor may result in progression of the disease and possible surgical intervention:

        • After eliminating inflammatory phenomena, especially during the rehabilitation period, it will be useful to apply oil compresses to the sore elbow. To prepare the product, pour 3 tablespoons of finely chopped bay leaves with slightly warmed vegetable oil (150 ml), let it brew for a week. Apply in the form of compresses, and also gently rub into the area around the elbow daily.
        • Cold compresses for exacerbation of epicondylitis can be performed using green tea. Pour a glass of boiling water over a spoonful of tea and leave for half an hour. Next, pour into an ice bag (with large cubes) and freeze. Ice is applied to the affected area and held for 5-10 minutes.
        • During rehabilitation, it will be useful to take warm baths for your hands or rub them with infusion of meadow geranium. Pour 2 tablespoons of herbs into 400 ml. water, leave for 12 hours. Next, dilute the product with the required amount of warm water and place your hand in the container and hold for 15 minutes. For rubbing, you can use the infusion undiluted.
        • The flowers and leaves of black elderberry are brewed with boiling water, after 5 minutes they are removed, squeezed out and the mixture is applied to the elbow joint, wrapping it with film on top. After 20 minutes, you can remove the compress and rinse the skin.
        • Heat a glass of milk, then 1 tsp. Thoroughly dissolve propolis in milk. Moisten a cotton napkin in the product, place it on the skin in the joint area, wrap it with film and a warm cloth. After leaving for 2 hours, you can remove the compress. This method is used to restore tissue outside the period of exacerbation.

      After the operation, the patient’s recovery period lasts at least 6 months, during which it is impossible to return to sports, but it is recommended to actively develop the elbow joint, gradually increasing the load.

      A positive effect is achieved through daily self-massage of the limb , taking warm baths, since water improves blood supply and lymph flow in the tissues. Under no circumstances should you lift weights or engage in intense physical work, since in this case there is a high probability of relapse of the disease.

      Preventive measures

      If you frequently perform the same type of movements due to sports or profession, you can prevent the development of the disease by alternating work and rest regimes. Muscle and tendon tension is effectively eliminated with a light massage, warm-up, and several exercises from a course of therapeutic exercises.

      It is necessary to avoid injury to the elbow and carry heavy loads, and also to select a position that is comfortable for performing work and equipment for sports training. Before starting sports activities, it is advisable to protect your elbows with special elbow pads or an elastic bandage.

      Diagnosis and treatment of elbow diseases

      Diagnosis of pathologies of the elbow joint, as a rule, does not cause difficulties, since it is easily accessible for examination and diagnostic studies, which can be supplemented by various types of functional testing.

      The causes of elbow inflammation may be the following:

      • damage to articular cartilage and adjacent bones;
      • damage to tendons, muscles and joint ligaments;
      • cardiovascular diseases and damage to the nervous system.
      • Common joint diseases are:

        The most common types of epicondylitis are lateral (external) epicondylitis, called “tennis elbow,” or medial (internal) epicondylitis, nicknamed “golfer’s elbow.”

        External epicondylitis affects the muscles and tendons involved in wrist extension, as well as the brachioradialis muscle where it attaches to the bone. The muscles are weak flexors of the forearm, so if they are damaged, the work of the elbow joint is almost not affected.

        This disease usually affects people over 35 years of age. Due to excessive physical stress on the joint (gardening work, resuming sports after a long break, etc.), pain occurs at the location of the lateral epicondyle of the humerus. The pain can spread from the forearm to the hand, especially with intense extension of the wrist joint.

        Internal epicondylitis is a lesion of the muscle tendons that attach to the medial epicondyle. Pain is felt at the attachment point of the muscles when palpated and can spread along the forearm from the elbow to the hand.

        With bursitis, inflammation of the ulnar periarticular bursa occurs due to chronic injury to the elbow. Bursitis is often caused by motorists who rest their elbows on the door. It also often occurs against the background of arthritis and gout. The disease is an oval, slightly painful formation that is soft to the touch at the site of the olecranon process. When the arm is extended at the elbow, it is clearly visible (it can reach the size of a chicken egg). With an isolated form of bursitis, the functioning of the elbow is slightly impaired.

        As for acute lateral epicondylitis, treatment is carried out by immobilizing the limb for a week with the elbow bent. If the disease has reached a chronic stage, it is recommended to fix the elbow joint and forearm with an elastic bandage, which must be removed at night.

        An excellent analgesic effect in the treatment of epicondylitis of the elbow joint is ultrasound and phonophoresis (the same ultrasound, but with hydrocortisone), paraffin applications, and Bernard currents.

        Novocaine or lidocaine blockades (often in combination with hydrocortisone) also provide pain relief and local improvement in cell nutrition. Treatment also includes warming compresses with camphor alcohol, Vaseline or regular vodka.

        To improve blood circulation in the affected area, ultra-high frequencies (UHF) and electrophoresis with potassium iodide or acetylcholine are used. Along with this, medications such as aspirin and nicoshpan are prescribed. To improve cellular nutrition, blockades are made using double-distilled water at the tendon attachment site. If the pathology becomes chronic, injections of vitamins B1, B2 and B12 are given. Prevention and treatment of muscle atrophy, as well as restoration of the functions of the elbow joint, is carried out through massage of the arm muscles, mud therapy, physical therapy and dry air baths. If the listed conservative methods do not have an effect within 4 months, surgical intervention is resorted to.

        Treatment of osteochondrosis, which is degeneration of articular cartilage and adjacent bone, involves a balanced diet with the consumption of large amounts of calcium, trace elements and vitamins, including vitamin D (aquadetrim, calcium D-3-nycomed, calcemin) and multivitamin complexes: Vitrum, Duovit, multi-Tabs . The affected joint should be kept in a gentle mode; loads on it should be completely eliminated, as they can lead to severe destruction.

        Calcium-containing and blood circulation-stimulating drugs are prescribed (sulodexide, actovegin, pentoxifyline). The complex of physiotherapeutic measures includes: electrophoresis, magnetic therapy, electro-pulse therapy, paraffin-ozokerite applications, physical therapy, gymnastics and massage.

        Complex treatment of the elbow joint also requires arthritis, which refers to a number of pathologies that cause joint inflammation, pain and swelling (purulent arthritis, tuberculosis, psoriatic). These symptoms are relieved medicinally with the help of non-steroidal anti-inflammatory drugs, including aspirin, ibuprofen and diclofenac. They can be in the form of tablets, injections or ointments. The inflammatory process can also be relieved by steroid drugs. Along with them, chondroprotectors are prescribed that restore the structure of cartilage tissue, as well as drugs that improve blood flow and cellular metabolism in the affected elbow.

        After the acute symptoms of arthritis are relieved, other procedures are used:

        Physical activity during exercise should be gentle with a gradual increase in the range of movements. They will strengthen atrophied muscles and ligaments. But if you do not remove the fluid accumulating in the diseased joint in order to relieve it, any methods will be ineffective. Liquid pumping should only be carried out by a specialist. If conservative therapy does not bear fruit, as well as in the later stages of the disease, surgery is resorted to. The joint is adjusted or replaced.

        Treatment of elbow tendinitis, which is inflammation of the tendon tissue and its degeneration, begins with immobilizing the affected arm to completely unload it. To do this, use a medical bandage or elastic bandage. In this case, it is recommended to apply cold to the affected joint in the form of ice wrapped in cloth. The primary goals of therapy are to relieve pain and inflammation. For these purposes, non-steroidal anti-inflammatory drugs, including Nimesulide, are widely used. If the pain is too severe, parenteral pain medications combined with steroid hormones may be given. If tendonitis is caused by an infection, your doctor will prescribe antibacterial medications. Physiotherapy provides good therapeutic results. After the pain has stopped, physical therapy is prescribed, with a special place in it given to stretching. Conservative therapy sometimes may not bring the desired effect, then surgery is performed to excise the affected tendon.

        Another elbow disease is chondrocalcinosis. It is characterized by gradually occurring in the joint and progressive deposition of crystals of calcium pyrophosphate salts in the articular cartilage. The accompanying pain is relieved with non-steroidal anti-inflammatory drugs. A puncture of the joint is performed, its cavity is washed, removing deposits along with the accumulation of synovial fluid, and corticosteroids are administered. After this, a course of physiotherapy and massage is prescribed to help restore the joint and adjacent tissues.

        Propolis tincture, which you can buy ready-made at a pharmacy or prepare yourself, relieves pain and swelling well.

        Good results are achieved by a honey massage, a bath with buttercup (here you need to be very careful and strictly observe the proportions, since buttercup is very poisonous), pine needles, and sea salt. Compresses made from the juice of celandine, Kalanchoe, and birch leaves can help. Urine therapy has proven itself well.

        Elbow joint diseases

        The elbow is a complex joint made up of three bones. Because of this, and also because it is often exposed to a lot of stress, there are many diseases that affect it. Diseases of the elbow joint do not pose a threat to the patient's life, but can cause him a lot of inconvenience and suffering.

        What diseases affect the elbow

        Many people are bothered by pain in the elbow joint. Some try to remove them with pills or folk remedies, believing that they simply overworked themselves. But there are diseases that, without proper treatment, lead to serious complications. Therefore, it is advisable, if your elbow hurts, to consult a doctor to make a correct diagnosis. The following diseases may occur in this area:

      • due to degenerative changes in cartilage and bone tissue, osteoarthritis, osteochondrosis, gout, chondrocalcinosis develop;
      • inflammatory diseases (arthritis, tendinitis, bursitis, epicondylitis, fasciitis);
      • cubital tunnel syndrome, neuritis and nerve root damage due to other diseases;
      • various injuries of the elbow joint.
      • What is epicondylitis

        This is an inflammatory disease that occurs as a result of intense physical activity. It occurs in athletes, in those who perform monotonous hard work. This disease occurs most often in people over 35 years of age, but young people can also suffer from it, for example, after an injury. And old people and patients with osteoporosis encounter epicondylitis even after light exertion.

        Inflammation and pain in the elbow can occur in representatives of the following professions:

      • massage therapists;
      • carpenters;
      • tennis athletes, golfers, weightlifters and others;
      • artists and painters;
      • agricultural workers.
      • Inflammation and pain in the elbow can occur due to damage to the muscles and ligaments

        Epicondylitis is characterized by damage to the muscles and ligaments, usually in one arm, which is subject to heavy loads. Unlike other diseases of the elbow joint, it is characterized by the following features:

      • the elbow hurts only with exertion, nothing bothers the patient at rest;
      • pain mainly occurs when bending or straightening the joint;
      • Muscle tone decreases, the hand cannot hold certain objects;
      • the appearance of the joint does not change;
      • Pain rarely occurs at night.
      • Often the disease takes on a chronic form, periodically exacerbating after exercise. It can radiate to the forearm and even the hand. If the necessary treatment is not carried out for a long time, inflammation of the ligaments can spread to other tissues and cause, for example, bursitis.

        Inflammatory diseases of the elbow joint

        If inflammation develops in or near the joint, this can be understood by the following symptoms:

      • swelling and redness of soft tissues;
      • severe aching pain, independent of physical activity and often occurring at night;
      • limitation of hand mobility.
      • Bursitis is an inflammation of the olecranon process, it can be recognized by the formation of a lump on the elbow

        Depending on where the inflammation is localized, several diseases of the elbow joint can be distinguished.

      • Olecranon bursitis occurs most often on one arm. Its cause may be a traumatic effect on the outer part of the joint. After bruises and constant pressure on the elbow, the synovial bursa of the joint becomes inflamed. The disease can be recognized by the formation of a painful tumor in this place.
      • Arthritis most often affects both elbow joints. The disease usually occurs suddenly, swelling develops, and pain appears. It gets worse in the morning. Most often, this place is affected by rheumatoid arthritis, associated with a disorder of the immune system. In this case, the disease develops gradually and becomes chronic.
      • Elbow tendinitis is an inflammation of the tendons. It often occurs as a complication of other diseases.
      • What is cubital tunnel syndrome?

        The main ulnar nerve passes through the joint cavity. Sometimes it gets pinched between the tissues of bones and ligaments. This occurs due to injury or after periodic compression of the nerve during physical activity.

        The most common causes of carpal tunnel syndrome are incorrect arm position when working at a computer, prolonged use of armrests when driving a car, or working at a machine. This neuropathy can occur when tissues become swollen due to an inflammatory disease.

        Symptoms of the disease are “shooting” pain, which often spreads to the entire forearm, numbness and tingling in the fingers. Weakness or atrophy of the hand muscles is often observed. The patient cannot hold objects or clench his fingers into a fist. Numbness and paresis can affect almost half of the hand on the little finger side. In some cases, the hand resembles a clawed paw because the fingers are forced to spread out.

        The disease is difficult to treat and surgery is often required. Conservative therapy is possible in the early stages, when sensitivity is not yet impaired. NSAIDs are used, drugs that relieve swelling, improve metabolism and blood circulation. An important component of treatment is physical therapy; excessive stress on the joint must be avoided.

        Often, carpal tunnel syndrome leads to complete loss of hand function. Therefore, it is important to follow measures to prevent nerve pinching: avoid prolonged exposure of the elbow area to objects, and regularly perform exercises to strengthen the muscles.

        Elbow pain may be due to damage to the muscles, ligaments, or ulnar nerve.

        What other diseases affect the elbow joint?

        1. Very rarely, the elbow is affected by arthrosis, only if degenerative processes in a late stage have affected all the joints of the body. This most often happens in old age. With arthrosis, the volume of synovial fluid decreases, ligaments and cartilage tissue are affected. Therefore, during movement, pain, stiffness occurs, deformation is noticeable, and a crunching sound is heard.
        2. Chondrocalcinosis is characterized by the deposition of calcium salts in the joint. Conventional treatment for this disease is ineffective; it can only relieve symptoms. Crystals can only be removed by washing the joint cavity.
        3. Gout rarely affects the elbows, but it does happen. This disease is the deposition of uric acid salts, which cause severe pain, swelling and redness.
        4. Pain in the joints of the hands can be caused by diseases and injuries of the spine, which damage the nerve fibers. These could be fractures, hernias, osteochondrosis. As a result of these diseases, the biceps muscle atrophies and mobility in the elbow joint is impaired.
        5. These are the most severe injuries to the elbow. They are often accompanied by damage to nerves and blood vessels. These may be bruises, dislocations of the elbow joint, fractures of the bones that make it up, rupture or sprain of tendons and muscles. All diseases associated with injuries cause severe pain, especially when moving, often there are joint deformities, tissue swelling, and hematoma.

          Even after ordinary elbow bruises, complications are possible. Fluid can accumulate in the joint and arthrosis develops. Sometimes the function of muscles and ligaments is impaired, and it is very difficult to restore them completely.

          According to statistics, the most common injury to the upper extremities is a dislocation of the elbow joint. It happens because it is the most complex joint formed by three bones. They are all quite thin, so a dislocation is always accompanied by a fracture of one of them. This often causes damage to ligaments, muscles and nerves.

          Elbow injuries cause severe pain, swelling and bruising

          Common symptoms of all diseases of the elbow joint are pain, stiffness in movement, and sometimes swelling. Therefore, the treatment is basically the same. It should be aimed at reducing inflammation and pain, restoring mobility and regenerating damaged tissue. Elbow joint diseases can be treated using the following methods:

        6. A cold compress or ice can help relieve pain and swelling. It should be applied for no more than 30 minutes.
        7. Ensuring joint immobility. If this is difficult to do, you need to use an elastic bandage or a special orthosis.
        8. The use of ointments and creams with anti-inflammatory and chondroprotective effects. This could be Nise, Voltaren, Diclofenac, Nimesulide. NSAIDs can also be taken orally.
        9. For many diseases, medications are prescribed that improve blood circulation, restore bone tissue, and normalize metabolism. Injections of B vitamins are given and medications containing calcium are taken.
        10. Physiotherapeutic procedures are also effective. Ultrasound, Bernard currents, phonophoresis, UHF, paraffin baths, massage, exercise therapy are used. Usually a course of 10 procedures is prescribed; in difficult cases, an individual treatment program is drawn up.
        11. In addition to these methods of therapy, special treatment is required for the elbow disease that was diagnosed in the patient. For injuries, this is immobilization; for inflammation, NSAIDs, antibiotics, and other drugs are also prescribed. Treatment is selected individually, depending on the characteristics of the patient’s condition.

          An anti-inflammatory ointment will help relieve pain in the elbow joint

          Traditional methods of treatment

          You can also relieve joint pain with the help of folk recipes. But they can only be used in addition to the main treatment prescribed by the doctor. Which methods are the most effective:

        12. you can make baths with sea salt or pine decoction;
        13. rub the joint with tinctures of propolis, Kalanchoe or elecampane;
        14. make compresses with blue clay;
        15. rub your elbow with a mixture of honey and apple cider vinegar;
        16. apply applications with celandine juice;
        17. take orally decoctions of dandelion, calendula, cinquefoil, St. John's wort, chamomile;
        18. A compress of grated potatoes relieves pain well.
        19. Diseases of the elbow joint cause serious inconvenience, as they hinder movement and cause pain. To avoid this, you need to eat right, protect your elbow from injury and treat inflammation in a timely manner.

          Epicondylitis of the elbow joint. Treatment and prevention of disease

          Epicondylitis of the elbow joint is an inflammatory disease in the elbow area (at the point where the muscles attach to the bone of the forearm). Depending on the location of the inflammation, it is distinguished into external and internal. External epicondylitis occurs when the tendons on the outside of the elbow become inflamed.

          With internal epicondylitis, the muscles that allow flexion and extension of the hand (the inner part of the elbow) become inflamed. It is worth noting that it is external epicondylitis that develops most often and is one of the most common diseases of the musculoskeletal system.

          Epicondylitis of the elbow joint: causes

          Inflammation of muscle tendons does not occur on its own - epicondylitis is a secondary disease. Doctors cannot determine the exact causes of the disease. Experts were able to identify groups of people who are most susceptible to epicondylitis of the elbow joint, namely:

        20. agricultural workers (milkmaids, tractor drivers, laborers);
        21. construction workers (plasterers, painters);
        22. athletes (weight lifters, weight lifters, wrestlers, boxers);
        23. sewing workers (clothing designer, costume designer).
        24. These activities alone do not lead to epicondylitis. The disease occurs with a large number of monotonous flexions and extensions of the elbow joint with a load on the arm. Consequently, the dominant hand (right or left for left-handed people) is most often affected. Thus, the main version of the cause of the development of epicondylitis is overload of tendons and tissue microtraumas, which provoke the development of inflammatory processes.

          Epicondylitis of the elbow joint: symptoms

          Due to the vagueness of the symptoms, doctors were unable to accurately determine the nature of the disease. When tendons become inflamed, people experience only pain, which, especially in the initial stages, is not acute or unbearable. The nature of the pain is aching, localized.

          Attacks of pain appear after loading the affected limb. With free flexion and extension of the elbow, there is often no pain - this is what distinguishes epicondylitis of the elbow joint from injuries. With prolonged epicondylitis, the pain can last a long time, sometimes even months.

          Epicondylitis of the elbow joint: treatment

          People go to the doctor when the inflammation has reached a progressive stage, that is, a long time after the first symptoms appear. This is the whole difficulty of treating epicondylitis of the elbow joint.

          In the initial stages of the disease, the doctor will advise you to refrain from activities that provoked inflammation. This will help the muscles and tendons recover naturally. In case of severe pain, a splint can be applied to the affected joint to fix the joint.

          If the inflammation has formed as a result of microtrauma, then ice should be applied to the sore spot for a week. You can restore muscle motor functions with the help of therapeutic exercises (performing simple movements that stimulate muscle function and stretch diseased tendons) and massage.

          Drug treatment of epicondylitis of the elbow joint is also actively used by specialists. You can stop inflammation with anti-inflammatory tablets or ointments. It is also possible to relieve the pain effect both externally and with the help of tablets. Painkillers and ointments (containing Ibuprofen or Diclofenac) are prescribed for recurrent epicondylitis, when the disease is already in advanced stages.

          In particularly acute forms of the disease, a blockade is performed locally: an injection containing an anesthetic drug and glucocorticosteroids is administered intramuscularly (at the epicenter of pain). Such injections are carried out once and only in cases where ointments do not help.

          In more complex situations, when blockades do not relieve pain, the doctor may prescribe shock wave therapy or an operation in which the source of inflammation is surgically removed.

          The human body is a unique creation of nature. It would seem that human possibilities are limitless. But whatever one may say, the entire human body consists of various mechanisms (joints, joints, etc.), and any mechanism breaks down sooner or later. Therefore, during particularly active operation of one or another important mechanism, it is necessary to apply protective and preventive measures.

          The same applies to the elbow joints. If you play sports or engage in farming, use fixing bandages or ointments. They will help reduce the load on your joints and help maintain function for a longer time!

          Diseases of the elbow joint and hand

          Treatment of joint diseases

          Joint surgery – surgery.ru

          Joints (lat. articulatio) are movable joints of skeletal bones, separated by a gap, covered with a synovial membrane and an articular capsule. An intermittent, cavity-like connection that allows the articulating bones to move relative to each other with the help of muscles.

          Joints perform both supporting and motor functions.

          Joints unite the bones of the skeleton into a single whole. More than 180 different joints help a person move.

          Joints, like any other organ, are susceptible to various diseases and injuries.

          Joint diseases are considered the most common diseases of the musculoskeletal system today.

          Joint diseases can threaten a person regardless of social status, habits, age and gender.

          The elbow or elbow joint is the joint between the shoulder and forearm.

          The human hand consists of 27 bones, articulated through different joints. We can rotate the hand in different directions thanks to the correct structure of the wrist - the place where the hand joins the forearm. The wrist consists of 8 short spongy bones arranged in 2 rows.

          The elbow joint and hand, like any other parts of the human body, are susceptible to various diseases, injuries, etc.

          The most common are:

          Herbs and fractures

          Nerve compression syndromes, or tunnel syndromes (carpal tunnel syndrome, cubital tunnel syndrome, etc.)

          Degenerative changes in the elbow and wrist joints

          Paralysis and other nerve damage

          Elbow instability

          Elbow bursitis

          Arthritis of the elbow joint

          Arthrosis of the elbow joint

          Stenosing ligamentitis (Snapping finger)

          Arthritis of the wrist joints

          De Quervain's disease

          DIAGNOSIS OF DISEASES OF THE ELBOW JOINT AND HAND

          Examination of the patient and collection of anamnesis

          X-ray examination in several projections

          TREATMENT OF DISEASES OF THE ELBOW JOINT AND HAND

          After diagnostic examinations, doctors create an individual treatment plan.

          Today, specialists treat diseases of the elbow joint and hand using conservative and surgical techniques.

          Conservative treatment may include restriction of mobility, the use of medications, therapeutic exercises, physical therapy, shock wave therapy, etc.

          Specialists also operate on elbow joints and hands.

          If necessary, specialists perform endoprosthetics of the elbow and wrist joints.

          Today, specialists mainly perform surgical interventions using minimally invasive methods.

          For joint replacement, clinics use high-quality prostheses.

          After treatment, a rehabilitation course is carried out.

          Categories : Prevention

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