Bursitis or inflammation of the joint capsule is a fairly common disease and is accompanied by accumulation in the oral inflammation of the bursa fluid. It is located between the bones of the joint capsule, muscles, tendons and skin, that is, in places that are most exposed to friction during movement. Joint capsule is a baggy cavity with joint fluid and is designed to reduce friction. Bursitis most often affects the joint capsule under the Achilles tendon in the field base of the thumb, hip, shoulder, elbow, knee.
Symptoms of bursitis
Symptoms may vary depending on the acute or chronic form of bursitis. The most common symptom is the presence in the area of the joint capsule expressed pain that may spread to the surrounding area. Symptoms of acute bursitis also acts redness of the skin, which is observed at the surface location of the joint capsule; tenderness of the affected area; limitation of movement in the area of localization of bursitis.
The resulting bursitis painful swelling has a rounded shape. Soreness in the area there is not only at its probing, but the motion is accompanied by temperature rise of the portion. If the bursitis is chronic, it may be a seal wall of the joint capsule, inside seam, regional atrophy of muscles. Limb function may then be significantly disrupted.
Causes of bursitis
Development of bursitis may be triggered by trauma or excessive loading during exercise, when physical work. In chronic microtraumas can also develop bursitis, particularly often observed in people, because they have reduced strength and elasticity of tendons, which become more susceptible to injury.
The increased load on the joint capsule may be associated with the presence of gout
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, Rheumatoid arthritis, an infection that develops in the bursa, metabolic disorders
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Allergic reactions to certain drugs, autoimmune processes. All this can provoke the development of bursitis, especially against the background of excessive loads like tennis lessons, skiing, throwing the nucleus, the work of a shovel and a rake.
Diagnosis of bursitis
A superficial bursitis diagnosis is based on clinical presentation, the presence of a well-rounded education palpable, clear-cut and burning to the touch. Chronic bursitis is diagnosed by the presence of dense, similar to scar formation. When inflammation of deep joint capsules
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may need further examination, including a diagnostic tool such as ultrasound joint, X-ray, bursografiya, arthrography. For the microbiological examination of the contents of the joint capsule, puncture can be carried out.
Treatment for bursitis
When the diagnosis of acute bursitis patient require immobilization of the joint and comprehensive peace. For the treatment of pain and inflammation may be administered corticosteroids are administered by intralesional injection. During the treatment of bursitis often administered alternately conduct heat and cold treatments. According to the testimony of the doctor, after removal of acute pain and inflammation, you need two to three times a day gently develop the affected joint. This will prevent the development of irreversible joint mobility limitations.
If bursitis chronic, then to treat it should be removed from the joint capsule of inflammatory fluid with subsequent imposition of a pressure bandage. After puncture exudate examined for microbiological and immunological parameters. In the case of the frequent recurrence of chronic bursitis may be administered mucosal resection of the joint capsule. Also resorted to surgery at a purulent bursitis, which produce for the treatment of the cut of the joint capsule. Drainage bag allows you to remove exudate, and for the treatment of purulent bursitis used antibiotics.
Natalia Biatova
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