Bursitis

The disease of a bursitis represents an acute or chronic circumarticular inflammation of mucous membranes of a synovial bag. As a rule, the bursitis arises owing to infectious inflammatory process or as result of traumatic impact on a joint (therefore the bursitis of a joint is often diagnosed for the athletes and people leading rather active and mobile healthy lifestyle).

Types of a bursitis

In the place of localization of an inflammation distinguish the following types of a bursitis of joints:

1. Bursitis of an elbow joint

In the majority of clinical cases the bursitis of an elbow joint is a consequence of mechanical (traumatic) impact on a joint with the subsequent accession of an infection. As a result of an injury the elbow joint bag considerably increases in sizes, in the field of an elbow bend the swelling of a hemispherical form is formed. Secondary accession of an infection causes increase in the general and local temperature, the localized reddening of integuments over the injured site, sharp morbidity and limitation of the movement of the joint captured by an inflammation.

2. Bursitis of a shoulder joint

The most often found type of a disease – a bursitis of a shoulder joint. Characteristic of this type of a bursitis is defeat of the circumarticular bags which are not connected directly with a joint cavity (subdeltoid, hypodermic acromial, subacromial). The area of an injury at a bursitis of a shoulder joint has the extreme degree of morbidity considerably amplifying in attempts of assignment or rotation of the injured upper extremity.

3. Bursitis of a hip joint

This type of a bursitis differs in extremely difficult character of a course of a disease. A frequent complication of a bursitis of a hip joint is accession of the consecutive purulent infection covering afterwards all joint. The hip joint extremely болезненен, resides in the state bent and a little turned out outside therefore the patient is limited in the movement when walking.

4. Bursitis of a knee joint

At a bursitis of a knee joint most often suffer before - and the patellar bags which are not reported directly with a knee joint (hypodermic, subtendinous and subfascial). The bursitis of a knee joint proceeds sharply, with the expressed local hypostasis, fluctuation, fervescence, quite often there is a significant increase in regional lymph nodes.

5. Bursitis of an ankle joint

Quite often found look – a bursitis of the ankle joint located between heelstring and a heel, so-called, an achillobursitis. In most cases the bursitis of an ankle joint arises because of traumatic impact on a synovial bag improper footwear. At diagnosis of a bursitis of an ankle joint it is necessary to distinguish it from the inflammation caused by a calcaneal spur.

Bursitis symptoms

The following symptoms of a bursitis are the most widespread:

- restriction of mobility in a joint;

- morbidity;

- an elastic elastic swelling around a joint (various size);

- increase in local and general body temperature is sometimes observed;

- reddening of integuments in the inflamed joint;

- in case of a chronic bursitis all above-stated symptoms of a disease can be not clearly expressed.

Diagnosis of a bursitis

Diagnosing of the bursitis which is especially superficially located does not cause special difficulties. In need of differentiation of a bursitis from other joint diseases to the patient additional tool inspections – ultrasonography or a X-ray analysis of a joint are appointed. One more diagnostic method of a bursitis is the puncture of the struck joint bag for an immunological and bacteriological research of its contents.

Treatment of a bursitis

For an acute bursitis treatment has to be performed in the conditions of a medical hospital. Usual tactics of maintaining the patient is purpose of a bed rest, the compressing bandage is applied area of the inflamed joint. Rest is, as a rule, shown for the term which is not exceeding ten days, further appoint easy physical exercises (flexion and extensive character) for preservation of mobility of a joint.

Also medicamentous antiinflammatory therapy is appointed if it is about a bursitis of an infectious etiology, apply antibiotics.

In some cases for a rassasyvaniye of the inflammatory center of a chronic bursitis treatment by folk remedies is very effective. It is possible to recommend use of the following resorptional compress:

- laundry soap (1 tablespoon grated);

- honey (1 tablespoon);

- onions (1 tablespoon grated).

To prepare mix from the above-stated ingredients, to take the piece of polyethylene suitable by the size, from above on it to lay cotton pure fabric on which the prepared weight gives all the best. Then to put a compress on area of the inflamed joint and to wrap up it from above warm, it is desirable chistosherstyany, fabric.

The best result in treatment of a bursitis can achieve, applying this compress every day within 7 days. Before a bursitis initiation of treatment folk remedies consultation of the attending physician is necessary.