Bursitis of the elbow joint — how to recognize the symptoms and cure the disease
Bursitis of the elbow: causes, symptoms, diagnosis and treatment
Under understand bursitis inflammation of the Bursa (extra-articular synovial Bursa), located in areas of maximum friction of the muscles on bone. Synovium is a small connective tissue SAC, filled with fluid.
Bursitis is one of the most common diseases of the joints. The average person has one hundred and forty synovial bags, and the disease can develop in each of them.
However, the most common bursitis of the elbow joint. As a rule, the disease is more typical for athletes.
It runs for one to two weeks and does not pose any serious danger to life and health.
Causes and types of bursitis of the elbow joint
Inflammation of the subcutaneous bags elbow joint and filling its cavity with fluid occurs primarily as a result of injuries. Most often they are observed in athletes. Further, the infection of oral streptococci or staphylococci, and other pathogens.
Depending on the pathogen, the disease can have specific and nonspecific in nature.
This division is extremely important, as it depends on the choice of the treatment method.
Depending on the form of liquid or fluid that fills the synovial bag, secrete serous and hemorrhagic bursitis of the elbow joint.
For the latter type characterized by the presence of blood in the exudate.
Symptoms of bursitis of the elbow joint
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The first sign of this disease is swelling, which usually occurs suddenly and does not cause any pain and does not restrict movement of the joint.
Such swelling is often not noticed, as a result, the treatment is delayed and the clinical picture worse.
Synovium gradually increases in size, there is a pain, as the inflammatory process is enhanced. The body temperature rises (it also indicates the presence of inflammatory process), there is a hyperemia (redness) of the skin. The more increases the synovial bag, the more limited mobility of the elbow joint. Every movement of the elbow becomes extremely painful.
Clearly the development of bursitis can be seen in the next photo.
If you develop a purulent form of bursitis, the inflammation itself with specific microbial flora, formed subcutaneous and intermuscular fistula or phlegmon, purulent arthritis develops.
It takes place on the background of fever – a significant increase in temperature and malaise and drowsiness.
Diagnosis of elbow bursitis
In most cases, diagnosis of the disease is already at the specialist examination, however, in order to make a diagnosis it is necessary to perform puncture of the inflamed bags. This is done with the purpose to clarify the nature of the liquid formed in the bag, and determine the type of the disease.
If it is acute bursitis, the treatment is conservative method, if there is purulent form of the disease, the therapy is applied a special approach.
Extremely important to pay attention to the appearance of swelling around the elbow and if there is, do not leave it unattended, as the vast majority of cases, this indicates bursitis, and if you diagnose it in advance and carry out therapy in the very early stages, it takes patient much less trouble.
Drug treatment of bursitis of the elbow joint
The first step in treatment of this disease is to reduce the load on the affected joint.
This can be achieved by applying an elastic bandage, which contributes to a significant restriction of range of motion. Under the supervision of a specialist two to three times per day may apply cold compresses on the area of the elbow joint.
For the treatment of bursitis as an anti-inflammatory drug used ibuprofen. It may be used externally in the form of ointment, and into tablets.
In severe cases, the doctor may prescribe the therapy as an anti-inflammatory glucocorticoid drugs in the form of injections. Most often it is the hydrocortisone. It can not only reduce inflammation, but also significantly reduce the amount of fluid directly in the cavity of a synovial Bursa.
If there is suspected infection of the Bursa, the fluid is sucked in using a conventional syringe, suction is. This procedure helps to remove the pain symptom, while the resulting liquid is sent for bacteriological examination.
If there is infection of the joint, are assigned antibacterial drugs. The choice of antibiotics depends on the degree and kind of bacterial lesions.
The final decision how to treat bursitis takes the doctor on internal reception, based on visual inspection and data research.
Surgical treatment of bursitis of the elbow joint
With the development of the disease, are expected negative impacts. In such cases, can sometimes be used surgical treatments, however they are only used in cases when all other methods fail or when infection of the synovial bags, and when the transition disease into a chronic form and frequent exacerbations.
In these cases, you may leave the wall of the synovial Bursa or excision of the Bursa partially. Also carried out the autopsy with subsequent plugging of the shoulder Bursa. Its cavity after opening processed by carbolic acid or sadowym solution.
In rare cases is surgery to remove the bursal completely without preliminary autopsy.
After surgical treatment, physiotherapy and therapeutic exercise.
From traditional medicine to improve the condition and relieve pathological symptoms variables can be used cold and warm compresses on the affected joint, acupuncture and massage. The composition compresses can enter charges medicinal herbs possessing anti-edematous and anti-inflammatory effects (Linden blossom, calendula, plantain, burdock leaves).
These funds can cause a noticeable improvement only with regular and continued use, and in the acute phase of illness, they must be combined with preparations of official medicine (NSAIDs), complex physical therapy.