Bursitis in adults: symptoms, causes, treatment

Bursitis in adults: symptoms, causes, treatment

Bursitis is a disease called acute or chronic inflammation of the bursa cavity with accumulation of exudate in it. With the disease, an increase in the bursa (bursa) occurs, due to an increase in fluid of a purulent or serous type.

The bursae are located at the point of pressure on a bone or joint. There are such cavities in the elbows, on the surface of the patella, on the outside of the ankles.

JSC “Medicine” (the clinic of Academician Roitberg) in the Central Administrative District of Moscow is engaged in the diagnosis and treatment of bursitis. To better understand the disease and its mechanism, it is necessary to know its signs, symptoms and causes.

Symptoms and signs of bursitis
The main signs of bursitis include:

soreness limiting movement;
round swelling of the elastic type at the site of inflammation;
redness of the skin;
swelling;
weakness, increased sweating;
increased body temperature;
deviation, fluctuation of edema with pressure (confirms the accumulation of effusion).
In the absence of proper treatment, the acute form of bursitis flows into a chronic one. Symptoms intensify. The patient has:

hyperthermia (can reach 39-40 degrees Celsius);
increased edema;
increased pain even at rest.
Complex cases are accompanied by suppuration of soft tissues and phlegmon.

In chronic heel bursitis, bursitis of the knee, elbow, finger, hip joint, the swelling becomes soft, soreness with pressure, the redness of the skin and edema disappear. Movements are performed without restrictions. If untreated, relapse is possible. Then, in the bag itself, small remnants of damaged tissues remain, which are an ideal environment for the development of pathogenic microorganisms and the formation of new inflammation.

Causes of the onset of the disease
Joint bursitis occurs for the following reasons:

infection (penetration of the pathogen is possible due to otitis media, sinusitis, bronchitis, abscesses);
allergy;
sports and domestic injuries, injuries, as a result of which the synovial bag and its vessels are damaged;
violation of the blood flow of the synovial bag;
work or sports activities (miners, office workers, drivers, housewives).
The reasons can be hidden in other diseases, during which there is an increase in pathogenic microorganisms. To get effective treatment for shoulder bursitis and knee bursitis, you must first find out the true causes of its occurrence.

Risk factors
The risk of developing suprapatellar bursitis (or other types of bursitis) increases if the vulnerability is constantly stressed. For example, the knee is most commonly affected when lifting weights from a sitting position to a lying position.

The risk of purulent bursitis increases if:

weakening of the immune defense;
excessive passion for alcoholic beverages;
diabetes mellitus;
kidney disease;
deep cuts in soft tissues;
gout;
arthritis of the rheumatoid type;
reproduction of aureus or epidermal staphylococcus.
Complications
With timely diagnosis and treatment of bursitis of the joint, doctors give a favorable prognosis. This disease responds well to treatment, so the patient, in the event of an acute form, has every chance of a complete recovery. To do this, you must not delay, but immediately contact an orthopedic traumatologist. Doctors of JSC “Medicine” (the clinic of Academician Roitberg) in Moscow conduct an appointment at the address: 2nd Tverskoy-Yamskaya per., 10.

If you bring the disease to a neglected form, then the consequences of this can be:

accession of infection with accumulation of pus;
deposition of salts in the cavity of the synovial bag;
myositis;
violation of the functionality of the joint.
When to make an appointment and see a doctor
If you have symptoms of knee bursitis, bursitis of the elbow joint, finger, shoulder, then you should immediately contact the clinic. The faster the diagnosis is carried out, the more chances for a complete cure of the disease.

We recommend that you make an appointment immediately if you experience:

joint pain when walking or at rest;
swelling;
chills and fever;
limitation of mobility.
Remember that the treatment of bursitis of the joint is a long process that requires an integrated approach. We do not recommend using the advice of other patients from thematic forums, since in each case the treatment algorithm is different. It depends on the causes of the onset of the disease, the stage of its development and concomitant chronic diseases.

Preparing to visit a doctor
If you suspect you have bursitis of the shoulder joint, elbow or knee, toe, heel, then you must immediately make an appointment with a doctor. You can get a consultation and diagnostics in JSC “Medicine” (clinic of Academician Roitberg). To do this, you need to call us at our contact numbers and make an appointment with an orthopedic traumatologist.

We have the latest imported equipment, which guarantees the accuracy of diagnostic studies. All research is carried out quickly, efficiently and professionally. This allows you to identify the disease in time and start treating it.

Timely measures are the key to recovery, which will certainly happen if you follow the recommendations of specialists.

Diagnosis of bursitis
When carrying out diagnostics, the following diseases can be detected:

bursitis of the finger;
bursitis of the knee;
bursitis of the elbow;
bursitis of the heels;
bursitis of the shoulder joint.
The basis of the diagnosis is an examination by an orthopedic traumatologist, a general blood test. A puncture is done to determine the type of fluid and the sensitivity of bacteria to antibiotics. This is a procedure in which the site of inflammation is pierced with a syringe with a sharp needle and a fluid sample is taken for analysis. It is necessary to exclude specific infections formed by gonococci, spirochetes and other microorganisms.

MRI and X-ray are considered auxiliary methods for diagnosing bursitis of the joint. You can quickly perform these procedures in our clinic located in the center of Moscow, not far from several metro stations (Mayakovskaya, Belorusskaya, Tverskaya, Novoslobodskaya). Clinic address: 2nd Tverskoy-Yamskaya per 10.

Treatment
How is bursitis of the joints treated? For therapy, an integrated approach is required using:

compresses;
antibiotic therapy;
pumping out the accumulated effusion;
rinsing the bursa with antiseptic solutions;
the introduction of corticosteroids (to eliminate inflammation).
In the event that the disease has acquired a neglected form, you cannot do without the help of surgeons. The bursitis operation is reduced to the excision of the bursa. This is performed by our experienced surgeons on a planned basis under conditions of absolute sterility. In most cases, healing occurs within 10 days. After that, the patient can begin to gradually return to his usual life without pain and discomfort. During the rehabilitation period, it is recommended to refrain from physical activity, visiting the pool, sauna, drinking alcohol and nicotine.

As a physiotherapy for bursitis, the doctor prescribes:

electrophoresis with hydrocortisone;
laser therapy;
magnets.
The patient must be prescribed rest and immobility of the joint, which are provided with special orthopedic structures.

Home remedies
For the treatment of an unpleasant acute bursitis that disrupts our lives, ointments and gels, anti-inflammatory drugs are used.

In case of severe pain, anesthetics are used. To relieve inflammation at night and during the day, compresses with bile are made, applying them to the affected area for an hour and a half.

Sometimes, patients use cabbage leaves to help relieve pain and stop inflammation.

Myths and dangerous misconceptions in the treatment of bursitis
You cannot rely on the spontaneous disappearance of the disease. It is quite insidious, since in some cases, after the acute form of the patient, pain stops disturbing, the edema disappears. The patient believes that the bursitis has been eliminated and that he can continue to live his usual life. In fact, the disease simply turned into a subacute form, after which the bursitis will become chronic. It will be more and more difficult to treat it. In most cases, surgery is required.

Therefore, if the pains have disappeared, and there is no trace of redness left, then do not rush to rejoice. They can still make themselves felt, and with progressive symptoms. The disease does not appear out of nowhere and does not disappear into nowhere.

In our clinic, you can get help in the treatment of knee bursitis, calcaneal, elbow and other types of this unpleasant disease.

We recommend you:

carefully monitor your health;
to be examined by doctors annually;
eat more fresh vegetables and fruits;
monitor your own hygiene;
try to completely cure viral and colds, which often give complications, including on the joints;
monitor hormonal levels;
check your metabolism.
Some patients are afraid to see a doctor because of the risk of surgery. They believe that after this they will never be able to feel like full-fledged people. In fact, surgery is performed only for obvious indications. Rehabilitation takes no more than 10 days. After that, the patients return to their normal life. With a timely visit to a doctor, it is possible to cure joint inflammation by conservative methods, which include ointments, gels, physiotherapy.

Prophylaxis
Treatment of bursitis is a difficult and long-term business. In order to prevent relapse, it is necessary to follow the general recommendations for preventive purposes. For this you need:

limit heavy lifting;
visit the pool;
refuse strength training, visit the gym only under the supervision of a trainer with a medical education;
monitor your body weight (each kilogram of excess weight increases the load on the supporting joint by 10 times);
regularly undergo diagnostics;
take complexes of vitamins and minerals to strengthen bone tissue;
increase immunity and body resistance.

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