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.
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.
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:
Sometimes, the bursitis of the elbow occurs without some apparent prerequisites.
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:
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:
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.
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:
- 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.
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.
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;
As a rehabilitation patient’s is used:
- a light relaxing massage;
- 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:
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.