How to treat bursitis?

summary

Bursitis refers to acute or chronic inflammation of the bursa. Bursa is a cystic space in connective tissue, which is a closed sac composed of endothelial cells. The inner wall of bursa is synovial membrane with a little synovial fluid. A few of them are connected with the joint and are located between the bony process near the joint and the tendon or muscle or skin. Where the friction force or pressure is large, there can be a sliding bag. Many joint diseases can cause the disease. How to treat bursitis? Let's talk about it

How to treat bursitis?

Rest or immobilization of the affected part, large dose of NSAIDs and anesthetic sedatives may be effective if necessary. After the pain subsides, active exercise should be increased. If it is not effective, the synovial fluid can be extracted, and then the long-acting glucocorticoid preparation or triamcinolone acetonide mixed with at least 3-5 ml of local anesthetics can be injected into the bursa after infiltration with 1% local anesthetics (such as lidocaine).

The dosage of long-acting adrenocortical hormone and the volume of the mixture depend on the size of the bursa. Infectious factors must be excluded in determining the cause. Patients with refractory inflammation need to pump and inject drugs repeatedly. For acute cases with poor curative effect, prednisone or other equivalent hormones can be taken orally for 3 days after excluding infection and gout.

The treatment of chronic bursitis is the same as that of acute bursitis, but splint fixation and rest may not be as effective as acute bursitis. Only a few cases of chronic calcified supraspinatus tendinitis confirmed by X-ray need surgical resection. Repeated intra-articular and extra articular injections of adrenocortical hormone and intensive physiotherapy are needed for the treatment of the disabled adhesive scapulohumeral periarthritis. Muscle atrophy must be corrected by exercise, so that the range of motion and muscle strength can be restored. Patients with infection need to be given appropriate antibiotics, drainage or incision.

matters needing attention

Strengthen labor protection and form the habit of washing hands with warm water after work. Rest is the first solution to any joint pain. If the pain is in the elbow or shoulder, it is recommended to swing the arm freely to relieve the pain.