Serous bursitis of the elbow joint: diagnosis and treatment of disease

Elbow bursitis is an inflammatory process in the synovial pouch of the elbow joint. Serous bursitis of the elbow joint refers to a less dangerous type of the disease because of subcutaneous fluid synovial Bursa is not infected. But if the time does not begin to treat the disease, with the rapid development of pathological bacteria serous bursitis over time develops into a purulent type of manifestation.

Серозный бурсит локтевого сустава: диагностика и лечение болезни

Where there is a lump on the elbow


The types of bursitis of the elbow joint

There are several types of classification of diseases groups of bursitis, depending on the characteristics that underlie the division.

Current patterns bursitis are:

  • acute — characterized by sudden occurrence of severe pain;
  • subacute — symptoms are less pronounced;
  • chronic, which usually, accompanied by pain of lesser intensity but greater duration;
  • recurrent bursitis differ periodic appearance of painful sensations that may occur, for example, before the weather changes.

The nature of the liquid that accumulates in the affected joint, disease share so:

  • serous bursitis (fluid resembles serum);
  • haemorrhagic (accompanied by signs of bleeding);
  • purulent bursitis of the elbow joint (appear suppuration in the Bursa).

You can often see the symptoms of such a disease as post-traumatic bursitis of the elbow joint. This disease usually affects professional athletes, appearing most often after a serious injury. Due to damage to the synovium over time becomes infected with pathogenic bacteria.

Серозный бурсит локтевого сустава: диагностика и лечение болезни

In this case we are talking about the appearance of this type of disease, as expressed by infection of the elbow joint. For accurate and correct treatment it is obligatory to establish the names of the pathogen. Traumatic injury of the elbow joint, in which there is the appearance of characteristic damage to the skin, can over time develop into purulent form of development.

With proper therapy the pain should disappear sooner than 3 weeks, but healing of the injured area may be delayed up to 6 weeks.


Causes, diagnosis and possible complications

The inflammatory process in the synovial cavity of the elbow can be triggered by numerous factors of a negative nature, for example:

  • Strong overloading of the joints of the elbow (in the case of professional athletes).
  • Injured tissue around the Bursa (bruises, scrapes, scratches).
  • Arthritis or gout, which provoke the appearance of the articular inflammatory processes of different nature, including in the elbow joint. For this type of the disease characterized by a decrease in motor function of the joint, its redness, swelling and rarely a local raising of the temperature in the region of the elbow.
  • Infectious disease can be triggered by re-infection bursal disease-causing organisms.
  • The metabolic process, allergies, intoxication.
  • Sometimes, the bursitis of the elbow occurs without some apparent prerequisites.

    Серозный бурсит локтевого сустава: диагностика и лечение болезни

    The accumulation of infiltration in the articular capsule of the elbow

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    Basically a specialist will diagnose bursitis of the elbow joint, based on clinical signs, patient questioning and palpation of the inflamed areas. For a more complete picture, your doctor may recommend a lumbar puncture to clarify the nature of the synovial fluid bags. To determine the causative agent of the disease is prescribed the cultures of the material and the elucidation of antibiotic resistance. For more in-depth diagnosis using x-ray examination, which helps to distinguish bursitis from arthritis, because these diseases have similar symptoms.

    If to diagnose and begin treatment of bursitis, the prognosis is quite favorable. Bursitis of the elbow can be cured completely. But if you run the disease, the inevitable complications:

  • Infection of a Bursa. Serous type of pathology can develop into purulent.
  • Myositis (inflammation of muscle fibers).
  • The deposition in the cavity of the synovial bags of salts.

  • The symptoms of acute and chronic types of the disease

    Acute serous or serous-hemorrhagic bursitis of the elbow is characterized by symptoms such as:

  • Mild moderate pain in the elbow that may worsen when moving the patient.
  • Swelling in region of elbow inflammation.
  • Redness of the skin around the Bursa and raising the temperature at the site of lesion.
  • Slight discomfort of the patient, the body temperature can be in the range of 37.5 0C (very high temperature — indication for urgent hospitalization).
  • The increase in size of the synovial cavity 10 cm
  • By touching the elbow may be determined by the elastic formation of fuzzy outlines.
  • Серозный бурсит локтевого сустава: диагностика и лечение болезни

    At the transition of the acute form of the disease in the chronic stage of its development there is a gradual abatement of the pain. They become less pronounced, however, the inflammatory process is much longer. With the growth of tissue around the joint, there is a permanent restriction of his motor functions.

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    Chronic bursitis of the elbow joint may develop without an antecedent acute stage of its development. When elbow injuries suppuration of the synovial Bursa can occur without the prior occurrence of symptoms and signs of a particular type of bursitis. In some cases, the appearance of such symptoms of intoxication, such as:

    • headache;
    • weakness;
    • high temperature.


    Treatment: methods and ways of therapy

    Bursitis of the elbow joint requires comprehensive treatment, including the ingestion of drugs and the application methods of local therapy of the affected areas. The treatment of the patient, usually on an outpatient basis. Purpose the treatment of aseptic disease gives the surgeon.

    Acute serous bursitis requires fixation of an inflamed joint. Making a pressure bandage, you can prevent the symptoms of swelling tissue. Externally the joint can be treated with ointment Vishnevsky, betonolom or to apply a compress. Ointments and compresses significantly accelerate the regeneration of damaged tissues, relieve pain and inflammation of the joint. The main thing in this situation is to take timely measures to avoid serious complications.

    Chronic bursitis of the elbow start to heal from the puncture of the synovial cavity, to withdraw accumulated in the joint fluid. The procedure consists of washing the bags antiseptic and antibacterial agents. Traumatic bursitis requires the introduction in the synovial cavity, in addition to antibiotics, hydrocortisone solution to prevent further infection of the tissues.

    Серозный бурсит локтевого сустава: диагностика и лечение болезни

    The evacuation of the accumulated fluid from a joint

    For the treatment of chronic serous inflammation is not enough puncture to remove fluid, because after removing the liquid generally fills the Bursa again. A more effective method is surgical removal of the synovial bags, using local anesthesia. However, it should be noted that the operation prescribed in extreme cases when the disease threatens the patient’s life.

    Timely treatment of acute serous inflammation helps to avoid complications, preventing the conduct of complex operations.


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    Physical therapy and traditional medicine vs bursitis

    Include in the complex therapy of the inflammatory process physiotherapy methods, can significantly accelerate the healing process of the patient. To date, inflammation of the elbow the most effective are the following physiotherapy treatments :

    • dry heating;
    • radiation therapy;
    • UHF.

    As a rehabilitation patient’s is used:

    • physiotherapy;
    • a light relaxing massage;
    • paraffin;
    • procedures of balneotherapy.

    To slow down the development of inflammation in the elbow is possible with the help of traditional methods. However, this is only an additional measure of treatment. They in any case should not replace conventional therapy. The most effective are the following homemade recipes:

  • Tincture chestnut and aloe. To insist 3 weeks on alcohol chestnut and aloe leaves. Applying lotion on the sore spot, wrapped it in a woolen bandage.
  • Tincture of coriander. 1 tablespoon coriander pour 250 ml of boiling water and insist 2 hours. Take tincture inside 2 times a day.
  • Tincture of cinquefoil and comfrey. 100 g of leaves pour 0, 3 Cup of alcohol and insist 7 days in a dark place. Make lotions on the affected area.
  • Coniferous baths. Pour 2 kg of pine needles and cones 10 liters of water, boil, infuse for 12 hours. Strain and add to bath with every bath.
  • Uncomplicated bursitis of the elbow joint methods of folk medicine can be eliminated in two weeks. However, with the progression of inflammation should not self-medicate. In such situations, it is recommended to immediately consult a specialist.