Synovitis of the ankle: symptoms, treatment, prevention
Ankle synovitis is a disease which is manifested by strong and acute pain in the affected ankle. Usually this disease affects the joint of only one leg. With proper medical care it passes without any consequences.
However, if synovitis of the ankle fails to heal, it can lead to very serious consequences. They will deprive people of the opportunity to move normally and lead a normal lifestyle. To avoid this, you need to know about synovitis of the ankle joint, its main symptoms and how to treat it correctly.
The causes of the disease
The cause of manifestation of this disease can be infection got into the joint cavity, and various aseptic (i.e. non-infectious) factors.
Infectious synovitis is divided into two types:
Nonspecific inflammation occurs in the synovial membrane as a result of hit in it of various harmful bacteria: streptococci, staphylococci, pneumococci, etc. They can enter the human body through various damage to the skin. For example, through cuts, punctures or injections in the ankle joint, made in violation of the rules of antiseptics.
Specific synovitis manifested as a result of introduction of pathogenic bacteria from infected internal organs with the blood stream or lymph. This is often seen in patients with tuberculosis or syphilis.
Synovitis of the ankle joint occurs due to inflammation of the inner surface of the joint capsule, which leads to excessive formation of exudate.
The symptoms of synovitis
Synovitis can be acute or chronic. The acute form of the disease characterized by a General increase in temperature, severe pain in the affected joint and the formation of exudate. For chronic synovitis is characterized by less intense symptoms of disease. Usually it’s a minor pain in the joint and the gradual accumulation in the cavity of the synovial fluid.
The main symptom, and acute and chronic synovitis is severe swelling of the soft tissues around the sore joint. In acute synovitis, the patient also experiences severe pain in the area affected ankle, which greatly amplified when touching a sore spot or physical exertion. In addition, synovitis in the joint loses its normal movement ability, which is a violation of his normal functions. Also as a result of the disease is a weakening of the ligaments leading to instability of the joint.
The chronic form of the disease is not as aggressive. From time to time in the region of the patient’s joint is observed accumulation of excess joint fluid. But pain when it is expressed rather weakly.
With inadequate or delayed treatment of synovitis can cause serious degenerative processes in the joint.
The use of medications
To begin with, the physician must put on foot a special bandage to fix the patient’s joint. The time during which the damaged foot will be in that cast, should determine the physician because too prolonged fixation of a joint can cause severe complications. On average, this headband should be on the leg is not longer than one week.
By a retaining bandage doctors can keep the patient’s joint in an anatomically correct position, which ensures a necessary rest. For creation of such a bandage using an ACE bandage, and fixing detail, which helps the foot to always be in the right position. However, doctors do not advise their patients too tight to fix the joint, completely eliminating any movement. For speedy recovery you should only minimize exerted by the load on it.
For infectious synovitis, the patient necessarily prescribed antibacterial medications that help to overcome this infection. In all other cases, treatment of synovitis in the first place involves taking non-steroidal anti-inflammatory drugs. It is drugs such as indomethacin, diclofenac, Movalis, voltaren.
If the patient has any diseases of the digestive tract, then doctors usually prescribed to celecoxib or nimesulide, which is much less adversely affect the stomach and do not cause serious side effects. Besides, to relieve inflammation around the joint used anti-inflammatory agents intended for external application that is applied directly on the affected ankle.
To reduce pain in the foot, prescribe drugs-analgesics that help to fight pain. In addition, to eliminate pain syndrome used various ointments that have analgesic effect, Fastum-gel, and finalgon or diklak. For very severe and acute pain patients prescribed local injection of drugs-the corticosteroids.
Further treatment and prevention of disease
In the treatment of synovitis is a very important role chondromodulin therapy, which is especially important in cases where the patient has the beginning of the deformation of the ankle joint. Products-chondroprotectors used in the form of gels or creams, and various supplements. The composition of these funds includes synovitis is very important when substances, such as glucosamine and hydrolyzed collagen, which contribute to the restoration of the affected joint and prevent further destruction. In addition, they help to significantly reduce the inflammation of ankle and activate it the production of collagen.
Approximately 3 days after the start of treatment of synovitis of the ankle joint, the patient is encouraged to begin to undergo various physiotherapy procedures such as phonophoresis, UV radiation and electrophoresis.
To prevent the development of synovitis of the ankle joint, doctors recommend to perform a complex of special physical exercises that help increase blood flow to the ankle and improve metabolism. In addition, you must try to avoid any injuries of the foot and ankle, to protect against hypothermia and frostbite of the feet.